Changing the American Health Care system

I responded to an email from moveon.org today, which wanted me to sign a petition to my Senators and Representative stating:

Full petition text:
“I strongly believe that Americans should have the choice of a public health insurance option operating alongside private plans. This will give them a better range of choices, make the health care market more competitive, and keep insurance companies honest.”

My convictions on this matter are different from moveon.org’s and from the position that Congressional Democrats like Baucus are putting forth, and so in the area for appending comments to be sent, I said:

Actually, this petition misrepresents my beliefs on this issue, based on 63 years of observation.

The single payer option is what we must adopt. A separate “public health insurance option “ will burden the taxpayer with the most expensive patients while the private plans take the profitable healthy younger patients. We have let this happen with FedEx and the Postal System, and private charter schools and public schools. The tax-supported option ends up with the mandate of accepting the part of the market that is least profitable.

We all know that the health care mega-corporations and industry groups will promise *anything* now, like a person being waterboarded. Five years from now will they be so devoted to the health of every American? No chance. And once this process is over, we are stuck with it—there will not be the political will to make substantial changes for another generation or more.

Mind you, I don’t think there’s much chance of a single-payer option coming to pass. American politics runs on money, and who’s got more of it than the “medical-industrial complex”? Americans have more passion and energy to invest in American Idol than in their own health and survival.

What the US now spends on health care

Here are some interesting figures, from the National Coalition on Health Care, a non-profit coalition bringing together “large and small businesses, the nation’s largest labor, consumer, religious and primary care provider groups, and the largest health and pension funds”, with 2 former presidents as Honorary Co-Chairs, Bush the first and Jimmy Carter. So their figures are likely to be well-researched and certainly not wildly radical.

National Health Care Spending

In 2008, health care spending in the United States reached $2.4 trillion, and was projected to reach $3.1 trillion in 2012.1 Health care spending is projected to reach $4.3 trillion by 2016.1
Health care spending is 4.3 times the amount spent on national defense.3

In 2008, the United States will spend 17 percent of its gross domestic product (GDP) on health care. It is projected that the percentage will reach 20 percent by 2017.1

Although nearly 46 million Americans are uninsured, the United States spends more on health care than other industrialized nations, and those countries provide health insurance to all their citizens.3

Health care spending accounted for 10.9 percent of the GDP in Switzerland, 10.7 percent in Germany, 9.7 percent in Canada and 9.5 percent in France, according to the Organization for Economic Cooperation and Development.4

footnotes refer to these sources:

1 – Keehan, S. et al. “Health Spending Projections Through 2017, Health Affairs Web Exclusive W146: 21 February 2008.

2 – The Henry J. Kaiser Family Foundation. Employee Health Benefits: 2008 Annual Survey. September 2008.

3 – California Health Care Foundation. Health Care Costs 101 — 2005. 02 March 2005.

4 – Pear, R., “U.S. Health Care Spending Reaches All-Time High: 15% of GDP.” The New York Times, 9 January 2004, 3.

More about credit cards, debt, pyramids, and eschatology

My recent post “Why I’m canceling my Bank of America credit card” brought a comment pointing out that cancelling credit cards can adversely affect one’s credit score, perhaps making it difficult to borrow for cars and houses. That may well be true, but it seems to spring from a view of credit and debt quite different from mine. Rather than dump this on the hapless commenter as a reply, I’ll say it here.

First, the companies have no incentive to restrict credit, and I expect they’ll soon be back to sending out credit apps to dogs and kindergartners. When the banks lose money through extending credit unwisely, they raise rates on the rest of us to recoup. Worst case, as now, the taxpayers bail them out, they buy each other up, write off debt, get tax breaks for losses. So I think people can safely cancel all but one or two cards, and still be able to use credit to make major purchases.

Second, I’m hoping that ordinary people, who DO have an incentive to learn from the present debacle, may start restricting their debt to large necessary items. Cars and houses usually do require going into debt. But I’m old enough to remember life without credit cards; my mom had a metal “charge-a-plate” for Macy’s, and there was layaway at some stores, but no credit cards. If you wanted something you saved up for it. If you couldn’t afford to go out to dinner, you didn’t go. To those accustomed to incurring chronic credit-card debt for indulgences, such a life may seem a bleak prospect. But actually I recall very few people growing despondent for want of cruises, concert tickets, and designer handbags.

