SPAN Ohio Reporting from DC

LCSP Annual Meeting

Greetings from the nation’s capitol! This past weekend, under the sponsorship of my local UAW-CAP Council, I attended the Labor Campaign For Single Payer (LCSP) annual meeting at the National Labor College in Silver Spring, MD. The meeting convened on Friday afternoon at AFL-CIO Headquarters in Washington DC.   Joining us there were Congressmen John Conyers (H.R. 676) and Dennis Kucinich. Congressman Jim McDermott (H.R.1200) called in by phone. They all expressed their appreciation for advocates keeping the drive for universal health care alive and well in the wake of the federal Patient Protection and Affordable Care Act (PPACA) that passed last year.  Also addressing the gathering was the President of the AFL-CIO, Richard Trumka. President Trumka expressed his support for further reforms needed in order to advance single payer healthcare. While we were always aware of the shortcomings of the PPACA, President Trumka, for the first time of which I am aware, publicly expressed his disappointment with the result and even publicly apologized to Congressman Kucinich for not having done more to support Single Payer. He pledged to rectify that going forward and pointed to the AFL-CIO endorsement of Senator Sander’s S.915, American Health Security Act of 2011, as a concrete example of that forward looking approach. I believe we are witnessing a positive change in the approach labor organizations will be taking on our issue.

Action Request

Tomorrow, June 7, 2011, I have an appointment with Senator Sherrod Brown’s staff to make a more formal request for Senator Brown to co-sponsor S915, the American Health Security Act of 2011. Please call Senator Brown’s office (202) 224-2315 and voice your support. Though I didn’t get an appointment with Ohio’s Senator Rob Portman (202-224-3353) call and tell him as well. I’ll be dropping in to tell his staff! When you call, tell them: MEDICARE WORKS and you support MEDICARE FOR ALL, and you want the Senator to support the American Health Security Act of 2011 (S.915), which ensures that all Americans have equal access to comprehensive health care and frees patients from fear of medical bankruptcy while bringing skyrocketing costs under control. Our friends in the California Nurses Association and National Nurses United will be on the hill as well.

Columbus local action: Sponsored by Ohio Alliance For Retired Americans

What: “Hands off Medicare”—“Don’t Make Us Work ’Til We Die” – Walk and Press Conference
When: Thursday June 9, 2011 11:30 a.m-12:15 p.m.          Gather at 11:15 a.m.
Where: Jerry Hammond Building – Franklin County Job Center
1111 East Broad Street, (Broad and Ohio across from Jenkins Terrace Senior Housing Complex) Columbus, Ohio.

Kurt Bateman, Director SPAN Ohio

A Doctor’s Push for Single-Payer Health Care for All Finds Traction in Vermont

New York Times, May 21, 2011


MONTPELIER, Vt. — Many people move to Vermont in search of a slower pace; Dr. Deb Richter came in 1999 to work obsessively toward a far-fetched goal.

She wanted Vermont to become the first state to adopt a single-payer health care system, run and paid for by the government, with every resident eligible for a uniform benefit package. So Dr. Richter, a buoyant primary care doctor from Buffalo who had given up on New York’s embracing such a system, started lining up speaking engagements and meeting with lawmakers, whom she found more accessible than their New York counterparts.

“I wrote a letter to the editor, and the speaker of the House called me up to talk about it,” Dr. Richter, 56, recalled recently. “It was astounding. In New York, I couldn’t even get an appointment with my legislator.”

Twelve years later, Dr. Richter will watch Gov. Peter Shumlin, a Democrat, sign a bill on Thursday that sets Vermont on a path toward a single-payer system — the nation’s first such experiment — thanks in no small part to her persistence. Though scores of people pushed for the bill, she was the most actively involved doctor — “the backbone,” Mr. Shumlin has said, of a grass-roots effort that helped sway the Democratic Legislature to pass it this spring even as other states were suing to block the less ambitious federal health care law.

“We wouldn’t be where we are without Deb,” Mr. Shumlin said in an interview. “She’s made this her passion. And like anyone that’s making significant social change, she has qualities of persuasiveness and leadership and good judgment that are hard to find.”

