Press Release
Embargoed until: October 7, 2004
For more information: Rand Wilson, 617 989-8045, rand@jwj.org

New “Waste Not, Want Not” report:
Study shows $245 billion savings from cutting insurance and drug industry waste could fund health care for all

Grassroots groups will release 15 state reports in 21 cities

WASHINGTON, DC – Jobs with Justice will release a report on Oct. 7 showing that approximately $245 billion is wasted on private insurance red tape and protecting drug company super-profits each year. The study concludes that by providing insurance more efficiently and making drug companies sell in a more competitive market, the savings could be used to provide secure, affordable health care for all.

The report, Waste Not, Want Not: How Eliminating Insurance and pharmaceutical Industry Waste Could Fund Health Care For All will also be released by local Jobs with Justice coalitions or other organizations in CA, FL, GA, IN, KY, MA, MN, NC, NY, OH, PA, RI, TN, TX, and VT. Local releases will have state-specific versions of the report with data showing that in every state the savings from waste is enough to cover all of the uninsured.

Waste Not, Want Not focuses on how three reforms to the current health care system could prevent billions of dollars in waste and yield enough savings to guarantee secure and affordable health care for all. Specifically:

* The fragmented system of nearly 1,300 private health insurance companies creates unnecessary red tape and administrative waste. The national Medicare program has a proven track record of providing insurance at slightly less than one-tenth the cost of private plans. Adopting Medicare’s standard of efficiency and improving and expanding it to cover everyone, would save more than $94 billion on health care every year.

* Although the federal government and other public sources already pay half the cost of research and development, drug companies receive long term patent protections that discourage competition and guarantee super profits. If the federal government paid for all of the R&D, it could eliminate the patent protections, encourage competition and generic drugs, and save $140 billion in health care costs every year.

* The Bush Administration’s recently enacted Medicare prescription drug bill gave additional subsidies for private insurers because they can’t compete with the efficiency of Medicare. Reversing these and other devastating changes to Medicare could save $83.6 billion (or $11 billion a year) over the next eight years.

Together, these savings would be more than enough to provide insurance coverage for all of the 81.8 million people who went without health insurance for all or part of last year.

“Americans are paying more for health care and getting less every year. Waste Not, Want Not is proof that we are not just spending more than any other country, we are wasting more,” said Rep. Jan Schakowsky (D-IL). “Instead of throwing away precious health care dollars on bureaucracy, fragmentation and excessive profits, we could be providing high quality medical care for all.”

“So many politicians say they support the concept of health care for all, but then hide behind the question of how a universal plan would be financed,” said Fred Azcarate, director of Jobs with Justice. “Our study shows that health care for all isn’t an economic problem; it’s a question of political will. Across the country, people are building a movement to force politicians to stand up to the special interests and pass laws for secure and affordable health care!”

Waste Not, Want Not is based on an analysis of government census and economic data done by the Center for Economic and Policy Research (CEPR), located in Washington, DC. The report was funded by six unions in conjunction with Health Care Action Week, October 3 – 10, 2004.

Health Care Action Week is sponsored by eleven unions and nine national health care reform organizations.

The report will be available on the Jobs with Justice website at www.jwj.org on October 7.

Jobs with Justice is a national campaign for workers’ rights. More than 40 local Jobs with Justice coalitions unite labor, community, faith-based and student organizations to build power for working people.

# # #

Rand Wilson
Jobs with Justice (www.jwj.org)
21 Fellows Street, Boston, MA 02119
Phone: (617) 989-8045, Fax: (617) 541-6839, Email: rand@jwj.org

Labor, Business, Medical Leaders Launch America’s Agenda: Health Care for All, Aiming To “Break the Insurance Lobby Choke-hold on Health Care”

Embargo for Oct. 7
For more information:
Larry Rubin 202-955-1250

WASHINGTON, DC, October 7 — “There will be no health care for all Americans until our political leaders are willing to take on a health insurance industry that showers them with cash,” said Douglas Dority today as he announced the launching of America’s Agenda: Health Care for All. “Insurers have proven time and time again they will spend whatever it takes to perpetuate a system of financing that makes them wealthy while restricting care only to those who can afford it.”

Dority, chair of the new organization that will help grassroots groups fighting for universal health care, is the former president of the United Food and Commercial Workers union (UFCW). He was joined by other union leaders, and by health care reform advocates from the business and medical communities and from Capitol Hill.

