September, 13 2016, 03:45pm EDT
For Immediate Release
Contact:
Clare Fauke, Communications Specialist,,clare@pnhp.org
Stronger Rx Than Obamacare Needed to Cover Everyone and Control Costs: Physician Leader
Citing Census Bureau report that 29 million people were uninsured last year, and noting that rising deductibles and other out-of-pocket expenses are deterring millions of insured Americans from seeking needed care, Dr. Robert Zarr says moving to a single-payer, improved-Medicare-for-all program has never been more urgent
"The Census Bureau's official estimate that 29 million Americans, including 3.7 million children, still lacked health insurance in 2015, five years after the passage of the Affordable Care Act, starkly illustrates how our inefficient, private-insurance-based system of financing care is fundamentally incapable of providing universal coverage," said Dr. Robert Zarr, a Washington-based pediatrician who is president of Physicians for a National Health Program.
"The fact that 29 million people remain uninsured - a figure that won't change much over the next decade, according to the Congressional Budget Office - is totally unacceptable to me as a physician," he said. "Studies show that lack of insurance is linked to a higher mortality rate. Being uninsured is lethal, and currently leads to tens of thousands of deaths annually."
Zarr noted that since the ACA's passage the number of uninsured has fallen by about 41 percent - from about 49 million people in 2010 to 29 million in 2015, with the largest gains among the poor, near-poor, and minorities. He said such gains "can only be welcomed, since research shows that having some kind of coverage is better than none."
But he said the Census Bureau report shows that new sign-ups dramatically slowed last year, with a decrease in the uninsured rate of only 1.3 percentage points from 2014. Zarr said other research shows that even if all the states that opted out of the ACA's Medicaid expansion program were to opt in, the overall picture would largely remain the same.
"That tens of millions of people will remain uninsured under our current arrangements is perhaps the most compelling argument for why our nation needs to swiftly adopt a single-payer system, where everyone, without exception, would be covered and get first-dollar coverage for all medically necessary care," he said. "But it's by no means the only argument."
Zarr pointed out that, once again, the Census Bureau report leaves unmentioned the declining quality of health insurance in the United States, or the "hollowing out" of already inadequate insurance, which takes the form of very high deductibles and copays, rising coinsurance rates, and narrow provider networks that restrict patients' access to care.
"Too many people have skimpy policies that deter them from seeking care when they should get treatment, and that leave them unprotected against financial hardship when illness or injury strikes," he said. "And their number is growing."
He said that a 2014 study by the Commonwealth Fund shows that about 31 million people who have health insurance - nearly a quarter of all non-elderly adults - are "underinsured," or have inadequate coverage based on their income. That's nearly double the rate in 2003. Of these, 44 percent went without a doctor's visit, medical test, or prescription due to cost, while 51 percent had problems paying off medical bills.
"For example, today a 40-year-old man earning $25,000 who signed up for a silver plan on the exchange would be eligible for government subsidies, but would still be at risk for $5,000 in copayments and deductibles," he said. "Or a family of four with an income of about $60,600 could face out-of-pocket costs for copayments and deductibles - after premium payments - as high as $13,700. And these numbers apply to 'in network' services only. Out-of-network costs can go much, much higher. Such financial barriers are untenable, economically and morally."
"The problem has only gotten worse over the past several years," Zarr said. "Last week the National Center for Health Statistics reported that the percentage of persons under age 65 with private insurance enrolled in a high-deductible health plan increased to 40 percent in the first quarter of 2016, up from 25.3 percent in 2010. This is an alarming proliferation of an insurance model that discourages care-seeking, a model that will lead to much suffering and in too many cases, early death."
Zarr said the recent announcement by Aetna, UnitedHealth Group, and other insurers of their withdrawals ACA's marketplaces in many U.S. counties because the enrollees there were unprofitably ill - even as the insurers' overall profits and stock prices have soared to record highs - shows they cannot be relied upon to fulfill the basic function of protecting patients' financial security in time of need.
"Whether it be the big private insurers' increases in premiums, deductibles, and copays, or the skyrocketing costs of medications by Big Pharma - the recent EpiPen price hike is a glaring example, although dramatic increases in the costs of insulin and other life-saving medications have also occurred - it's clear that our corporatized health industry is bent on maximizing their profits at the expense of our patients' health," he said.
"Only a nonprofit, single-payer health care program will cut out the huge bureaucratic waste in our system, freeing up the funds to provide everyone with quality coverage. And a single payer will give us the tools we need to rein in rising costs. That's why I and thousands of other physicians earlier this year issued a statement calling for a single-payer system.
"Our patients and our economy can't wait any longer for an effective remedy to our health care woes. The stakes are too high. We need to swiftly move beyond the ACA to a single-payer national health insurance program."
Physicians for a National Health Program is a single issue organization advocating a universal, comprehensive single-payer national health program. PNHP has more than 21,000 members and chapters across the United States.
