Nurses Activism
Published May 5, 2009
"So, let me get this straight you have fifteen seats at the table but not one for single-payer?" Priceless.
[YOUTUBE]
herring_RN, ASN, BSN
3,651 Posts
Cutting costs and providing health insurance to all Americans will not be possible without either:
- Rationing care
- Raising taxes OR
- Taking the profit from the insurance companies
Doctors and Nurses Kicked Out of Health Care Hearing ...Although the Finance Committee has held three public hearings with more than three dozen witnesses, no witness has advocated a single-payer system. Instead, witnesses represented a collection of health care providers, insurance companies, business interests, labor groups, think tanks and academics.... ... President Obama made clear yesterday that he is not advocating single-payer health care reform. With CEOs of major health care companies standing behind him, the president listed his three reform criteria as cutting costs, ensuring that Americans can keep their current doctor or health care plan, and providing health insurance to all Americans.... http://www.politicsdaily.com/2009/05/12/doctors-and-nurses-kicked-out-of-health-care-hearing/
Doctors and Nurses Kicked Out of Health Care Hearing
...Although the Finance Committee has held three public hearings with more than three dozen witnesses, no witness has advocated a single-payer system. Instead, witnesses represented a collection of health care providers, insurance companies, business interests, labor groups, think tanks and academics....
... President Obama made clear yesterday that he is not advocating single-payer health care reform.
With CEOs of major health care companies standing behind him, the president listed his three reform criteria as cutting costs, ensuring that Americans can keep their current doctor or health care plan, and providing health insurance to all Americans....
http://www.politicsdaily.com/2009/05/12/doctors-and-nurses-kicked-out-of-health-care-hearing/
Honnête et Sérieux
283 Posts
Well, they were in fact denied a seat at the table, it didn't just "look" that way. They asked to be seated, (PHNP) through proper channels at first, and were denied. And they could have provided useful information, even though it's obvious that this Congress and our president seem unwillingly to pass a single-payer plan, many Americans feel it is the right plan and their voices shouldn't have been excluded.
That's the way the process works; they have to submit material to committee members, and at least one of the members has to invite them. Obviously no one thought they brought relevant material.
I watched all three roundtable discussion on the internet, the first was focused on delivery system REFORM (direct quote from Max Baucus) followed by the second on May 5th exanding health coverage to all Americans, and then "finance and health reform" on May 14th.
I understand what you are saying, and that is a good observation, but to use the word reform in describing the delivery system is about the delivery system. Single-payer is about who handles the money, not who delivers the care. It was clearly about improving the existing mechanisms, not making it something completely different. Baucus makes this clear in his opening statements, so it's disingenuous to pretend the series was about turning it into something else. The second hearing was about expanding it, using existing mechanisms. The third hearing was about finding the money for it.
The single-payer method does not solve these problems.
A transfer to a single-payer system would have be done carefully. Legislation already exists to make it happen with as much care as possible. It's very possible that this could be one step toward a more equitable system. As to breaking the rules, I believe another poster already adressed that issue. History is full of rule-breakers (some good, some bad) who have had to step out of the normal way of things to foster change.
A transfer to a single-payer system would have be done carefully. Legislation already exists to make it happen with as much care as possible. It's very possible that this could be one step toward a more equitable system.
As to breaking the rules, I believe another poster already adressed that issue. History is full of rule-breakers (some good, some bad) who have had to step out of the normal way of things to foster change.
A transfer to a single payer system should not be done; I think there is a reason why both sides of the aisle oppose the idea.
As far as I can see, resorting to civil disobedience in a public hearing to be heard simply indicates a lack of ingenuity or a weak position.
a partial list of supporters of hr 676 (conyers)
united states national health insurance act
- physicians for a national health program, 14,000 members
- american medical student association (amsa) 68,000 members
- 94 members of the house of representatives - http://thomas.loc.gov/cgi-bin/bdquery/z?d110:hr00676:@@@p
- dollars and sense magazine - http://www.dollarsandsense.org/blog/2009/05/all-out-effort-to-put-single-payer-on.html
- healthcare now! - http://www.healthcare-now.org/2009/05/real-news-network-single-payer-advocates-protest-senate-hearing-video/
state afl-cios
international, national, and state unions and labor organizations
regional and local unions and labor organizations
http://www.guaranteedhealthcare.org/facts
So are you willing to work for free? Our salaries represent profit to us...a return for the work we do. Why should anyone be expected to give away their expertise? If they want to voluntarily do that, I'm sure there are places where it can be done. And many do that, in addition to doing their paid jobs.