“The insurance companies with their scandalous profit-taking deny access to care to even those with insurance by practices of excluding pre-existing conditions, complex paperwork and uncovered benefits,” said Dr. Claudia Fegan, president of the Physicians for a National Health Program (PNHP). “Over 12,000 physicians support a national health insurance program that will cover everyone with the money we would save from the administrative waste of our current system.”

U.S. Rep. Tammy Baldwin (D-WI) said “it is time to put ‘health care for all’ at the top of our national agenda.” She has introduced a bill that would give federal funding to states that institute programs expanding access to health care. Rep. Baldwin and Dr. Fegan have agreed to serve on the Advisory Committee for America’s Agenda.

“Our medical system is dysfunctional and bad not just for our health, but for our entire economy,” said Bernard Rapoport, founder and former CEO of the American Income Life Insurance Company. Rapoport, a member of the America’s Agenda governing board, said “soaring costs are undermining the competitiveness of American business in the global economy. The U.S. is the only country in the industrialized world that doesn’t have publicly-financed health insurance, so American companies are burdened with expenses others don’t have, endangering our manufacturing base.” As examples, he cited Ford Motor Co. that spends $3.2 billion a year on health premiums and General Motors that spends more on health than on steel.

“The American people are fed up,” said Dority. “Poll after poll shows they want affordable health care that covers everyone. Why don’t we have it? Because America’s health insurance industry does everything in its power to block it . The current system may be a shambles, but it is a profitable shambles for those who run it.”

Joe Hansen, Dority’s successor as UFCW president and an America’s Agenda board member, renewed the union’s commitment to universal health care. “No one union, no one company, has a solution for the health care crisis,” said Hansen. “It has to be a political solution.”

“Out of control health care costs are a huge problem not just for workers but for employers who have health care plans,” said Marty Maddaloni, general president of the United Association of Plumbers and Pipefitters. “It puts these employers at a competitive disadvantage with those who do not have such plans.”

“I can think of no economic issue that impacts all working families in America more than the growing health care crisis,” added Morty Bahr, president of the Communications Workers of America. “It is criminal that 45 million Americans are without any health insurance and that number is projected to go to more than 51 million in 2006.” Both Bahr and Maddaloni serve on the governing board of America’s Agenda.

Dority noted that in recent years concerned citizens from Massachusetts to New Mexico have waged statewide campaigns for universal coverage. Additionally, health care reform initiatives and legislative hearings are progressing in several states, “but the industry continues to spend astronomical amounts of money to defeat them.”

Health insurers all across the nation have come together to create America’s Health Insurance Plans (AHIP) to lobby for the status quo. AHIP will run a multi-million dollar campaign with offices in 46 different states. “In the recent past, effort after effort by state-level grassroots groups to reform our broken health care system has been defeated by the well-heeled health insurance lobby,” Dority said. “We intend to help level the playing field. We must break the insurance lobby choke-hold on U.S. health care.”

To support grassroots groups, Dority said that America’s Agenda: Healthcare for All will utilize TV, radio, print media and the Internet to mount creative and coordinated “truth campaigns”. Business leaders, physicians, elected officials, labor leaders and universal health care campaign activists will be effective “messengers of truth” about the costs and benefits of specific health reform proposals. “We will counter the insurance lobbyists by taking the truth to the American people,” said Dority.

Until recently, Dority was president of the United Food & Commercial Workers (UFCW), a union whose members have been in the forefront of the battle to protect health benefits on the job. This past winter, tens of thousands of grocery workers were forced into bitter strikes in California, Ohio, Kentucky and West Virginia, in an effort to hold the line for workers across the nation whose health benefits were under attack. Dority didn’t blame the employers– he blamed the system. In March, he announced he was stepping down at UFCW “to devote my energies to a new effort to convince our political leaders that health care for all Americans is long overdue.”

— ## —

Edmonton Journal
October 5, 2004
Health-care fraud alarm sounded
Auditor criticizes Alberta gov’t for losing track of two million health cards
By Jason Markusoff and James Baxter

(Auditor General Fred) Dunn charged that Alberta Health ignored its own warning in a report from 1998. The ministry’s health-fraud watchdogs had raised the spectre of U.S. citizens using Alberta health-card numbers.