LATEST NEWS
'A Corporate CEO's Dream': Labor Unions Blast Trump-Vance Ticket
"This ticket isn't pro-worker or pro-union. It's the billionaire ticket through and through," said one labor leader.
Jul 16, 2024
Leading U.S. unions warned voters on Monday not to be fooled by the pro-worker facade constructed by Republican presidential nominee Donald Trump and his running mate, JD Vance, a Republican senator from Ohio who has opposed
congressional efforts to strengthen organizing rights, allowed corporate lobbyists to influence his legislating, and raked in donations from the elites he claims to despise.
Liz Shuler, president of the AFL-CIO—the nation's largest federation of unions—said in a statement the combined records of Trump and Vance make clear that, if elected, they "would eviscerate unions and empty workers' pockets just to boost the profits of their corporate friends and donors."
"Donald Trump has a miserable record of breaking every promise he's made to working people—from failing to pay his workers and crossing a picket line to his disastrous four years in the White House," said Shuler. "That betrayal would continue if he is reelected—so it's no surprise Trump chose a vice president who will be nothing more than a rubber stamp for that anti-worker vision."
Shuler continued:
Sen. JD Vance likes to play union supporter on the picket line, but his record proves that to be a sham. He has introduced legislation to allow bosses to bypass their workers’ unions with phony corporate-run unions, disparaged striking UAW members while collecting hefty donations from one of the major auto companies, and opposed the landmark Protecting the Right to Organize (PRO) Act, which would end union-busting "right to work" laws and make it easier for workers to form unions and win strong contracts.
"A Trump-Vance White House," she added, "is a corporate CEO's dream and a worker's nightmare."
Service Employees International Union president April Verrett offered a similar assessment of the Trump-Vance ticket, saying that while Vance "may portray himself as a working-class hero," his "record tells another story."
"The truth is that Senator Vance's loyalties lie with the Wall Street bankers and Silicon Valley billionaires who have bankrolled his political career," said Verrett. "Together, Donald Trump and JD Vance will seek to protect the wealthy and corporations while enacting their insidious Project 2025 agenda. There's a stark contrast between Biden-Harris, who have backed workers and taken action to lower prices and raise wages, and Trump-Vance, who side with price-gouging, union-busting corporations."
BREAKING: Donald Trump has selected JD Vance as his running mate.
Vance claims that he's all about taking on elites.
But the donor list from his Senate campaign tells another story. His top donor occupation was CEO. pic.twitter.com/zFrEx9vMKY
— More Perfect Union (@MorePerfectUS) July 15, 2024
The unions' statements came as Republican delegates at the party's convention in Wisconsin—a state that's been
described as a "laboratory" for the GOP's anti-union agenda—formally nominated Trump as their presidential candidate, shortly after an assassination attempt.
GOP delegates also approved their party's platform, which includes the vague promise to put "American workers first" but does not mention the word "union." The nation's union membership rate fell to an all-time low last year thanks to a long-running war on labor rights waged by corporate America and its GOP allies.
The Republican platform contains an ostensibly pro-worker pledge to exempt tips from taxation, a vow that—according to one critic—"appears to be a way for Republicans to change the subject if anyone questions their opposition to raising the minimum wage, which has been stuck at $7.25 for the past two decades."
Despite backlash from within his union, Teamsters president Sean O'Brien delivered a primetime address to the Republican convention Monday night, praising Trump for his supposed willingness to "hear from new, loud, and often critical voices."
But other union leaders expressed a much harsher view of the former president, given that during his first term he stacked federal agencies and courts with opponents of organized labor and worked to gut worker protections. Trump's reelection campaign is backed by at least a dozen billionaires, including the world's richest man.
"This ticket isn't pro-worker or pro-union," said Sara Nelson, president of the Association of Flight Attendants-CWA, urging workers not to buy the "slick rhetoric" of Trump's running mate.
"It's the billionaire ticket through and through," Nelson added.
Keep ReadingShow Less
Climate Movement Sounds Alarm on Trump Picking 'Big Oil Sellout' JD Vance for VP
"JD Vance will sell out to the highest bidder, whether that's Trump or the fossil fuel industry," said one Sunrise Movement campaigner. "That makes him dangerous."
Jul 15, 2024
Climate campaigners reacted to former U.S. President Donald Trump's selection of Sen. JD Vance as his running mate Monday by highlighting the Ohio Republican's climate denial and strong support for the fossil fuel industry—one of his top campaign contributors.
"Like Donald Trump, JD Vance has proven that he will make it a top priority to roll back climate protections while answering to the demands of oil and gas CEOs," Sunrise Movement communications director Stevie O'Hanlon said in a statement. "Vance is one of Congress' biggest recipients of donations from oil companies."
