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"We deserve a government that uses our money to fund our care, not one that uses our money to line the pockets of corporations," said one protester.
After meeting with their members of Congress, working-class voters on Wednesday marched to the Washington, D.C. offices of three companies behind the nation's housing, health, and climate crises that are set to cash in on federal Republicans' planned tax giveaways.
Organized by People's Action Institute, the protest targeted Blackstone, an investment company that has become the world's largest corporate landlord; UnitedHealth, the country's biggest health insurance company; and American Gas Association, which represents more than 200 energy companies that provide services to 189 million Americans.
The participants—who hailed from 60 congressional districts across 27 states—emphasized issues including unaffordable rent rates, housing insecurity, homelessness, denied medical treatment, unpayable healthcare costs, high utility bills, health harms from fossil fuels, and corporate lobbying for tax cuts that benefit companies and billionaires rather than working people.
"We're here today because we want to make the rich pay their fair share!" declared JJ Ramirez of People's Action Institute member organization VOCAL-Texas. "Blackstone is a private equity company that has over 300,000 rental properties across the country. They gobble up these homes, raise our rents, price gouge us, and then evict us when we can't afford to live in their places. We're here today because Blackstone has conspired with other corporate bad actors so they can gobble up everything that we have."
While the protesters gathered outside Blackstone, they stressed that corporate landlords in general are an issue. Ann Kiesling of Progressive Maryland, which supported tenants at the Enclave Silver Spring apartment complex, said that "I will never forget a woman with a disability telling me about the time she had to hop up, with the help of a neighbor, 15 flights of stairs to get to her apartment because the landlords refused to fix the elevators. I will never forget the parents of a four-year-old telling me how they had to heat up water on their stove to give their kid baths because their landlord refused to fix their hot water for over a month."
"An out-of-state private equity landlord, Hampshire Properties, is raking in massive profits by charging luxury rent prices while letting the building fall apart and leaving tenants with the consequences," Kiesling continued. "And while we are here fighting for basic living conditions against mold, broken elevators, pest infestations, corporate landlords like Hampshire Properties, like Greystar, like Blackstone, are pouring our rent money into lobbyists and elected officials' campaigns instead of fixing their buildings."
Hannah Peterson, a disabled veteran, seminary student, and member of the People's Lobby in Chicago, pointed out Wednesday that "just last night, House Republicans passed their budget resolution to cut millions from Medicaid."
That resolution
sets the stage for cutting not only $880 billion from the healthcare program that serves low-income Americans, but also $230 billion from the Supplemental Nutrition Assistance Program (SNAP), commonly called food stamps. Elected Republicans, who control both chambers of Congress and the White House, want to gut safety net programs to fund an expansion of tax giveaways to the rich that GOP lawmakers passed and President Donald Trump signed in 2017.
"Republicans are already funneling our tax dollars out of programs our communities need and into pockets of private corporations and billionaires," Peterson said. "We deserve a government that uses our money to fund our care, not one that uses our money to line the pockets of corporations."
As Medicare for All advocates often highlight, although the United States has Medicaid and Medicare, which serves seniors, it is the only developed country in the world without universal healthcare. Instead, the U.S. has a for-profit system that often leaves patients unable to access or afford necessary care, including because of denials from insurance companies.
"To the folks at UnitedHealthcare... if you really care about people's health, why don't you publicly come out and oppose the cuts to Medicaid?" asked Citizen Action of New York's Amelia Bittel—who has dysautonomia, a disorder that led to a heart surgery at age 35 and requires weekly blood draws.
"In my city of Syracuse, New York, 48% of the population relies on government-funded programs to get their insurance," said Bittel. "You don't need the $1.3 billion that you stand to profit from these cuts. Your company routinely reports the highest profits. Why not give back to the patients?"
At the American Gas Association, Gloria de Graves from Citizen Action of Wisconsin explained that in the Midwestern state, "if you're not familiar, we hit negative 30°F sometimes, and that means that people can freeze to death in their homes if they do not have a way to heat their homes."
"So all I'm saying is We Energies and Xcel Energy, who I have paid plenty of money to over the years, need to stop charging us so much money so that we can afford to feed ourselves, we can afford to stay housed, and when we are fleeing domestic violence, that there is a safe, electrified, and heated home to go into so that we are warm and safe in the winter," de Graves said.