As in all states, the cost of health care has increased sharply in Vermont in recent years. It has doubled here over the last decade to roughly $5 billion a year, taking a particular toll on small businesses and the middle class. All 620,000 of the state’s residents would be eligible for coverage under the new system, which proponents say would be cheaper over all than the current patchwork of insurers. A five-member board appointed by the governor is to determine payment rates for doctors, what benefits to cover and other details.

But much remains to be worked out — so much that even under the most optimistic projections the plan might not take effect until 2017. Most significantly, Mr. Shumlin still has to figure out how much it will cost and how to pay for it, possibly through a new payroll tax. Whether he will still be in charge by 2017 is among the complicating factors.

“If we had the exact same Legislature and the same governor we could get it done,” Dr. Richter said. “It’s a big if, because the opposition has a ton more money to convince people that the governor is evil and this is socialized medicine and all kinds of other scary stuff.”

The opposition will probably include insurance companies, drug makers and some employers who say there are too many unknowns. Many doctors, too, are wary of the change and what it might mean for their income. Dr. Richter said she believed a “slim majority” of the state’s 1,700 licensed physicians were supportive.

“One of the bigger worries I have is we’ve had all this hoopla and nothing’s going to happen,” she said at a coffee shop here recently on a rare quiet afternoon. “But it might also be helpful to us, because it’s going to be hard for any opposition to be steadily pushing for seven years.”

The federal health care law has complicated Vermont’s plans, requiring the state to first create a health insurance exchange to help residents shop for coverage by 2014. The state would then need a federal waiver to trade its exchange for a government-run system.

Dr. Richter said she embraced the idea of a single-payer system as a young doctor in Buffalo, where many of her patients put off crucial treatments because they were uninsured. As a medical student, she saw a patient with a life-threatening heart infection caused by an infected tooth that had gone untreated because he lacked dental insurance.

“He was in the hospital for six weeks, and I was like, ‘This makes no sense,’ ” she said.

She went to a meeting of Physicians for a National Health Program, a group that advocates for a national single-payer system, and started researching the concept. Before long she became a vocal advocate, even becoming president of the physicians’ group, and moved to Vermont.

John McClaughry, a former Republican state senator who is against the new law, said Dr. Richter meant well but did not understand the “long-term damage” it would wreak. In particular, he said the law would drive away businesses that did not want to help pay for it. “She’ll tell you that putting in single-payer will attract businesses from all over the place,” said Mr. McClaughry, vice president of the Ethan Allen Institute, a conservative research group. “I don’t think she has any appreciation of business decisions at all.”

Since moving with her husband and two sons to a rambling old house within view of the State House, Dr. Richter has given about 400 talks on the single-payer concept, tutored lawmakers in the State House cafeteria and testified before the Legislature more times than she can remember. Once, she presented a printout of all the insurance companies her small practice in Cambridge had billed over five years.

“It was like 190 pages long,” she said. “Here we were, this tiny rural clinic having to bill all these different addresses. And all of them have different rules and reimbursements; I mean, it’s ridiculous.”

Some supporters of single-payer health care say Vermont’s law does not go far enough, mostly because it would allow at least a handful of private insurers to stay in the market indefinitely. Self-insured businesses like IBM, the state’s largest employer, could continue providing health coverage to workers under the law, though they would have to help finance the new system, possibly through a payroll tax.

Physicians for a National Health Program is among the critics, saying the law “falls well short of the single-payer reform needed.” Allowing private insurers to remain in the state will prevent meaningful savings, the group says.

Dr. Richter acknowledges that the law will not allow for “strict single-payer,” but said it still promised “health care for everybody, for less cost.”

“This is not the top of the mountain, but it’s the first time anyone has headed up the mountain,” she said. “No other place in the country has gotten this far.”

S915/HR1200 - The Healthcare Wisdom We Can Trust

By: nationalnursesmovement Tuesday May 10, 2011

Today, it is official. Two amazing and courageous elected officials stood with nurses and patients to introduce legislation that moves beyond the current health reform effort and forward to a healthy system for all.

Sen. Bernie Sanders, I-VT, and Rep. Jim McDermott, D-WA, have been allies in the cause for decades. There are not young fellows in terms of legislative or life experience.

Both stood together to introduce the American Health Security Act of 2011 – single-payer, Medicare for All style coverage that would be administered by the states. S915 and HR 1200. Sound policy. Sound thinking. Perfect timing.

