Newsletter January 2008.Qxp
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PNHP Newsletter Spring 2008 PHYSICIANS FOR A NATIONAL HEALTH PROGRAM » 29 E. MADISON, SUITE 602, CHICAGO, IL 60602 » WWW.PNHP.ORG » SPRING 2008 NEWSLETTER Open Letter to the Majority of Physicians Support Single Payer Presidential Candidates A majority (59 percent) of physicians in the U.S. support "govern- ment legislation to establish national health insurance," up from 49 “Political calculus favors mandates or tax incentives, which accommodate percent five years ago, according to a study published in the Annals insurers, drug firms, and other medical entrepreneurs. But such reforms are eco- of Internal Medicine in April (reprinted on page 17). The survey, by nomically wasteful and medical dangerous. The incremental changes suggested by PNHP Board Member Dr. Aaron Carroll, corroborates the results of most Democrats cannot solve our problems; further pursuit of market-based recent surveys in New Hampshire, Minnesota, and Massachusetts strategies, as advocated by Republicans, will exacerbate them. What needs to be that found 64-67 percent of physicians in support of single payer in changed is the system itself.” - excerpt from the Open Letter those states. PNHP is spearheading a campaign to garner 10,000 physician sig- natories for a letter and advertisement urging the candidates to sup- PNHP 2008 Annual Meeting and Leadership Training port single payer national health insurance as the sole hope for San Diego, October 24-25, 2008 affordable, comprehensive coverage. The campaign is endorsed by Drs. Marcia Angell and Arnold PNHP will repeat its popular Leadership Training course in Relman, editors emeriti, New England Journal of Medicine, and health policy, politics, and activism October 24 in conjunction with many other prominent physicians. PNHP'ers are encouraged to cir- the Annual Meeting October 25 in San Diego. Over 500 physicians culate the letter via snail mail or e-mail at www.pnhp.org/letter. and medical students have participated in the program and gained the knowledge base and confidence to speak out in support of health PNHP Media Update care reform. Space is limited; to register call 312-782-6006. Both events will be held the Westin Horton Plaza. To reserve a room The New York Times, Boston Globe, Newsday, Chicago Sun-Times, ($225 single/double), call 800-937-8461 before September 26. Indianapolis Star, Des Moines Register, Atlanta Constitution, New Hampshire Union Leader, LA Times and many other publications have IN THIS ISSUE featured op-eds and letters by PNHP'ers in support of single payer in Democrats’ Plan Not A Health Reform . 3 recent months. Thanks to Drs. Bud Goodrich, James Mitchiner, Hoosier Doctor’s Rx for Change . 4 Jeremiah Schuur, John Daley, Richard Dillihunt, Kenneth Brummel- ACP Endorses Single Payer . 5 Smith, Michael Kaplan, David Kerns, Miles Weinberger, Donald Warning about Massachusetts’ Reform . 6 Mitchell and other PNHP'ers for your media outreach. If your op-ed is Yes, We Can All be Insured. 7 published, please send a copy to [email protected]! Tikkun magazine’s January issue featured PNHP Past President Dr. Data Update. 8 John Geyman’s article on the presidential candidates' health plans Physicians Support Single Payer. 17 (online at http://www.pnhp.org/2008plans). 1.8 Million Veterans are Uninsured . 20 Letters . 21 American College of Physicians (ACP) Scientific American: U.S. Number Two. 23 Endorses Single Payer Long Waits are Really Sicko. 32 Survey of U.S. and Canadian Surgeons. 33 The 124,000-member ACP endorsed single payer for the first time in Special Section on Health Care Finance December, citing international and other evidence that showed that sin- The $150 Billion Swindle . 34 gle payer was efficient and affordable. For details, see page 5. Drs. Henry Kahn, Andy Coates, and Oliver Fein are among the Market-based System Raises Health Costs . 35 PNHP'ers invited to speak to ACP chapters on the heels of their Competition in a Publicly-Funded System. 38 endorsement of single payer. Dr. Henry Kahn was "warmly thanked" Two-Tiered Health Care in Australia . 42 by the Georgia ACP for defending the ACP's new position. Canada’s Sustainability Paradox . 43 PNHP'ers Dr. Olveen Carrasquillo, Dr. Linda Prine and others Private Health Insurance in Europe . 46 helped garner endorsements of single payer from the National Hispanic Medical Association and the New York Academy of Family Presidential Politics and Health Reform . 49 Practice (NYAFP). The NYAFP is taking the lead in promoting sin- Immigrants and Health Care . 54 gle payer within the American Academy of Family Practice. Chapter Reports. 