Celebrating the multisite protest on Wednesday, progressive Congresswoman Rashida Tlaib (D-Mich.) said that "I want to thank you from the bottom of my heart, because there are people in my community that can't afford to come up here."
"It is so important to understand corporate greed and how it is embedded in environmental injustices, embedded in environmental racism," she said. "They want the federal government to continue to literally fund poisoning us, while we get sick here in our country. So they're making us sick, and we're subsidizing the fact that we don't have access to healthcare that supports our families."
In a dispatch earlier this week, People's Action executive director Sulma Arias wrote that her group "refuses to give up. We believe ordinary people have the power to rise and meet this and every moment, if we act together. We believe in the fundamental dignity of every person, without exception, and we believe government exists to serve all people—We the People—not the wealthy few."
A system that collects money from patients and employers then profits by withholding the promised care is not a business but a fraudulent, diabolical scam.
It’s the beginning of the end for corporate control of health care. The tsunami of outrage against the health insurance industry in the wake of the shooting of United Healthcare CEO Brian Thompson, can propel an urgent, unyielding demand for the removal of profit from healthcare and the enactment of a universal, national single payer system. That is, if the single payer, Medicare for All, national health service movement can summon the vision and audacity to rise to the occasion.
The myth, promoted by health care think tanks and policy experts, that people in the United States are satisfied with their health insurance was exploded in the social media rage unleashed in the aftermath of the killing of the United Healthcare CEO.
Fifteen years after the passage of the Affordable Care Act (ACA), our failing health care system is exposed with all its cruel denials, debt, disease, despair and death at the hands of the investor-owned companies for whom patients are merely pawns for the extraction of profit.
Health care in the United States comes in dead last when rated against comparable countries. The U. S. is at the bottom in overall performance, health outcomes, equity, access to care, and efficiency. As the Commonwealth Fund states: “In fulfilling this fundamental obligation [the ability to keep people healthy], the U. S. continues to fail.”
Health care in the United States comes in dead last when rated against comparable countries.
People in the United States aren’t living to their full potential. Already, the U.S. is 55th in life expectancy, behind Panama, Albania, and Czechia, and will fall in its global rankings by 2050 if the country continues the same trajectory. Years of life are lost to a health care system that serves profit over the value of life.
Our maternal mortality rate would be the shame of many of the poorest nations. In 2020, U.S. maternal mortality rate was higher than in Gaza. In 2022, there were 22 maternal deaths per 100,000 live births in the U.S. This is easily double, and often triple, the mortality rate in peer nations, which can be as low as 5 per 100,000 live births. Black mortality rate is criminally worse: 49.5 per 100,000 live births.
Over one million in the U.S. died in the pandemic, a rate much higher than other nations. Over 330,000 of the pandemic deaths in the U.S. were avoidable. Those lives could have been saved had we had a healthcare system that left no one with inadequate coverage.
Cancer patients must not only fight for their lives but also for the economic survival of their families. The newest treatments with so much hope are beyond the means of those who have insurance policies but no great wealth. About 30% of cancer survivors report lasting financial hardship.
Cancer patients are nearly 5 times more likely to experience bankruptcy, and the medical burden forces many to forego care.
Those who have employer-based insurance were assumed to have the gold standard in health care. Now even the highest paid workers are subjected to premiums, deductibles, and co-pays that impede their care despite the family plans that average $32,000 per year. More have insurance that covers less than a hospital gown. Gold has turned to scrap metal.
As people struggle to pay for the premiums, deductibles, and co-pays, revenues of the seven largest health insurance companies in 2022 reached $1.25 trillion and profits soared to $69.3 billion. That’s a 287% increase in profits in just one decade, when profits were $24 billion.
The toxicity of the health care profit makers that spread unnecessary suffering and death generates the hatred that is poisoning the land.
Medicare, our best health care program, publicly funded and open to all, is now strangled in the grip of the privatized Medicare Advantage plans and the Accountable Care Organizations facilitated by the Center for Medicare and Medicaid Innovation (CMMI). Medicare Advantage now controls a majority of recipients, not because it is better, but because the law that established it and the regulators that control it have allowed it to charge less in monthly premiums—plans that are also allowed to delay and deny care yet are overpaid by billions every year. CMMI issues waivers to the private plans exempting them from fraud and abuse laws and allowing kickbacks, self-referral, and illegal benefit inducement.