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Rep. McDermott (D-WA) on the left and Sen. Sanders (I-VT) on the right.

We can all look at the statistics and the motivations of those who offer the numbers, but these two elected officials stand with us —the patients, the nurses, the workers, the people – as surely as night follows day. It is rare to see moments when the people’s business intersects with the political moment. And it is even more rare to see those elected officials who look to the needs of their constituents and the nation and stand up for policy that uplifts – even if some powerful financial interests see things another way.

The work ahead may be daunting, but with advocates like National Nurse United, and co-president Jean Ross, RN, standing in support of AHSA of 2011, S915/HR1200, the path seems navigable, if challenging. Jean was convincing and committed today as she mentioned her own son and his struggle to secure healthcare in the midst of the current for-profit system that often leaves patients left behind and nurses holding hands and hearts. “We hear the stories,” said Ross, “We hear what others do not.”

The American Health Security Act is also backed by the AFL-CIO and its 13 million members. Arlene Holt-Baker, executive vice president, spoke on behalf of the national AFL-CIO at today’s press conference.

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Jean Ross, RN, NNU co-president

This was not an effort to criticize or condemn the Patient Protection and Affordable Care Act of 2010, said Sanders and McDermott, but the opportunity to move beyond and to finally realize the goal of workers all over this nation to provide healthcare as a basic human right to all.

As a patient and as someone who went broke (though supposedly fully insured), I watched today’s events with a combination of wonder and worry and praise. I continue to believe – even in the face of all evidence to the contrary – that with the help of the nurses we will achieve healthcare as a human right and we will do so without outright revolution because of lawmakers like Sen. Sanders and Rep. McDermott. We can do it if we stand together with enough clarity and enough solidarity.

My worry related more to the wonderful man I married who is in every way my partner in this struggle and who was at the moment of the press conference in consultation about his own most recent health crisis. Even with full coverage, it is still up to his supplemental insurance carrier to determine if the care his doctor wants to give will be approved. My worry for him would be so very much different if we would change the motivations from profit first to healthcare first. The American Health Security Act of 2011 reaches ever closer to that day.

Finally, I stood with labor leaders – and I am not one of their stature – who have worked so hard to advance anything related to healthcare reform and with whom I have sometimes had differences. But today, we stood as Americans who believe that working class people and our kids and our grandkids deserve the right to healthcare as a human right provided under the social insurance model and not as some privilege granted only to the wealthy and the powerful.

Great day. A celebration of life. The American health Security Act of 2011.

S915/HR1200 – Sen. Bernie Sanders and Rep. Jim McDermott. We can do this.

View Sanders News Conference

Read the AFL-CIO blog  

Read about the event in The Nation

Update on Vermont Health Care Legislation

Last Tuesday I participated in a conference call with others from across the country that explored the progress within Vermont to enact a bill H202. Dr. Deborah Richter explained that the finance committee was poised to pass the legislation on to the full Senate within days and that the final vote could come as early as Friday April 22, 2011. As it turns out Vermont budget considerations pushed the consideration into this week.

Tuesday April 26, 2011 the Vermont Senate held final debate on and voted on H202 the Health Care Reform that will establish what will eventually be called Green Mountain Care. This law will initially establish an exchange in Vermont as stipulated under the Federal PPACA and form a board to organize health care provision in Vermont that will eventually evolve into a universal single payer system. For the first time in Vermont, health care will be considered a public good and human right. The final vote count in the Senate at 3:00 PM was 21-9 for passage. Since some provisions were added in the Senate, the full measure must be sent back to the Vermont House of Representatives for concurrence. The initial passage in the House was by a margin of 94-49 therefore passage of the amended bill on concurrence is expected soon. Hear Rachel Maddow interview of Vermont governor Peter Shumlin on this issue.

Kurt Bateman, Director


Ryan's Medicare Plan Would Be a Windfall for Insurance Companies

April 21st, 2011 9:51 PM

By Wendell Potter

Rep. Paul Ryan's plan to privatize Medicare would accelerate a trend started several years ago by corporate CEOs and their political allies to shift ever-increasing amounts of risk from Big Business and the government to workers and retirees.

If enacted, the Ryan plan would represent a windfall of unprecedented proportions for insurance corporations and other businesses.