In some health regions near the U.S. border, there were double as many health numbers as there were residents. For Americans without health insurance, medical costs in the U.S. can be astronomical. Alberta health-care cards would be money in their pockets.

http://www.canada.com/edmonton/edmontonjournal/news/story.html?id=99959fde-e0db-4d46-8115-515001e92e8d#Soundoff

by Saul Friedman
October 2, 2004

It’s time Gray Matters put up or shut up, instead of merely complaining about what passes for the American health care system. And if one day we get a responsive president and Congress, what is a realistic alternative to the nation’s dependence for its health care on the private health insurance business?

I say “realistic” because presidents at least as far back as Harry S. Truman in 1948 have sought universal health care – but he had to settle for Medicare about 20 years later. In 1992 the Clintons tried with a proposal that sought to satisfy everyone, but it collapsed under its own weight and was killed by the insurance industry.

But the polls and the deepening crisis in health care, including the loss of insurance for millions of workers and retirees, seem to be reviving the imperative for change. And if we can stop the Bush administration from killing our only national health insurance program, Medicare, it could become the vehicle for a politically feasible alternative – a universal, “single-payer” system.

Despite the assaults from the right, Medicare remains the nation’s most popular and efficient health insurance program: 90 percent of eligible beneficiaries participate, and 98 percent of non- pediatric physicians accept Medicare; so do most hospitals. According to polls, younger workers hope to join one day, but doubt there will be enough funds left for them.

Nevertheless, Medicare coverage is incomplete, without a real prescription drug benefit and too many limits to save money. And it pays too much money to private contractors that administer the benefits in each state. More important, Medicare will die of old age or be killed by HMOs unless the program is opened, perhaps gradually, to all Americans. That way, the Medicare risk pool could be strengthened by the young, and the program for the elderly would become the U.S. version of Canada’s single-payer system.

Single-payer is not socialized medicine or anything like the British model, but it is not widely understood in the United States. The best and clearest explanation can be found in a narrative or an animation by Graham Walker, a Stanford University medical student and former staff member of Physicians for a National Health Program. (Look for it at www.grahamazon.com/sp)

Briefly, Walker says, “Socialized medicine is the system in the U.K. – the government owns the hospitals, employs the doctors.” Single-payer is more like the Canadian system, where “the government pays the hospital and pays the doctor, but hospitals and doctors are still part of the private sector…. Everyone cares who their doctor is, but do you really care who pays your doctor?”

If you’re worried that the government can’t do anything right, Medicare, backed by 35 years of expertise, is far more efficient and responsive than your average insurance company. Yet its coverage reaches everywhere. Ask anyone who’s been on Medicare for years whether it works. Ask any caring physician whether he or she has more trouble dealing with Medicare or the HMOs, which doctors and hospitals have had to sue.

“Right now,” Walker says, “we ration care by the ability to pay….Single-payer rations care by health care need. There would be no more pre-existing conditions, no more hassles to see a doctor.”

Medicare, which covers more than 40 million older and disabled Americans, is dependent on congressional appropriations and is running into financial trouble; its premiums and fees are getting too expensive. How can the United States pay for a similar single-payer system to cover 300 million? “Money would come from employers and employees,” Walker says, “but most of the money is already in the system – it’s just currently going to HMOs [and other private insurers] instead of to a single payer.” He noted that several studies estimated that a single-payer system would save enough money on administration to cover the 45 million Americans who are uninsured.

An estimated $285 billion is spent on administrative and middlemen services that provide not a single aspirin. Says Walker: “The U.S. spends double what most other countries spend on health care, and Americans have shorter life spans and millions go uninsured. Many financing schemes exist…. Put most simply, the money that most businesses currently pay for health care would go to single-payer; this would make up most of the money needed.”

As Sen. Hillary Rodham Clinton (D-N.Y.) pointed out, businesses in Canada and other nations with similar health systems have the edge over the United States. Employers, including government, face increasing costs to cover their workers, as well as retirees. With single-payer, no more would a worker or retiree be left without health coverage by a bankruptcy or budget problems.

A new poll for the nonpartisan Civil Society Institute reports that 67 percent of Americans would support guaranteed health insurance, through a government program or a nonprofit source. Even when called “national health insurance,” it’s supported by 52 percent.

I’m sure any single-payer system will have its glitches and frustrations, and some for-profit hospitals and health care corporations may not survive. Nevertheless, single-payer is worth considering.

Write to Saul Friedman, Newsday, 235 Pinelawn Rd., Melville, NY, 11747-4250, or by e-mail at saulfriedman@comcast.net.