Millions on fixed incomes cannot afford the alternative of traditional Medicare plus a prescription drug plan and a supplementary Medigap plan. Those who have managed to escape the clutches of Medicare Advantage can still find themselves assigned, without their knowledge, to “value-based” payment schemes such as ACO REACH and other Accountable Care Organizations (ACOs) which privatize traditional Medicare. “Value-based” payment models are touted, without evidence, as reducing costs for Medicare, yet encompass a multitude of for-profit entities and subject patients to physicians incentivized to deny care. There is ample evidence that “value-based” payment schemes do not lower costs for Medicare. Nevertheless, the privatization of Medicare, through Medicare Advantage or ACOs, is now official policy.
The hoax of “value-based” payments, promoted by CMMI, is exposed by the fact that, despite all the assertions of promoting equity, the inequities of health care are expanding.
Medicaid, the program for children and adults with low income, is almost completely privatized, subjecting the recipients to delays, denials and restrictions imposed by the private managed care organizations that control it.
The Center for Medicare and Medicaid Services (CMS) is hurtling down the wrong track. They invite venture capital and health care investors into the Health Care Payment Learning and Action Network (LAN) that they created. CMS holds conferences, seeking advice and collaboration from the very profiteers that are the cause of high cost, low-quality care. The “value-based” payment scheme promoted by CMS has advanced the power of the profit makers, raising costs, cutting care, and pretending to promote equity for minorities and low-income patients.
It’s time to end the chaos. No more foxes in the hen house, no more poison in the system, no more profit in health care.
The toxicity of the health care profit makers that spread unnecessary suffering and death generates the hatred that is poisoning the land.
It’s time to end the chaos. No more foxes in the hen house, no more poison in the system, no more profit in health care. The nation has rejected the insurance company health care model that delays and denies care, demands skin in the game, asserts that there is massive unnecessary care, throws up barriers against care, and walks away with billions. A system that collects money from patients and employers then profits by withholding the promised care is not a business but a fraudulent, diabolical scam.
This system built on profit cannot be tweaked or regulated into better performance. Runaway trains are not deterred by guardrails.
There is one way to heal the nation. Put single payer on the nation’s table and focus the steaming rage to move the engine of change. Raise the demand for removal of profit and enactment of an Improved Medicare for All free from profit to a level commensurate with the damage that our current failing system is causing the patients’ and the country’s goodwill.
Some look at the current Congress, make the assessment that it’s not possible to pass single payer, then change their demand to a lesser proposal. But incremental changes are at the root of the privatization and profit schemes we are locked into now. Fifteen years after the ACA we have a failing health care system. We have witnessed that more incrementalism does more harm than good. Power concedes nothing without a demand, and the demand must be equal to the solution needed.
There is one way to heal the nation. Put single payer on the nation’s table and focus the steaming rage to move the engine of change.
As Marcia Angell, former editor of the New England Journal of Medicine, taught us, in our current private profit-based system, proposals that lower costs also decrease care, and proposals that increase care, raise costs. To improve care and control costs, we must turn to national single payer, free from profit or a national health service.
The status quo is deadly, and people are demanding a stronger more effective fight. We must organize and educate, locally and nationally with a new determination. In every town hall, classroom, union, organization, and neighborhood, people must hear the message and join the fight. Redirect the rage into a positive force for change.
The new anger in the nation makes possible what we could not do before. Many are now discussing the possibility of setting a National Day of Action in 2025 to demand freeing health care from corporate profit and covering everyone under a national single payer plan. That’s a great idea. Actions across the country lifting up that demand could inspire the movement we need.
National Single Payer—an Improved Medicare for All free from profit with everybody in and nobody out. Nothing less can heal the nation.
"If Medicare Advantage has it their way, they're going to deny me care and delay me care until I'm dead," said one patient.
Patients on Medicare Advantage spoke out against the privatized plans this week as part of a coordinated campaign to shed light on the program's care denials, treatment delays, and overbilling—and to pressure U.S. President Joe Biden to rein in the insurance giants raking in huge profits from such abuses.
"These corporations do nothing to increase positive outcomes in medical care. So don't fall for their bullshit," Jenn Coffey, a retired EMT from New Hampshire, said during a livestream hosted by People's Action on Wednesday night.
The stream featured testimony from several patients who have experienced the kinds of delays and denials for which Medicare Advantage is notorious.
Rick Timmins of Puget Sound Advocates for Retirement Action said it took five months and "multiple calls and emails" for his insurance company to approve his referral to a dermatologist for a suspicious lump on his earlobe that turned out to be malignant melanoma. The delay stemmed from a byzantine process known as prior authorization, whereby doctors are required to prove a treatment is necessary before an insurer will cover it.