For millions of average Americans, many of whom already are finding it impossible to save for retirement, it would represent financial calamity. The nation's middle class would pay dearly for Ryan's proposed shredding of the social safety net that Medicare currently provides.

Ryan, chairman of the House Budget Committee, wants to dismantle the Medicare program and replace it with a system of vouchers. Starting in 2022, the government would give the average 65-year-old Medicare beneficiary $8,000 a year to buy coverage from a private insurer. That's the amount health care analysts estimate will be what the Medicare program will spend on every 65-year-old in 2022 if the government doesn't turn it over to private insurance companies.

While that might sound fair on the surface, it would actually be a very bad deal for people who turn 65 that year, compared to those who turn 65 in 2021. That's because commercial insurance plans are much more expensive, and operate far less efficiently, than the current Medicare program.

The amount of money commercial plans actually spend to pay medical claims has been declining rapidly over the past several years while the amount they spend on administrative activities such as marketing and underwriting -- and to pay executives and reward shareholders -- has been increasing. That's why Congress included a provision in last year's health care reform law to require insurance firms to spend no more than 20 percent of their policyholders' premiums on overhead. By contrast, the current Medicare program spends just 3 percent of its budget on administration.

The nonpartisan Congressional Budget Office says the $8,000 voucher won't be nearly enough for seniors to buy comparable coverage from private insurers and pay the additional out-of-pocket costs that those insurers would require them to pay. The amount the average 65-year-old would have to shell out to buy private insurance in 2022, according to the CBO, will actually be $20,510. Seniors would have to pay the difference -- $12,510. If Medicare is not privatized, the difference would be $6,150.

Here's why this would be a dream-come-true for the insurance industry: The more health plan enrollees have to pay out of their own pockets, the less insurers have to pay for medical care. The money that insurers avoid paying out in claims goes straight to their bottom line -- and into shareholders' pockets.

Insurers have been shifting more and more of the cost of care to their policyholders over the past several years by enticing -- or pushing -- them into plans with ever increasing deductibles. This trend is part of what Yale professor Jacob S. Hacker called "the personal responsibility crusade" -- making people more responsible for the management and financing of the major economic risks they face -- in his 2006 book, The Great Risk Shift.

This crusade has been led by Republicans and insurance company executives who have been saying for years that the best way to control medical costs is for Americans to have more "skin in the game." That's an expression that former Aetna CEO Jack Rowe used often before he retired in 2005, the year he made $22.2 million. It was also a sound bite favored by the CEO I used to work for, CIGNA's Ed Hanway, before he retired in 2009. Hanway's total compensation that year was almost $111 million.

The problem is, most Americans have far less skin to put in the game than CEOs like Rowe and Hanway or even Rep. Ryan, who makes $174,000 as a member of Congress. The median household income in the United States was just $49,777 in 2009, which was down $335 from 2008.

That decline, by the way, was the continuation of another trend that began as the Clinton era was ending and the George W. Bush era was beginning. Median household income in the United States peaked in 1999 at $52,388 (adjusted for inflation). It fell more than $2,000 during the eight years of the Bush administration.

During that time, health costs rose dramatically. According to the Kaiser Family Foundation, the average annual health insurance premium for family coverage increased from $5,791 in 1999 to $13,770 in 2010. The average amount that workers contributed out of their own pockets for family coverage increased from $1,543 to $3,997.

With household incomes declining, Americans have had far less money to put into retirement. According to a recent survey conducted by Opinion Research Corp. for America Saves and the American Savings Education Council, less than half of current workers are saving enough to have a "desirable standard of living in retirement."

If workers are having this much difficulty saving for retirement, where in the world will they find the money to pay what Rep. Ryan would make them pay for Medicare coverage when they turn 65?

Ryan's "blueprint" is one that will take America back to the pre-1965 days when senior citizens were losing their homes and their farms to pay for medical care. They were becoming destitute -- and dying much earlier than they are today -- because insurers would not sell them coverage because they were too much of a risk to insure, and there was no safety net for them.

That's exactly the same place future senior citizens would find themselves if Ryan's plan to privatize Medicare ever becomes public policy. #

Patients Are Not Consumers

By Paul Krugman, The New York Times

21 April 11

Earlier this week, The Times reported on Congressional backlash against the Independent Payment Advisory Board, a key part of efforts to rein in health care costs. This backlash was predictable; it is also profoundly irresponsible, as I'll explain in a minute.