Copyright (c) 2004, Newsday, Inc.
This article originally appeared at:
http://www.newsday.com/news/health/ny-saul3991259oct02,0,6607503.column?coll=ny-health-headlines

by Saul Friedman
October 2, 2004

It’s time Gray Matters put up or shut up, instead of merely complaining about what passes for the American health care system. And if one day we get a responsive president and Congress, what is a realistic alternative to the nation’s dependence for its health care on the private health insurance business?

I say “realistic” because presidents at least as far back as Harry S. Truman in 1948 have sought universal health care – but he had to settle for Medicare about 20 years later. In 1992 the Clintons tried with a proposal that sought to satisfy everyone, but it collapsed under its own weight and was killed by the insurance industry.

But the polls and the deepening crisis in health care, including the loss of insurance for millions of workers and retirees, seem to be reviving the imperative for change. And if we can stop the Bush administration from killing our only national health insurance program, Medicare, it could become the vehicle for a politically feasible alternative – a universal, “single-payer” system.

Despite the assaults from the right, Medicare remains the nation’s most popular and efficient health insurance program: 90 percent of eligible beneficiaries participate, and 98 percent of non- pediatric physicians accept Medicare; so do most hospitals. According to polls, younger workers hope to join one day, but doubt there will be enough funds left for them.

Nevertheless, Medicare coverage is incomplete, without a real prescription drug benefit and too many limits to save money. And it pays too much money to private contractors that administer the benefits in each state. More important, Medicare will die of old age or be killed by HMOs unless the program is opened, perhaps gradually, to all Americans. That way, the Medicare risk pool could be strengthened by the young, and the program for the elderly would become the U.S. version of Canada’s single-payer system.

Single-payer is not socialized medicine or anything like the British model, but it is not widely understood in the United States. The best and clearest explanation can be found in a narrative or an animation by Graham Walker, a Stanford University medical student and former staff member of Physicians for a National Health Program. (Look for it at www.grahamazon.com/sp)

Briefly, Walker says, “Socialized medicine is the system in the U.K. – the government owns the hospitals, employs the doctors.” Single-payer is more like the Canadian system, where “the government pays the hospital and pays the doctor, but hospitals and doctors are still part of the private sector…. Everyone cares who their doctor is, but do you really care who pays your doctor?”

If you’re worried that the government can’t do anything right, Medicare, backed by 35 years of expertise, is far more efficient and responsive than your average insurance company. Yet its coverage reaches everywhere. Ask anyone who’s been on Medicare for years whether it works. Ask any caring physician whether he or she has more trouble dealing with Medicare or the HMOs, which doctors and hospitals have had to sue.

“Right now,” Walker says, “we ration care by the ability to pay….Single-payer rations care by health care need. There would be no more pre-existing conditions, no more hassles to see a doctor.”

Medicare, which covers more than 40 million older and disabled Americans, is dependent on congressional appropriations and is running into financial trouble; its premiums and fees are getting too expensive. How can the United States pay for a similar single-payer system to cover 300 million? “Money would come from employers and employees,” Walker says, “but most of the money is already in the system – it’s just currently going to HMOs [and other private insurers] instead of to a single payer.” He noted that several studies estimated that a single-payer system would save enough money on administration to cover the 45 million Americans who are uninsured.

An estimated $285 billion is spent on administrative and middlemen services that provide not a single aspirin. Says Walker: “The U.S. spends double what most other countries spend on health care, and Americans have shorter life spans and millions go uninsured. Many financing schemes exist…. Put most simply, the money that most businesses currently pay for health care would go to single-payer; this would make up most of the money needed.”

As Sen. Hillary Rodham Clinton (D-N.Y.) pointed out, businesses in Canada and other nations with similar health systems have the edge over the United States. Employers, including government, face increasing costs to cover their workers, as well as retirees. With single-payer, no more would a worker or retiree be left without health coverage by a bankruptcy or budget problems.

A new poll for the nonpartisan Civil Society Institute reports that 67 percent of Americans would support guaranteed health insurance, through a government program or a nonprofit source. Even when called “national health insurance,” it’s supported by 52 percent.

I’m sure any single-payer system will have its glitches and frustrations, and some for-profit hospitals and health care corporations may not survive. Nevertheless, single-payer is worth considering.

Write to Saul Friedman, Newsday, 235 Pinelawn Rd., Melville, NY, 11747-4250, or by e-mail at saulfriedman@comcast.net.

Copyright (c) 2004, Newsday, Inc.
This article originally appeared at:
http://www.newsday.com/news/health/ny-saul3991259oct02,0,6607503.column?coll=ny-health-headlines