58 PNHP Board of Directors, 2008 PNHP Membership Drive Update Officers Welcome to 981 new members who have joined PNHP in the last Ana Malinow, M.D. (TX), President year! PNHP now has over 15,000 members. We invite new (and long- John Geyman, M.D. (WA), Immediate Past President time) PNHP members to participate in our activities and take the lead Oliver Fein, M.D. (NY), President-Elect on behalf of PNHP in their community. Quentin Young, M.D. (IL), National Coordinator, Treasurer PNHP’ers in Alabama, Florida (Tallahasee), Puerto Rico, Michigan Steffie Woolhandler, M.D. (MA) Secretary (Ann Arbor), Ohio (Columbus), Oregon (Corvalis), Connecticut, Arizona, Minnesota, and New York (Rochester and Ithaca) are starting Regional and At-Large Delegates or reinvigorating PNHP chapters in their areas. Garrett Adams, M.D. (KY); Jay Bhatt (medical student, PA) John Bower, M.D. (MS); Olveen Carrasquillo, M.D. (NY) 362 Unions and 89 Members of Aaron Carroll, M.D. (IN); Andrew Coates, M.D. (NY) Gerald Frankel, M.D. (WA); Joseph Jarvis, M.D. (UT) Congress Endorse HR 676 David McLanahan, M.D. (WA); Greg Silver, M.D. (FL) Robert Zarr, M.D. (DC) 33 state chapters of the AFL-CIO and 362 other union groups in 48 states have endorsed HR 676, The National Health Insurance Act. The Past Presidents number of Congressional co-sponsors for single payer legislation con- Claudia Fegan, M.D. (IL); Bob LeBow, M.D. (deceased, ID) tinues to grow, with 89 as we go to press. PNHP’s DC chapter chair Don McCanne, M.D. (CA); Glenn Pearson, M.D. (CO) Dr. Robert Zarr helped garner four co-sponsors on a visit to Capital Deb Richter, M.D. (VT); Cecile Rose, M.D. (CO) Hill with lead sponsor Rep. John Conyers last fall. For a list of spon- Johnathon Ross, M.D. (OH); Jeffrey Scavron, M.D. (MA) sors, see page 45. Gordon Schiff, M.D. (MA); Susan Steigerwalt, M.D. (MI) Isaac Taylor, M.D. (deceased); Quentin Young, M.D. (IL) What PNHP Members Can Do Honorary Board Member 1. Submit an Op-ed or Letter to the Editor to your local newspaper, Rose Ann DeMoro, Ph.D. California Nurses Association medical specialty journal, or alumni magazine. Dr. Don McCanne encourages PNHP’ers to “recycle” his single payer Board Advisors “Quote of the day” messages into letters and op-eds for local Walter Tsou, M.D. (PA); Karen Palmer, M.P.H (Canada) publication. Subscribe at [email protected]. Sindhu Srinivas, M.D. (PA); David Grande, M.D. (PA) Jaya Agrawal, M.D. (MA); Simon Ahtaridis, M.D. (MA) 2. Set up a Grand Rounds or other conference on health care reform Bree Johnston, M.D. (CA); Sal Sandoval, M.D. (CA) at your hospital, medical school, or professional society (e.g. the local chapter of the American College of Physicians). The PNHP Subscriptions: The PNHP newsletter is published by PNHP, a tax- 2008 slide show is available to members on-line at exempt, not-for-profit organization. 29 E Madison Street, Suite 602, www.pnhp.org/slides under the password “malinow”. Chicago, IL 60602. 312-782-6006. Subscriptions are included in membership dues ($120 regular, $40 low-income, $20 student). 3. Offer to advise candidates for Congress or other public office on Visit the PNHP website at www.pnhp.org. health policy using research and educational resources from PNHP. Call the PNHP national office if you need assistance. Editors: The PNHP Newsletter is edited by PNHP co-founders Drs. David Himmelstein and Steffie Woolhandler, and Executive Director Dr. Ida Hellander. It's Easy to Add PNHP to Your Will. National Office Staff: PNHP's headquarters in Chicago is staffed by You just add a sentence to your will that says, “I bequeath the follow- Executive Director Dr. Ida Hellander, Communications Director ing _______ (dollar amount, property, or stocks) to the non-profit Mark Almberg, Webmaster/Research Associate Dave Howell, organization Physicians for a National Health Program of Chicago, Organizer Todd Main and Office Manager Matthew Petty. Courtney Illinois. Their FEIN # is 04-2937697, and their mailing address is 29 Morrow and Roberto Ramos staff the New York and California E. Madison, Suite 602, Chicago, IL 60602.” chapters of PNHP, respectively. 2 DECEMBER 15, 2007 I Am Not a Health Reform By DAVID U. HIMMELSTEIN an individual mandate for the self-employed and expanded and STEFFIE WOOLHANDLER public coverage for the poor. Over the next six years, the number of uninsured people in the state rose about 35 per- n 1971, President Nixon sought to forestall single-payer cent, from 661,000 to 898,000. national health insurance by proposing an alternative. As governor, Mitt Romney tweaked the Nixon formula IHe wanted to combine a mandate, which would in 2006 when he helped devise a second round of require that employers cover their workers, with a Massachusetts health care reform: employers in the state Medicaid-like program for poor families, which all that do not offer health coverage face only paltry fines, but Americans would be able to join by paying sliding-scale fines on uninsured individuals will escalate to about premiums based on their income.