Back in the 1980’s when I saw items at an Oregon department-type store bearing tags that said “Want me? Buy me!” and a credit card logo, I viewed it as a dangerous & selfish attitude to cultivate. Along with it came the re-definition of human beings as “consumers”.

The present economic system is a pyramid scheme because it is predicated on continual growth. We do not live in a world of infinite resources and space, therefore neither population nor consumption/production can continue to increase forever. Business interests, and even the administration, expect increased consumption to get us out of this depression. If it does, it can be only a temporary fix.

I know there are a lot of optimists out there who say not to worry about dismal stuff like the economy, climate change, and all that, because the world is going to end in 2012 (Mayan Calendar theory) or “soon” (some Christian fundamentalist theories). But I just can’t be that optimistic. Call me crazy, but what if we’ve got those Mayan numbers just a little bit wrong? Or some translator introduced an inaccuracy into the Book of Revelations? What if God has changed His mind, and now thinks it might be amusing to see how His little creatures manage with these challenges? We just can’t know. Better to keep our eyes on the ball, as it were (in this case the planet & its inhabitants) and not count on the Umpire calling the game on account of End of Time.

Helping National Guard and Reservists “re-enter” after deployment

Sometimes local news should have a wider audience across the country.

Our US Senator Ron Wyden (D-OR) has earned great respect in this state for his humane principles and competence at building coalitions to get things done in DC. Here’s an example from the Oregonian newspaper on an issue that, typically for him, is not at all parochial but affects all of us deeply.

Sen. Wyden proposes extending Guard pay

The Oregon lawmaker wants to give soldiers returning from war 90 extra pay days

Wednesday, April 08, 2009

JULIE SULLIVAN, The Oregonian Staff

When Oregon Army National Guard soldiers returned from Iraq four years ago, fewer than half had a job waiting.

Employers wanted to help. Within a week, the Guard organized a reintegration fair that offered an estimated 500 jobs. But not a single soldier took one.

It was too soon.

“They are not ready to leave a combat zone and seven days later, go back to work,” Brig. Gen. Mike Caldwell said.

State and federal officials say they’ve learned how to do it right. U.S. Sen. Ron Wyden, D-Ore., wants to extend federal pay for National Guard and reservists for 90 days to ensure a “softer landing” when they return.

Oregon has posted some of the highest percentages of Guard members serving in Iraq and Afghanistan. Another 2,700 are training to deploy Iraq in July.

Unlike the regular Army, where soldiers return to their stateside military jobs and bases, the Oregon Guard and reservists scatter to hometowns. They lose their military salary, and more than $600 a month in other hazardous duty and separation pay.

When Oregon soldiers returned from Afghanistan two years ago, fewer than half of them younger than 35 had a job waiting. The younger the vet, the worse the outlook, with nearly 65 percent younger than 25 unemployed.

“About 79 percent returned to poverty,” said Sgt. First Class (Ret.) J.D. Baucom, a career assistance liaison for the Oregon Guard. He’s concerned in today’s economy those numbers are bound to get worse.

Wyden said paying the Guard for up to 90 days after they return would give them time to rebuild their lives before hitting a financial wall.

“We not willing to sit around and watch soldiers go from the front lines to unemployment lines,” he said.

Oregon has led in veterans’ advocacy. The Guard’s re-integration program — launched by wounded Alsea and Albany infantrymen in 2004 — is a national model. In 2007, the Legislature created a new veterans hiring preference for public employees. Now it is considering extending that preference from 15 years to a lifetime and granting 15 days unpaid leave to spouses of deploying soldiers.