But something else struck me as I looked at Republican arguments against the board, which hinge on the notion that what we really need to do, as the House budget proposal put it, is to "make government health care programs more responsive to consumer choice."

Here's my question: How did it become normal, or for that matter even acceptable, to refer to medical patients as "consumers"? The relationship between patient and doctor used to be considered something special, almost sacred. Now politicians and supposed reformers talk about the act of receiving care as if it were no different from a commercial transaction, like buying a car - and their only complaint is that it isn't commercial enough.

What has gone wrong with us?

About that advisory board: We have to do something about health care costs, which means that we have to find a way to start saying no. In particular, given continuing medical innovation, we can’t maintain a system in which Medicare essentially pays for anything a doctor recommends. And that’s especially true when that blank-check approach is combined with a system that gives doctors and hospitals — who aren’t saints — a strong financial incentive to engage in excessive care.

Hence the advisory board, whose creation was mandated by last year’s health reform. The board, composed of health-care experts, would be given a target rate of growth in Medicare spending. To keep spending at or below this target, the board would submit “fast-track” recommendations for cost control that would go into effect automatically unless overruled by Congress.

Before you start yelling about “rationing” and “death panels,” bear in mind that we’re not talking about limits on what health care you’re allowed to buy with your own (or your insurance company’s) money. We’re talking only about what will be paid for with taxpayers’ money. And the last time I looked at it, the Declaration of Independence didn’t declare that we had the right to life, liberty, and the all-expenses-paid pursuit of happiness.

And the point is that choices must be made; one way or another, government spending on health care must be limited.

Now, what House Republicans propose is that the government simply push the problem of rising health care costs on to seniors; that is, that we replace Medicare with vouchers that can be applied to private insurance, and that we count on seniors and insurance companies to work it out somehow. This, they claim, would be superior to expert review because it would open health care to the wonders of “consumer choice.”

What’s wrong with this idea (aside from the grossly inadequate value of the proposed vouchers)? One answer is that it wouldn’t work. “Consumer-based” medicine has been a bust everywhere it has been tried. To take the most directly relevant example, Medicare Advantage, which was originally called Medicare + Choice, was supposed to save money; it ended up costing substantially more than traditional Medicare. America has the most “consumer-driven” health care system in the advanced world. It also has by far the highest costs yet provides a quality of care no better than far cheaper systems in other countries.

But the fact that Republicans are demanding that we literally stake our health, even our lives, on an already failed approach is only part of what’s wrong here. As I said earlier, there’s something terribly wrong with the whole notion of patients as “consumers” and health care as simply a financial transaction.

Medical care, after all, is an area in which crucial decisions — life and death decisions — must be made. Yet making such decisions intelligently requires a vast amount of specialized knowledge. Furthermore, those decisions often must be made under conditions in which the patient is incapacitated, under severe stress, or needs action immediately, with no time for discussion, let alone comparison shopping.

That’s why we have medical ethics. That’s why doctors have traditionally both been viewed as something special and been expected to behave according to higher standards than the average professional. There’s a reason we have TV series about heroic doctors, while we don’t have TV series about heroic middle managers.

The idea that all this can be reduced to money — that doctors are just “providers” selling services to health care “consumers” — is, well, sickening. And the prevalence of this kind of language is a sign that something has gone very wrong not just with this discussion, but with our society’s values.

SPAN Conference Recap

On Saturday April 16th advocates for a universal single payer health care system for Ohio came together in Columbus. At the start of our day attendees were treated to a skit “911….It’s an Emergency” performed by the Not Ready for Prime Time SPANiacs. The premise was that of a call to 911 from a desperate homeowner whose house is being invaded and spouse accosted. Hilarity ensues when the operator must first identify the homeowner’s policy particulars including contract number, level of coverage, deductable and co-pays all while the intruder is threatening life and limb. Let’s hope John Q Public chooses the right network before it’s too late. Stellar performances were turned in by Drew Hellebrand, Debbie Silverstein, John Ross and Mary Nichols-Rhodes.

How preposterous that our disease treatment health care non-system actually functions in this way!

