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Republican calls for patient-centered wellness

Monday, November 2nd, 2009

By Rep. Thaddeus G. McCotter (R-Mich.)

Washington, DC — Throughout the health care debate, the majority of Americans have expressed their opposition and frustration with the president and his Democratic Congress’ radical proposals. The public is opposed to the scheme’s practical harm; frustrated by the Democrats’ arrogant refusal to listen; and justified in its concern that willful Washington politicians will impose these unhelpful proposals despite the American people’s objections.

This is not how the sovereign citizens’ servant government is supposed to enact laws in our free republic. Especially when there is a far more sensible, affordable and contemporary path: patient-centered wellness for our people powered world.

Emulating the failure of their trillion dollar stimulus bill’s “wealth redistribution” that they assured Americans would stop unemployment from rising over 8.5%, the Democrats’ radical, nearly trillion dollar “health redistribution” will not work. For months, the case has been made and the public has concurred: government-run medicine’s cost, higher taxes, surcharges on employer provided benefits, Medicare cuts, rationing boards (such as the stimulus bill’s already appointed Federal Coordinating Council for Comparative Effectiveness Research) and personal mandates, will only increase the costs, decrease the quality and reduce the choices of Americans’ health care. Given such overwhelming and intense public opposition, why do the Democrats insist on imposing this scheme on the American people?

Ideologically, the Democrats are bent on governmentally reducing the supply of health care to “control” costs. This is patently absurd. According to the time-tested law of supply and demand, if the government reduces the supply of health care while the demand for it increases from demographic pressures and medical advances, the costs will spiral upward; and the government will increasingly intrude into your personal decisions and savings.

Believing their complete control of Washington provides a “once in a generational chance” to pass their radical health care scheme, Democrats bull ahead regardless of Americans’ opposition. Cynically, the Democrats feel the law, once passed, will prove immune to repeal. Accordingly, affronted Americans understand the Democrats’ health redistribution scheme is a threat to their wellness, prosperity and liberty.

Consequently, Americans have tirelessly sought to be heard and heeded by the president and his Congress. The response has been worse than silence. Confronted with public dissent, the administration and Democrats have sought to silence opposition by establishing a taxpayer-funded White House cyber “snitch site”; attacks on the messengers of unwelcome facts and statistics; smears against citizens peaceably assembling to petition this government for the redress of grievances; demonizing and investigating private sector entities; and assaults against a cable television network (and, thereby, the First Amendment). No wonder the American people’s disapproval of the president, his Democratic Congress and their health redistribution scheme is plummeting.

We live in a people-powered world, one which is finally catching up to America’s revolutionary experiment in human freedom and self-government. Therefore, in opposing the Democrats’ fossilized model of government-run health care that usurps self-government, the public and Republicans embrace the communications revolution and a globalized marketplace that disdains and decentralizes massive, bureaucratic entities and empowers people as citizens and consumers. Consequently, we understand health care reform must match – not resist – these economic and communications advances by decentralizing government to provide the sensible, affordable reforms that foster patient-centered wellness, which empowers American citizens to be consumers of health care through transparency and free market forces.

The heart of patient-centered wellness for our people-powered world is prudent, targeted, multi-track reforms that reduces costs by leveraging the communications revolution and market forces to increase the supply of health care amid rising demand. Immediate, obvious measures include reforming medical liability laws; ending exclusions for pre-existing conditions; expanding health savings accounts; providing tax credits for purchasing private health insurance; allowing association health plans; permitting health insurance purchases across state lines; encouraging individuals to insure against changes in health status; incentivizing preventative health care; and applying information technology to enhance transparency and increase efficiencies. All this can be achieved without trillions in new spending, taxes and government-dictated, radical changes to Americans’ current health care.

For the less fortunate and most vulnerable amongst us, there must be an expansion of Federally Qualified Health Centers (FQHCs), which will provide patients with preventive and routine treatment; and end underserved people’s use of emergency rooms for primary health-care treatments. Doctors and other health care professionals can be incentivized to provide their services at these clinics for either immediate or future considerations; and a “Patient Navigator” program attached to each FQHC can assist the underserved in accessing the health care system. This approach will build true, community-based health care and increase the power of economically disadvantaged patients to control their own health care. Finally, people suffering from “orphan diseases” – rare afflictions requiring a lifetime of special care – should be compassionately assisted through our nation’s social safety net.

