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PNHP Newsletter Fall 2014 PHYSICIANS for a NATIONAL HEALTH PROGRAM ▪ 29 E

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PNHP Newsletter Fall 2014 PHYSICIANS FOR A NATIONAL HEALTH PROGRAM ▪ 29 E. MADISON ST., STE 602, CHICAGO, IL ▪ WWW.PNHP.ORG Seeking Health Equity: Dr. Robert Zarr is PNHP’s president-elect PNHP Meeting, Nov. 15, New Orleans PNHP is proud to announce that Dr . Robert Zarr, a pediatri- Register now for PNHP’s Annual Meeting in New Orleans on cian dedicated to the care of un- Nov . 15! Plenary speakers will include campaign finance reform derserved children, was elected activist Lawrence Lessig of Harvard, U . of Pennsylvania profes- by the Board of Directors to be sor Dorothy Roberts, PNHP co-founders Drs . Steffie Woolhan- PNHP’s new president begin- dler and David Himmelstein, physician-author Dr . Adam Gaff- ning in January 2015 . Dr . Zarr ney (on updating PNHP’s proposal), Dr . Diljeet Singh (on the is the longtime chair of PNHP’s ACA and women’s health), and more . The meeting will be pre- Washington, D .C ., chapter and ceded by PNHP’s Leadership Training Institute on Nov . 14 . For is past president of the D .C . details, visit www .pnhp .org/meeting . The venue is the Hampton chapter of the American Acade- Inn Convention Center New Orleans, (504) 566-9990 . my of Pediatrics . He received his medical degree from the Baylor Single payer in the news College of Medicine, completed a residency at Texas Children’s Hospital in Houston, and ob- Dr . Steven Nissen, chair of cardiology at the Cleveland Clinic tained his M .P .H . from the University of Texas . He practices at and past president of the American College of Cardiology, en- Unity Health Care, a federally qualified community health cen- dorsed single payer in an Aug . 15 radio interview (see www . ter, where he cares for a low-income and immigrant population, pnhp .org/nissen) . About a dozen newspapers published single- and teaches at two area medical schools . He is fluent in Spanish payer op-eds by PNHPers marking Medicare’s 49th anniversary and is a leader in both single-payer advocacy and in the effort to in late July, including the Albany Times Union, The Sacramento get kids out into nature through the “Park Prescription Project,” Bee, and the St . Louis Post-Dispatch . Dr . Adam Gaffney’s com- recently featured on NPR . Congratulations, Dr . Zarr! mentary opposing a “private option” for Medicaid appeared in USA Today, and Dr . Ida Hellander’s letter on “how cost deters In This Issue care” was published by The New York Times (see p . 53) . Both Health care crisis by the numbers . 3 Drs . David Himmelstein and David Scheiner got in plugs for It’s time for single payer, universal care . 9 single payer in recent interviews on MSNBC . Single payer: where do we go from here? . 10 Vermont is single payer trailblazer . 12 Massachusettes single-payer fact sheet . 15 On the Hill: ‘Special orders’ and Lobby Day PNHP backgrounder on the VA . 16 Privatizing VA health care would be biggest tragedy of all . 18 On July 30, Rep . John Conyers Jr ., D-Mich ., chief sponsor H .R . Myth vs . Fact: Comparing US and Canadian health care . 20 676, the single-payer bill, marked Medicare’s anniversary with a Legal challenge threatens Canada’s Medicare . 21 “special order,” a statement from the House floor in support of US doctors migrating north . 22 single payer . It was broadcast by C-SPAN . Activists are encour- After Hobby Lobby: a single-payer solution? . 23 aged to ask their representatives to co-sponsor H .R . 676; 60 law- The argument against reimbursing physicians for value . 24 makers have already done so . Conyers’ speech coincided with a Remembering Dr . Arnold Relman . 26 Why Obamacare can’t lower costs . 28 national call-in effort by single-payer groups in support of his bill . AMC leadership on big Pharma boards . 30 On May 22, PNHP joined forces with Public Citizen, National Godzilla has risen: The insurance industry under the ACA . 32 Nurses United, the American Medical Student Association, the Single payer advocate makes pitch to doctor executives . 35 National Organization for Women, Healthcare-NOW! and a How a St . Louis health care system became one of the biggest . 39 host of other groups for a National Single-Payer Lobby Day in A comparison of hospital administrative costs in 8 nations . 42 Washington . The day before, PNHP President Dr . Andy Coates For-profit home care costs Medicaire billions extra . 52 and Public Citizen President Rob Weissman were among those Notable letters to the editor . 53 on a panel convened by Sen . Bernie Sanders, I-Vt . Dr . Margaret Why Medicare Advantage costs billions more than it should . 56 Flowers’ testimony at the panel appears on p . 