051508DonnaSmithCompressedDonna Smith, CNA/NNU national community organizer, and PDA Healthcare not Warfare national  co-chair then led the meeting through the torturous way in which too many Americans’ lives are turned inside-out by an insurance/medical complex when they fall ill. Donna’s powerful personal story as depicted in the Michael Moore documentary “Sicko” lays bare the lack of caring and empathy the health care industry shows for us all. Quoting Ms. Smith from a message she sent to the One Payer States collaborative today: 

“I had the good fortune to spend the weekend in Columbus, OH, at the SPAN Ohio annual conference.  It was an incredible reminder and affirmation of why we all came together in this collaborative effort a year ago in Wayne, PA. Ohio, like so many of our states, has well-informed and passionate advocates for single-payer healthcare, and also like so many of our states faces daunting challenges in moving forward in the current political environment.  Yet, through the association with other states and with each other, potential for progress even in this period is made much stronger.” 

davesteilDavid Steil, president of, business owner and former Pennsylvania state representative with the Republican Party made the next presentation which illustrated his realization that the best and most efficient way to make provision of the health care all people need is the single payer concept we all advocate. David’s 35+ years of management experience making products and meeting payroll have left him with no doubt what is needed. He expounded on the precepts that government exists to do what “we cannot do for ourselves”. He even quoted a French philosopher from 1762 who observed “Man is not free when deprived of education and health”. A concept we in SPAN Ohio have endorsed in our recognition of empathy as the soul of democracy. Who said there were none but Democrats that could support such a concept?

The afternoon sessions were dedicated the PPACA vs. HCFAOA, a seminar on lobbying techniques by our lobby committee co-chairs and Mr. Steil’s presentation on how to win the support of business leadership. Mr. Steil expressed his appreciation for the intense questions and stimulating dialog that gave him new energy for the work ahead at home in Pennsylvania. Vann Seawell, SPAN Secretary, and Barb Walden, SPAN Treasurer, did a fantastic job on the entire event.

SPAN Ohio News April 2011

Conference Reminder

Registration for the 8th annual SPAN Ohio conference should be in by the end of this week.

Final numbers for the meals and conference packets are of concern to our organizers so please go online to and secure your registration today. Let’s not make this any harder on the volunteers who work so hard to make our conference a success.

HCFAOA Progress

As has been reported, the Ohio Senate version of the Health Care For All Ohioans Act (SB 112) was introduced March 10, 2011. In this past week leadership of SPAN Ohio have been meeting with the staff of Representatives Robert Hagan HD60 and Mike Foley HD14 for the purpose of drafting the Ohio House version of our legislation. It is likely that the new house version will not contain a specific funding formula and will be re-titled to reflect the positive economic impact of a universal single payer health plan for Ohio. Throughout the discussions SPAN Ohio has drawn on the experiences of many colleagues in other states that have been working on health care reform in their respective locales. The OPS (One payer States) collaboration has been an invaluable resource in sharing strategies and tactics that can better lead to humane and sustainable health care provision for Ohio. We look forward to advocating for the house and senate bills simultaneously. The workshop on effective lobbying of state legislators at the annual conference will provide the tools you’ll need to make our case.

News from Vermont

The Vermont Workers Center’s Health Care is a Human Right Campaign and Vermont for Single Payer have passed their House legislation (H202) and hearings are currently underway in the Vermont Senate Health and Welfare Committee for S57. Scores of Vermonters have testified and this past week a group of 200 doctors and medical students rallied in Montpelier in support of the legislation. Those interested in seeing the live hearing focused on testimony from health care providers can do so on Thursday April 7 at 6PM. Just go to Vermont Public Television will stream the testimony live and I know our friend and 2010 SPAN Conference speaker Dr. Deborah Richter will be front and center.

Also there has been some national coverage of Vermont’s progress by commentator Rachel Maddow of MSNBC. In this clip from the show aired Friday April 1, Ms Maddow likens President Obama’s challenge of the governor’s association to do better on health care to an “Oh Yeah!?” moment. In discussions with OPS reps from other states its apparent we need to get exposure of the grass roots movements all across America.

Remember get your registration done online at

See you at the Ramada on April 16th!

SPAN March News Update

Vermont’s Legislature Passes Reform

Pasted below is a link to an article describing the passage of H202 in the Vermont legislature. Ohio can be on its way also through our perseverence!

