Friday, December 13, 2013

Video from the Friedman Pittsburgh Talk is now Available


In an earlier post I showed the slides from the talk by Gerald Friedman on the economic impact study he conducted for Health Care for All PA.  He also gave talks in Lancaster (shown on PCN) and Philadelphia.  

Julie Sokolow of Healthy Artists has put together a video of his talk incorporating his slides.  The full slides from his talk are shown here.


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Wednesday, December 11, 2013

I Agree with Rick Santorum's comparison of the ACA and Apartheid, Sort Of

Former Sen. Rick Santorum actually compared the Affordable Care Act (or Obamacare as he calls it) to Apartheid South Africa.  Here is his quote as he was paying tribute to Nelson Mandela on Fox News “was fighting against some great injustice. I would make the argument that we have a great injustice going on right now in this country with an ever-increasing size of government that is taking over and controlling people’s lives — and Obamacare is front and center in that.”



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On the face of it this seems to ridiculous to comment on but ol' Rick might be on to something here. First lets look at the word apartheid,  In Dutch and it's dialect Afrikaans it means apartness.  Our pre ACA health care system definitely resembled an apartheid system with access to healthcare tied to employment, ability to pay, eligibility for Medicare or Medicaid, veterans status, and charity.  For decades the US was paired with South Africa as the only industrialized nations without a universal healthcare program and also with the death penalty.  

After Mandela was released, the right to access to medical care was affirmed in their constitution and the death penalty was abolished.  While leading almost all African nations, South Africa still lags behind the US and other developed nations in life expectancy and infant mortality due to low per capita income and other factors such as the AIDS epidemic as can be seen here. A description of their health system can be seen here.

The US system has passed and is in the process of implementing the Affordable Care Act.  It does some to alleviate the apartness of our health care system with the individual mandate and Medicaid expansion.  However in Pennsylvania and other states, some governors are refusing to expand Medicaid or expanding it with strings attached.  Those who are still not eligible have to purchase insurance or pay a fine. Single payer levels the playing field so everyone is no longer apart.  Until then apartheid remains in a modified form.  Sen. Santorum does raise some important issues just not in the way he intended.


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The Affordable Care Act Having an Impact in Some States but not Pennsylvania



The Affordable Care Act (ACA) having little effect on PA's Uninsured Rate So Far


Monday, December 9, 2013

Molly Rush: Letter to the Pittsburgh Post-Gazette

Single-payer is the way forward on health care

December 7, 2013
Letter writer Elizabeth Stelle of the Commonwealth Foundation sees government involvement in health care as a disaster and regulations and mandates as the cause of rising health care costs in this country (“Medicaid Is High Cost for Low Quality,” Dec. 2).
Rather than dealing with inadequacies of Medicaid she seems to support Gov. Tom Corbett’s refusal to extend coverage to 542,000 Pennsylvanians.
She fails to note that private insurers, drug companies and providers, whose primary interest is profits, are mainly responsible for rising health care costs.
The Department of Veterans Affairs pays 40 percent less for drugs because of its buying power.
I share Ms. Stelle’s concern about poor quality and high costs. As an analyst, is she aware of a recent study of state Senate Bill 400 by Gerald Friedman? He found that Pennsylvania could provide comprehensive care to every Pennsylvanian and save $17 billion a year through a single-payer system provided in the bill. Vermont just passed a single-payer system.
There’s nothing new about the idea. Every other industrialized country in the world has some version of government health care. They also have much healthier citizens. The United States is far behind these countries in health outcomes. Here, 120 people a day die due to a lack of health care. Half of all bankruptcies are due to medical bills. While Obamacare does provide some real improvements, it falls short due to its complexity and failure to cover everyone.
Go to www.healthcare4allPA.org. Then tell your state legislator to serve his or her constituents by co-sponsoring single-payer legislation.
MOLLY RUSH