10 . Universalism and health care in the 21st century . 64 Chapter reports . 68 Membership drive update Welcome to over 520 physicians and medical students who have joined PNHP in the past year! PNHP’s membership stands at 19,265 . We invite new (and longtime) PNHP members to partici- pate in our activities and take the lead on behalf of PNHP in their PNHP Board of Directors, 2014 community . Need help getting started? Drop a note to PNHP Na- tional Organizer Emily Henkels at e .henkels@pnhp .org . Officers Andrew Coates, M .D ., F .A .C .P . (NY), President Garrett Adams, M .D ., M .P .H . (KY), Immediate Past President Single-payer debate rekindled at AMA Gordon Schiff, M .D . (MA), Secretary Claudia Fegan, M .D ., F .A .C .P . (IL), Treasurer Robert Zarr, M .D ., M .P .H ., F .A .A .P . (DC), President-elect Boston University medical student Brad Zehr and 60 other students from 18 institutions backed a single-payer resolution Regional and At-Large Delegates presented to the Medical Student Section of the AMA at that Henry L . Abrons, M .D ., M .P .H ., (CA) group’s annual meeting in Chicago in June . While the resolu- Pippa C . Abston, M .D ., Ph .D ., F .A .A .P . (AL) tion failed in a procedural vote, it sparked a vigorous and use- Philip Caper, M .D ., M .S . (ME), Olveen Carrasquillo, M .D ., M .P .H . (FL) Elizabeth Frost, M .D . (MN) ful debate, as did a single-payer resolution introduced into the Paul Gorman, M .D ., F .A .C .P ., F .A .C .M .I . (OR) AMA House of Delegates by Public Health delegate Dr . Kevin David U . Himmelstein, M .D ., F .A .C .P . (NY/MA) Sherin . State AMA affiliates may do better (Hawaii passed one!); Danny McCormick, M .D ., M .P .H . (MA), Mary E . O’Brien, M .D . (NY) a sample single-payer resolution is available at www .pnhp .org/ Ann Settgast, M .D ., D .T .M&H (MN), Diljeet K . Singh, M .D ., Dr .P .H . (AZ) sampleresolution .pdf . Robert C . Stone, M .D ., F .A .A .H .P .M ., F .A .C .E .P . (IN) Arthur J . Sutherland III, M .D ., F .A .C .C . (TN) Stephen F . Tarzynski, M .D ., M .P .H ., F .A .A .P . (CA) Single payer at the upcoming AAFP Steffie Woolhandler, M .D ., M .P .H ., F .A .C .P . (NY/MA) Medical Student and Resident Delegates PNHP will host an exhibit at the American Academy of Family James Besante (MS4, University of New Mexico) Physicians in Washington, D .C ., Oct . 23-25, 2014 . A resolution Joshua Faucher (MS3, Mayo Medical School, Univ of Arizona Law 2014) by the AAFP’s Minnesota chapter requests that “the AAFP Con- Scott Goldberg (MS3, University of Chicago) Xin Guan (MS3, Albany Medical College) gress of Delegates promote AAFP participation in national de- liberations and discussions pertaining to single payer financing Past Presidents systems for health care reform,” and the Oregon chapter sub- Carolyn Clancy, M .D . (MD); Claudia Fegan, M .D . (IL) mitted a resolution calling on the AAFP to endorse single-payer Oliver Fein, M .D . (NY); John Geyman, M .D . (WA) national health insurance . PNHPers are encouraged to ask their Robert LeBow, M .D . (deceased, ID); Ana Malinow, M .D . (PA) Don McCanne, M .D . (CA); Glenn Pearson, M .D . (CO) local AAFP chapters to support these resolutions . Longer term, Deb Richter, M .D . (VT); Cecile Rose, M .D ., M .P .H . (CO) Dr . Alap Shah is interested in forming a caucus to promote sin- Johnathon Ross, M .D ., M .P .H . (OH); Jeffrey Scavron, M .D . (MA) gle payer at the 2015 AAFP meeting; to join, drop him a note at Susan Steigerwalt, M .D . (MI); Isaac Taylor, M .D . (deceased, NC) slap .ahah@gmail .com . Quentin D . Young, M .D ., M .A .C .P . (IL) Board Advisers Advantages of single payer over the ACA John Bower, M .D . (MS); Margaret Flowers, M .D . (MD); Bree Johnston, M .D ., M .P .H . (WA), David McLanahan, M .D . (WA); Rachel Nardin, M .D . (MA), Karen Palmer, M .P .H . (Canada); Truly universal coverage • Dramatic reduction in administra- Greg Silver, M .D . (FL); Kay Tillow (KY); Walter Tsou, M .D ., M .P .H . (PA) tive waste • Removal of financial barriers to care • Coverage of all essential health care services • Free choice of hospitals and Editors: Dr . David Himmelstein, Dr . Steffie Woolhandler, Dr . Ida Hel- health care professionals • Removal of the interventions and lander, and Mark Almberg . excesses of the private insurers • Taxpayer financing based on National Office Staff: PNHP’s headquarters in Chicago is staffed by Matt Petty, executive director; Dr . Ida Hellander, director of health policy and ability to pay • Infrastructure reform that would slow spending programs; Mark Almberg, communications director; Dustin Calliari, tech- to sustainable levels . nology and social media associate; Angela Fegan, membership associate; and Excerpted from the July 25 “Quote of the Day” by Dr.
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