SPAN Ohio Support Petition

Dave Pavlick, SPAN Ohio board member and intrepid walker for the Health Care For All Ohioans Act, has created an online petition at Dave, as many of you know, has walked across Ohio twice to raise awareness about the need for a new approach to the provision of health care in Ohio and indeed America. The PPACA isn’t going to be enough. All of those receiving this message please sign the petition and circulate this link to others. As Vermont demonstrates, we will overcome, there is no doubt!

Debtor’s prison the next battle in healthcare?

The following comment was posted in response to an article regarding collection agencies who swear out warrants for arrest of people who can’t pay bills:

I went to a first time visit in a "Women's Specialty Center". I am covered by an HMO. I had to provide proof of insurance (which they verified ) and my driver's license. I was handed at least 10-12 pgs of paperwork to read and sign. One page was one of the financial responsibility pages. It said if my insurance didn't pay then I was financially responsible for the bill AND if the account went into collections that I agreed to pay collection fees and 53.84 % interest. Nice number huh?! I wrote down that I did not agree and signed the form. The BUSINESS Manager came to the waiting area and called me into the office. We had a discussion and at the end I was told that I would not be seen in their office because I would not re-sign another form removing my comment that I did not agree. And this provider's office is part of the HMO group that I'm insured with!

Letter from Vermont

Hi everyone,

I wanted to give you a quick rundown of the Vermont single payer rally yesterday. I joined 200 of my fellow medical, nursing, and MPH students as we rallied through Montpelier and the state house with signs, music, and true single payer love. We had two local news channels covering the medical and nursing student speeches as well as speeches from Sen Sanders and Gov Shumlin. Sen Sanders said that our presence there conveyed that: "I want to be the best doctor or healer that I can be, but I can't be that unless we change the system." 

I thought the day went swimmingly thanks to amazing efforts from PNHP/AMSA organizers and the Vermont docs like Deb Richter who have been working tirelessly on the ground over the past months.

Video was taken and will be compiled by PNHP NY executive director Laurie Wen soon.

Thanks for all the OPS support! Much love,

Richard Bruno Oregon Health & Science University med student

SPAN Ohio support for Vermont grew out of the OPS (One Payer States) collaboration.

SPAN Ohio News March 2011 Edition

Third Biennial Teach-In a Success

On the heels of the introduction of SB 112 by Senator Skindell Ohio SD 23 and co-sponsored by Senator Nina Turner Ohio SD 25 March 10 , 2011, members of the SPAN Ohio Lobby Committee met with members of both houses of the Ohio Legislature March 15th. Those attending for SPAN Ohio were Dr. Johnathon Ross Region 2, Arlene Sheak Region 3, Dr. Donald Rucknagel and Dr. Dick Bozian Region 4, Dr Alice Faryna Bob Krasen and Connie Hammond Region 5, and Debbie Silverstein and Mary Nichols-Rhodes Region 6. Special recognition to our committee co-chairs Debbie and Mary for doing the bulk of the preparation for this event in conjunction with the office of State Representative Robert Hagan and Mike Foley’s offices to arrange the meeting space atop the Riffe Office tower in Columbus.

Throughout the day, in-office meetings were attended by our committee with Ohio Senators and Representatives totaling more than 10% of the entire legislature. At the midday presentation even more legislative staff was in attendance to hear our own Dr. Ross explain the scope of the problem with healthcare access in Ohio and the solution that the Health Care For All Ohioans Act provides. After Dr. Ross completed, Debbie Silverstein presented the economic data that SPAN Ohio has assembled to illustrate the positive effect the HCFAOA would have on state budget conditions. This timely discussion of the cost advantages stood in sharp contrast to the budget machete that, ironically, was being wielded on the other end of the hall by Governor Kasich at the same moment. See the News and Opinion section of this site for an entertaining narrative written by Mary Nichols-Rhodes. In the end we did a great deal of education and outreach to the legislature and citizens there to oppose the Governor’s budget proposal.