Unfortunately, trapped in the past of a big government ideology and purblind to the people-empowering wonders of our globalized world, the president and his Democratic majority cavalierly dismiss such sensible, affordable approaches and determinedly toil behind closed doors to impose their radical health redistribution scheme on unwilling Americans. If they prevail, their health redistribution will impel higher costs, lower quality, fewer choices and – yes – lost jobs during this painful recession. There is a better way – patient-centered wellness for our people powered world.

Grand Illusion

Wednesday, June 17th, 2009

In 2003, Barack Obama said he was for single payer.

What would it take to get single payer enacted?

“First, we have to take back the White House, the Senate and the House,” Obama said at the time.

Fast forward six years.

The Democrats have taken the White House.

The Senate and the House.

And now what’s Obama’s position?

In a speech this week in Chicago before the American Medical Association, Obama made clear he was now opposed to single payer.

And his lieutenants suggested that Obama would support legislation to make sure that single payer does not become a reality in America.

There’s only one explanation for Obama’s flip-flop on single payer.

The health insurance and drug corporations have a hammerlock on Washington.

And Obama is going along to get along.

What’s the net result?

Sixty Americans are dying every day due to lack of health insurance. (Institute of Medicine report.)

Instead of getting behind single payer, Obama and the Democrats are engaged in the what Dr. Marcia Angell, former editor-in-chief at the highly regarded New England Journal of Medicine calls “the futility of piecemeal tinkering.”

Earlier this week, the Congressional Budget Office (CBO) estimated that the most liberal of the Democrats’ tinkering plans would cost $1 trillion over ten years and still leave 37 million Americans uninsured.

Single payer on the other hand would cost less than we are overpaying now — and cover everyone.

Zero uninsured.

As Dr. Angell puts it — single payer is not only the best option.

It’s the only option that will both control costs and cover everyone.

Replace 1,300 insurance industry payers with one payer.

Save $400 billion a year in bloated corporate administrative and executive compensation costs.

Free choice of doctor and hospital.

Use that money to insure everyone.

No bills, no co-pays, no deductibles.

No exclusions for pre-existing conditions — because under single payer, you are insured from the day you are born.

No bankruptcies due to medical bills.

No deaths due to lack of health insurance.

Cheaper. Simpler. More affordable.

Everybody in. Nobody out.

According to recent polls, the majority of Americans, the majority of doctors, the majority of nurses, even the majority of health economists want single payer.

That’s why almost every health care town hall event I hear about is dominated by citizens speaking out for single payer.

Last month, we asked that you help fund a new non-profit organization – Single Payer Action – to focus this citizen energy, break through the corporate logjam in Washington and make single payer a reality.

You came through with flying colors — and blew past our initial fundraising goal.

The foundation was set for action.

Out of the blocks, Single Payer Action led a stand up protest before Senator Max Baucus’ Senate Finance Committee.

Thirteen doctors, nurses, lawyers and other single payer advocates were summarily arrested and charged with “disruption of Congress.”

(Baucus later told single payer advocates that he regretted not inviting them to testify before his committee.)

The arrests of the Baucus 13, their upcoming trial, and other similar single payer actions around the country have galvanized a nationwide movement.

Single Payer Action now wants to supercharge the grassroots movement for single payer.

Confront members of Congress back home all around the country.

And lay the groundwork for a national citizen’s organization that will refuse to compromise with corporate power — inside the beltway and out.

Many progressives are now confused.

They took Obama at his word.

They thought once Obama was elected President, he would do the right thing.

My colleague, Theresa Amato, is not confused.

Grand IllusionShe saw clearly through the Democratic Party’s duplicity and shenanigans — and has written a new book, titled Grand Illusion: The Myth of Voter Choice in a Two Party Tyranny (New Press, June 2009)

The book documents how the corporate two-party system thwarts citizen activism and blocks challenging candidates in the electoral system and beyond.

Phil Donahue said this about Grand Illusion: “Theresa Amato takes the biggest swing — not a jab, but a roundhouse punch — at America’s corrupt electoral system.”

Single Payer Action needs to raise $50,000 over the next month to fund its actions around the country this summer.

So, please, donate now — $10, $25, $50, $100, $500 — or whatever you can afford.

If you donate $100 or more now, Single Payer Action will send you a copy, hot off the press, of Amato’s hard cover, 379-page masterpiece — Grand Illusion.

(Okay, since it also includes chapters about my campaign against the corporate Republicans and Democrats — and since I wrote the foreword — I’ll autograph it.)

So, don’t delay.

Donate now.

Let’s break through the corporate barriers and make single payer a reality.

Together, we can make the difference.

Onward to a life-saving, cost-saving single payer.

Ralph Nader