Wyden’s bill covers returning soldiers so it would help only a fraction of the 350,000 Oregon veterans. He met former service members at the IBEW Local 48 in Northeast Portland on Tuesday morning in part to highlight job opportunities in the building trades. One federal program, Helmets to Hardhats, has put more than 1,757 veterans nationally into union apprentice programs. Across the hall, three young military veterans had found union jobs a good match on their own. They said that learning discipline, attention to detail and the ability to work in a team in the service has helped them apprentice as commercial electricians.

“I tried college, but I was working full time and going to school full time and that didn’t work,” said Craig Enneberg, 28, of Sherwood. “This works.”

Still, veterans advocates — and veterans themselves — told Wyden that a far more targeted approach is needed. Among the suggestions:

Reduce paperwork. “If we can’t get through the process, how we can we ask a 20-year-old from eastern Oregon who doesn’t know where to call?” said Sgt. 1st Class Phillip Maas, who manages career assistance for the reintegration team.

Connect veterans. Ret. Master Sgt. Mike Eschete, who recently graduated from Portland State University, proposed a mentoring program using military retirees. “They speak a different language and understand a dimension that is invisible to others,” he said.

Educate gatekeepers at agencies. “Put someone in that position who gives a damn,” said Erik Burris, a 12-year veteran of the Navy. Burris said one state employment specialist, Rene Garcia, helped him.

But little else has helped Burris in this economy.

The 41-year-old aviation structural mechanic and flight deck troubleshooter in the Navy has been laid off from four jobs in Portland since 2002. Wyden invited him to the Tuesday meeting. He arrived in a stylish blue shirt and tie, his carefully clipped hair and leather organizer in hand. He handed a reporter his resume.

After being laid off from jobs in quality control, sales, tech support and as a contractor at Intel he hasn’t worked since January 2008. He keeps applying, whittling his three-page resume into a one page “cram ad” and checking 12 job boards online a day. He does all the family cooking for his wife, Jeanmarie, and their daughter and keeps the kitchen immaculate in their “inexpensive” 900-square-foot Tigard apartment.

“Home is what you make it,” Jeanmarie says.

“You lose your pride and a little bit of yourself every time you get laid off,” he says. “And we have so much to give.”

juliesullivan@news.oregonian.com

2009 Oregonian

Why not let your senators and representatives know that you support this? The following pages help you get contact information and send emails:

for US representatives; need to know your ZIP code + the four digit addition to it

this one works for both representatives and senators (also yields info for state legislators); use the search box at the left to get names, click on name, click on “Contact” tab above the person’s photo.

More free books for kids: Portland, Oregon

Last month I blogged about giving away books to kids at our local food pantry. It’s been an effective way to encourage reading in kids of all ages, and provide parents and grandparents with books they can read with the children. All kids should have books of their very own. I wrote the post hoping to encourage others to get involved in getting books and children together.

As a former Portlander, I am pleased to report that there’s a group in that city dedicated to gathering books and giving them to disadvantaged kids. It’s called The Children’s Book Bank and they are currently concentrating on children under 6, when early habits are formed. They’re doing some creative stuff: one way they gather books is by inviting those who want to help, to have a book drive through their own organization, which could range from Boy Scouts to church to a business or hiking group. They also muster volunteers to help clean and mend books and bundle them up. If you live near Portland, visit their site and think about how you could help.

This offers one model for those who’d like to form an organization for the purpose, as well as for one-time group efforts to gather books and then donate them to some existing organization. I guarantee your community has organizations that would welcome clean usable children’s books. These would include Head Start programs, shelters (ones for women and children, or for homeless families, or for kids on the street), social agency waiting rooms, daycare facilities run by non-profits, Ronald MacDonald Houses, maybe the local Boys and Girls Club. If it’s a place that serves disadvantaged kids or families, they can probably find a good use for your kids’ outgrown books or books your group can gather in a book drive.

And, if you want to do something on your own, like I’ve been doing–showing up each week at the food pantry for 3 hours with a carful of books and two folding tables, I can attest to it being easy, well-received, and very rewarding. I’ve also gotten to read some great kids’ books as I sit by my tables!

Here is a figure from The Children’s Book Bank site:

“Two thirds of low-income families own no books for their children.”

Let’s all do something to change this, now!