PPACA….. Popular support for doing more

Polls conducted this year have consistently shown that though the public is closely split on positive or negative reaction to the Affordable Care Act, solid support is growing that more should be done. Associated Press polls conducted January 5 thru 10 show 43% support for “doing more” vs. 26% for repeal. These results show an 8% increase in support for “doing more” and an 11% decrease in support for repeal from October 2010. Likewise in Public Policy Polling conducted February 3 thru 6 the largest plurality of any category (38%) wanted the federal law changed to make it stronger. 56% of self described Moderates favored no change or making the ACA stronger and even 15% of self described Conservatives felt the same. Finally, a survey of the most important issues among voters, the top four according to Senator Sherrod Brown’s office were, in order of importance: Federal Deficit, Jobs, Protection of Medicare and Affordable Healthcare. As we know the best way to protect Medicare is to enhance and expand it to all! In addition that would enhance economic competitiveness, improve job prospects, and by extension help raise revenues to mitigate the deficit.

Bullet Points for Legislators

  • Single Payer saves money.  For the past 20 years, states have commissioned studies on different types of health care systems.   In EVERY case, single payer was shown to be the only way to cover everyone and the only system that saved money and controlled costs.

  • Publicly financed does not mean government run health care.  YOU have publicly finance health coverage, but the government does not make decisions regarding your health care.

  • Cost conscious patients often don't get the care they need.   Most decisions are made by the doctor in concert with the patient, but the patient relies on the doctor's knowledge to make a decision.  Expensive tests and treatments cannot be ordered by the patient, only the doctor.

  • Lifestyle choices are not what is fueling high costs in health care.   The United States ranks low in general health indicators, but high in good health habits.  We smoke less, drink less and consume less animal fat that many other countries with better health indicators and much lower health care costs.

  • Businesses can accurately determine their health care costs and are not subject to unanticipated large premium increases.

  • It will reduce labor costs due to a more efficient way of financing health care, eliminating much wasteful administration.

  • Workers' Compensation costs will be reduced, likely by half, due to the fact that everyone has health coverage and there is no need for the medical portion.

  • It reduces the need for part time employees and provides easier recruiting.  There are no pre-existing conditions or Cobra issues.

  • Eliminates the oversight of health benefits and bargaining health coverage with employees.

  • It creates healthier personnel and more stable employees, reduces absenteeism and eliminates employer health coverage complaints.

  • It reduces employee health related debt and personal bankruptcies.

  • It frees up family income that can be spent on other goods and services, thus stimulating the economy.

Tips for Writing Letters to Editor

Follow guidelines for your local paper (word count, submission instructions, etc.)

Frame your letter in relation to a recent news item Use state specific data whenever possible (let us know if you need help finding some!)

Address counter arguments

Be aware of your audience and emphasize how Medicare for All is good for ALL residents of the state

Criticize other positions, not people Include your credentials (especially if you work in the healthcare field)

Avoid jargon and abbreviations

Don’t overload on statistics and minor details

Cover only one or two points in a single letter

Avoid rambling and vagueness


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  • Region 1 Meeting - Cleveland Mon. 29 Jan, 2018 (5:00 pm - 6:30 pm) North Shore AFL-CIO Office, 3250 Euclid Ave, 2nd floor - Note: enter parking lot from Prospect Ave. Enter building from re...
  • Meeting - Columbus Area Region o... Tue. 6 Feb, 2018 (7:00 pm - 8:30 pm) The Columbus Area Region of SPAN Ohio will meet on Tuesday, February 6th, at 7 PM at the Columbus Metro Northside Lib...
  • SPAN STATE COUNCIL MEETING Sat. 10 Feb, 2018 (10:00 am - 1:00 pm) First Unitarian Universalist Church of Columbus - 93 W Weisheimer Rd - Columbus OH
  • Here's to Health - Region 5 Fund... Sat. 17 Feb, 2018 (4:00 pm - 7:00 pm)     "Here's to Health" -a toast to healthcare payment reform, aka, a single payer system in Ohio ...
  • Region 7 Monthly Organizing Meeting Sun. 18 Feb, 2018 (3:00 pm - 4:00 pm) Join us for an organizing meeting on Sunday February 18th at 3pm in conference room 3a at the downtown Dayton li...
  • Concert by the Carl Yaffey Band Fri. 23 Mar, 2018 (7:00 pm - 8:30 pm)    "Concert by the Carl Yaffey Band", blues and swing, Friday, March 23rd at 7:00 PM at the Unitarian ...
  • SPAN ANNUAL STATE CONFERENCE Sat. 28 Apr, 2018 (9:00 am - 3:00 pm) Quest Conference Center - 8405 Pulsar Place - Columbus OH
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