By the time his referral to a specialist was approved, Timmins said, the previously tiny lump "had tripled in size" and was "quite painful."
MA insurance companies find it financially beneficial to delay essential care to patients.
Medicare (Dis)Advantage plans take the problems of private health insurance and import them into Medicare. @PplsAction #CareOverCost pic.twitter.com/V21nKlkyLj
— Social Security Works (@SSWorks) March 14, 2024
Coffey, for her part,
ended up on a UnitedHealth Medicare Advantage plan after she was diagnosed with breast cancer in 2013. She later developed two rare diseases—including complex regional pain syndrome—and required expensive treatments that her Medicare Advantage plan refused to cover.
"If Medicare Advantage has it their way, they're going to deny me care and delay me care until I'm dead," Coffey, a healthcare advocate, said in a video published Thursday by the advocacy group Be A Hero as part of a social media day of action against the for-profit plans.
"They only make money when they don't have to spend it on you," said Coffey.
Once enrolled in a Medicare Advantage plan, patients often find it difficult to get out.
"They like to tell you: 'Medicare Advantage numbers are so high, can't you tell people love it?'" said Coffey, alluding to the fact that more than half of all eligible Medicare beneficiaries are now enrolled in a Medicare Advantage plan. "No, we don't. We're stuck. It's the Hotel California: You can check in, but you can't get the hell out."
“If Medicare Advantage has it their way, they’re going to deny me care and delay me care until I’m dead.” — Jenn
The greedy health insurance corporations that run Medicare (Dis)Advantage will always put profits above patients. That’s why we’ve got to #ReclaimMedicare. pic.twitter.com/0ED1iHBu0u
— Be a Hero (@BeaHero) March 14, 2024
Next month, the Biden administration is expected to finalize 2025 payment rates for Medicare Advantage, which is funded by the federal government. Medicare Advantage plans frequently overbill the government by making patients appear sicker than they are.
An analysis released last year by Physicians for a National Health Program estimated that Medicare Advantage plans are overcharging U.S. taxpayers by as much as $140 billion per year—an amount that could be used to completely eliminate Medicare Part B premiums or fully fund Medicare's prescription drug program.
Patients and advocacy groups are calling on Biden to "not fork over more money for insurance companies like UnitedHealthcare," as Coffey put it during Wednesday's livestream.
A petition sponsored by Social Security Works urges Biden to "reclaim Medicare" from Medicare Advantage providers, which "have delayed and denied care to millions of Americans in order to turn a massive profit."
"Medicare Advantage isn't really Medicare, and it isn't an advantage to the seniors and people with disabilities who rely on the program," reads the petition, which has over 22,800 signatures as of this writing. "In the 25 years that it has existed, it’s clear that Medicare Advantage is riddled with the same problems as the rest of private insurance: Opaque bureaucracy and extraordinary fees. Seniors who enroll in these for-profit plans are being price-gouged by massive corporations."
The Biden administration has proposed a 3.7% payment increase for Medicare Advantage in 2025—a change that insurers have portrayed as a cut. But Social Security Works noted in response to the industry's complaints that "MA companies are not hurting for profits."
"In 2022 alone, seven healthcare companies that comprise 70% of the MA market brought in over $1 trillion in total revenue and over $69 billion in profits, and spent $26.2 billion on stock buybacks," the group observed. "These same companies claim that if the government doesn't increase their already bloated payment rates, they will have no choice but to slash benefits for patients. This is false, and should be seen for what it is—MA plans holding patients hostage to extort the government for profits."
In an op-ed for STAT last month, former insurance industry insider Wendell Potter—who is now an outspoken critic of private insurers—and John A. Burns School of Medicine professor professor Philip Verhoef wrote that "private plans have no business administering Medicare benefits."
"Traditional Medicare is already more efficient than its private counterpart, in large part because the approval process is much simpler and there aren’t the same incentives to upcode," the pair wrote. "Traditional Medicare spends far less of its funds on administrative overhead, and overall it spends less money per patient than Medicare Advantage while providing far superior access to doctors, hospitals, and treatments."
"Medicare Advantage isn't working for any group: the government, patients, taxpayers, and now even investors," they added. "It's time to turn to what we already know works. We need to support and strengthen traditional Medicare."