"JD Vance not only flip-flopped on supporting Trump, he flip-flopped on climate," she continued. "He went from expressing concern about climate change before running for the Senate, to voting to gut [Environmentl Protection Agency] protections and denying that there even is a climate change crisis."
O'Hanlon added: "JD Vance will sell out to the highest bidder, whether that's Trump or the fossil fuel industry. That makes him dangerous. Donald Trump was the worst president for climate in U.S. history. JD Vance will empower Donald Trump to enact even worse damage on our planet in a second Trump administration."
Some of Trump's key first-term Cabinet appointees—including Rex Tillerson, his first secretary of state, and Ryan Zinke, who headed the Interior Department—were former fossil fuel executives or had track records of supporting the oil, gas, and coal industries.
Trump's White House tenure was also marked by an
aggressive rollback of climate and environmental regulations and protections.
Food & Water Watch Action deputy director Mitch Jones said that "just like Trump himself, JD Vance is a fossil fuel backer and climate change denier that poses a serious risk to public health and our environment."
"Among the countless reasons that Trump and Vance shouldn't be elected to lead our country, the duo represents an existential threat to a livable climate future for all Americans and people around the globe," Jones added.
JL Andrepont of 350 Action asserted that "we are facing a dire need to ward off further climate catastrophe and injustice, so let's be clear: JD Vance is another climate-denying authoritarian who poses massive danger to this country."
"He has praised the horrific Project 2025 plan and said there are 'good ideas in there,'" they continued. "He says he would be totally fine with a federal ban on abortion. And as the effects of climate change accelerate at an alarming pace right in front of our eyes, Vance is a strong supporter of the oil and gas industry who claims that climate change is not a threat."
"We must reject him and all climate deniers at the polls," Andrepont stressed.
Keep ReadingShow Less
Targeting Corporate Landlords, Biden to Unveil National Rent Control Plan
"The rent is too damn high—and rent control is a real fix," one group said, praising the proposal.
Jul 15, 2024
As former U.S. President Donald Trump secured the Republican nomination and announced his running mate on Monday, Democratic President Joe Biden prepared to unveil a proposal that would cap annual rent increases at 5% for tenants of major landlords.
After Biden briefly previewed the proposal during a press conference last week, The Washington Postreported on the planned announcement Monday, citing three people familiar with the matter. The Associated Press separately confirmed the plan.
Biden is set to formally introduce the proposal on Tuesday in Nevada, which "has seen among the biggest explosions of housing costs in the country," the Post noted. "Democrats have grown increasingly concerned that Trump could win the state in November."
The president, who is seeking reelection, will propose taking a tax benefit away from landlords who hike rents by more than 5% annually, according to the reporting. The plan would only apply to the existing housing stock of landlords who own more than 50 units and would require congressional approval—so it is not expected to go anywhere unless Biden wins in November and Democrats secure majorities in both chambers of Congress.
As the newspaper detailed:
The Biden administration is also pushing numerous policies to increase housing construction, through incentives to local governments to change their zoning codes and new federal financial incentives for builders.If implemented, they could bring 2 million new units to the market in addition to the 1.6 million already in the pipeline.
"It would make little sense to make this move by itself. But you have to look at it in the context of the moves they propose to make to expand supply," said Jim Parrott, nonresident fellow at the Urban Institute and co-owner of Parrott Ryan Advisors. "The question is: Even if we get all these new units built, what do we do about rising rents in the meantime? Coming up with a relatively targeted bridge to help renters while new supply is coming online makes a fair amount of sense."
While housing industry representatives criticized the reported proposal, Diane Yentel, president and CEO of the National Low Income Housing Coalition, told The Associated Press that having it in effect in recent years could have helped renters.
"The recent unprecedented increases in homelessness in communities across the country are the result of those equally unprecedented—and unjustified—rent hikes of a couple years ago," she said. "Had such protections against rent gouging been in place then, many families could have avoided homelessness and stayed stably housed."
Other rent control advocates and progressive officials also welcomed the plan, with Kendra Brooks—the first Working Families Party member ever elected to Philadelphia City Council—declaring that "this is exactly the kind of leadership that working families need!"
Jacobin's Branko Marcetic said that "this is huge," particularly considering that "housing has rapidly climbed as a cost-of-living concern (and is also under 30s' most important issue)."
Multiple campaigners and organizations credited housing advocates for pushing rent control at the national level.
"It's amazing how rapidly the conversation around rent caps has changed," noted Shamus Roller, executive director of the National Housing Law Project. "Tenant organizing has created this change. It's a proposal for Congress which will face serious headwinds but the president just called for rent caps (even if only temporarily)."
The Debt Collective said, "We will say it over and over again: The rent is too damn high—and rent control is a real fix."
"Rent caps wouldn't be a national policy proposal without tenants unions across the country making it possible through organizing," the group added. "On our way to land without landlords, remember that rent control works. The 99%'s need for a roof over our head should not be 1% profits."
Keep ReadingShow Less
Most Popular