Home

SEARCH

Public Safety Net—Not Charity—Should Guarantee Health Care

Bookmark and Share

Rose Ann DeMoro is executive director of the California Nurses Association/National Nurses Organizing Committee (CNA/NNOC). This commentary appeared Jan. 2 in the Contra Costa (Calif.) Times.

THE MOST heartbreaking e-mail alert that crossed my computer screen this holiday season came from a union which has set up a fund for medical benefits for widows and orphans of their former members.

Reliance on charity rather than a public safety net symbolizes what has become a perversely unique American solution to social problems, especially in the Bush administration era.

In “Critical Condition,” a searing 2006 indictment of the collapse of our medical system, Donald Barlett and James Steele described how pervasive this dependence has become.

Garage sales, spaghetti feeds, livestock auctions, pancake breakfasts, walkathons, bingo tournaments, pie socials, car washes, church suppers, raffles, barbecues, basketball shootouts, even hot-air balloon rides, all to help families drowning with unpayable medical bills.

Rather than a coordinated national system, as every other industrialized country has established, our go-it-alone, you’re-on-your-own society has hit rock bottom in the most basic area of all, the care of our communities.

No wonder the U.S. ranks last among comparable nations in preventable deaths and first in out-of-pocket costs, despite spending twice as much as anyone else on per-capita health care.

Much has been said about Franklin Roosevelt’s first 100 days, a period that inaugurated a new standard of social action and set the stage for some of the most important reforms in

American history.

It’s also worth remembering FDR’s 1944 call for a second Bill of Rights, which included the right for all Americans to quality health care and other basics in jobs, education, housing and food that he said “spell security.”

Counting on personal check writers or online donors certainly relieves others of their responsibility, most notably the insurance companies who loathe to jeopardize their wealth by starting to actually pay for medical care.

It circumvents the vision of those who think our government should guarantee health care for all of us, much as government already assumes a duty for our police, fire, armed services, schools, libraries, mail service, parks, environmental protections, airport security, national museums and prisons.

Indeed, the government is already in the game of financing or providing medical care for seniors, veterans, the disabled and low-income families, and does it with less administrative waste, less bureaucracy and without rejecting people based on pre-existing conditions or dumping them when they get sick.

But, somehow, a whole lineup of liberal advocacy groups, policy wonks, media pundits and politicians have concluded there is a national “consensus” to fix this broken and dysfunctional health care system by expanding the private insurance system that created the disaster.

That approach, however, would not curtail skyrocketing premiums, deductibles, co-pays, or bills for care denied by the insurance companies.

Perhaps those “consensus” builders are counting on the pancake breakfasts’ and orphans’ funds to make up for their policy failure.

Or instead, they could channel that giving spirit into the growing campaign for real reform.

Registered nurses will be in the forefront of this movement and nurses know what it would take to guarantee high-quality care for everyone - a streamlined, more effective system than our current nightmare, based on care not insurance, by expanding and extending Medicare to cover everyone.

In an era when our government has already intervened on behalf of Citigroup and AIG and Freddy and Fannie and all those other financial wizards on Wall Street, maybe we can bailout the tens of millions of Americans without having to count on livestock auctions or widows’ funds to pay for medical care.

Print This Article | E-Mail This Article |Comments (3)

3 Comments

  1. Retired nurse on 05.01.2009 at 18:32 (Reply)

    Yes, nurses have been advocating for better access to health care for a long time. Perhaps the AFL-CIO will get on the universal health care wagon and with grassroots pressure we CAN do this. Why have companies moved to Canada, Germany and other countries? They do not have to provide health insurance as a benefit is one reason. Let’s get thei done now!!

  2. TrueDemocrat on 06.01.2009 at 12:19 (Reply)

    Mr. Obama is about to take over the White House, NOW is the time to make the push for Single Payer, insurance for all.
    93 co-sponsors in ‘08 for Conyers’ HR 676, which most likely be re-introduced this yr. One of those 93 co-sponsors is Hilda Solis, nominee for Labor Secretary. Finally a secretary that will address and deal with worker issues, and get out of bed with corporate America like Elaine Chao did to destroy working families’ rights.

    HR 676 currently has 93 co-sponsors in addition to Conyers. Co-sponsors and bill text are here:

    http://thomas.loc.gov/cgi-bin/bdquery/z?d110:h.r.00676:

    HR 676 has been endorsed by 478 union organizations in 49 states including 118 Central Labor Councils and Area Labor Federations and 39 state AFL-CIO’s (KY, PA, CT, OH, DE, ND, WA, SC, WY, VT, FL, WI, WV, SD, NC, MO, MN, ME, AR, MD-DC, TX, IA, AZ, TN, OR, GA, OK, KS, CO, IN, AL, CA, AK, MI, MT, NE, NY, NV & MA).

    HR 676 would institute a single payer health care system in the U.S. by expanding a greatly improved Medicare system to every resident.

    HR 676 would cover every person in the U. S. for all necessary medical care including prescription drugs, hospital, surgical, outpatient services, primary and preventive care, emergency services, dental, mental health, home health, physical therapy, rehabilitation (including for substance abuse), vision care, chiropractic and long term care.

    HR 676 ends deductibles and co-payments. HR 676 would save billions annually by eliminating the high overhead and profits of the private health insurance industry and HMOs.

    Contact Tom Daschle, tell him single payer is the way to go. Let’s stop another 4 yrs. of profit over patient theory. 47 million people in America are needing health care, they deserve it, it’s their right.

    1. kbat on 09.01.2009 at 10:54 (Reply)

      Single Payer is the solution. The problem, as mentioned before, is the immense influence that Ins. Co. money has on the process to change the situation.
      There are villains on both sides of the political aisle worried that they will be attacked by these powerful interests.
      We must reassure those in power that we’ll support this change to the end……we must not flinch!

Sorry, the comment form is closed at this time.

Register to Comment and sign up to get action alerts and e-news.

 
Jeff Crosby
What happened in Massachusetts? Democrats forgot the working class.
Read more diaries from the field >>
 
Jody Heymann
U.S.: Bottom of the Pack for Bread-and-Butter Basics
 
Contact Us | Disclaimer