We have a responsibility to advocate for the interests and wishes of our patients. We have a responsibility to provide safe, effective, therapeutic, competent nursing care in a compassionate manner.
The insurance companies take money and try not to approve the services they are in business to provide.
Fair compensation, a living wage , for our valuable work is appropriate.
People are admitted to a hospital for nursing care. That is it. Nothing else. A staff nurse who does not provide that care should not be employed.
The insurance corporations neither produce a product not do useful work. They take money and try to keep as much as possible for their executives and shareholders.
Just one CEO, William McGuire was making $124 million a year in compensation in 2005.
tntrn, ASN, RN
1,340 Posts
Playing devil's advocate here, and I've had to fight with my insurance company too, but if an insurance company is not allowed to make a profit, somebody is not going to get paid for their work. Which you seem to think is okay.
With single payer expanded and improved Medicare will be the insurance company. There will be no shareholders or multimillion dollar compensation.
The good smart people who work for the for profits can do something useful for a living.
Maybe go to nursing school?
With single payer expanded and improved Medicare will be the insurance company. There will be no shareholders or multimillion dollar compensation.The good smart people who work for the for profits can do something useful for a living.Maybe go to nursing school?http://www.guaranteedhealthcare.org/facts
Useful, in your opinion. I am sure they think they are doing useful things now.
That being said, I do have a problem with the CEO's making millions, but also have a problem with the no profit concept. And nothing the government has ever run has run smoothly, or on budget, so why would we be foolish to think this would be any different?
Useful, in your opinion. I am sure they think they are doing useful things now. That being said, I do have a problem with the CEO's making millions, but also have a problem with the no profit concept. And nothing the government has ever run has run smoothly, or on budget, so why would we be foolish to think this would be any different?
What useful things are the for profit insurance corporations doing?
Seriously I can't even guess.
The United States needs to come up with the times.
We once had the best public schools, safest food and water supply. Built railroads, delivered mail more reliably and less costly than other countries. Had parks, recreation, and protected our finest natural places with National Parks.
Whe we realize that government is not the problem or, if it is, that WE are the problem government; we CAN make life better for us all.
What useful things are the for profit insurance corporations doing?Seriously I can't even guess.The United States needs to come up with the times.We once had the best public schools, safest food and water supply. Built railroads, delivered mail more reliably and less costly than other countries. Had parks, recreation, and protected our finest natural places with National Parks. Whe we realize that government is not the problem or, if it is, that WE are the problem government; we CAN make life better for us all.
guess one anyswer would be to go the way some want: Pay through the nose with taxes. But only those nasty rich people have to do that. The others just get to enjoy the benefits of their good fortune.
If everybody had to help pay, it would be something to consider, but the way it's going, with 40+% already not paying any income tax at all, I don't see it happening in any kind of workable manner.
And I would have to add that just throwing money at a problem (like public schools, for example) rarely fixes anything.
RN4MERCY
328 Posts
Here is a news story relevant to the initial discussion. I am glad to see that it is getting some press. http://www.msnbc.msn.com/id/21134540/vp/30629823#30629823
http://www.msnbc.msn.com/id/21134540/vp/30629823#30629823
I hope everyone will forward this and invite their peers, family, and friends to watch it; then, let's keep the discussion going. The personal is political; profit has no place in health care. The insurers are coming between patients who need care and the nurses and doctors who provide it. How long are we going to let this go on? We have an ethical duty, as patient advocates, to change this circumstance, and reclaim our moral legacy to be in control of the delivery of health care.
First, thanks for the list of single-payer advocates. It might frustrate the people who were arrested to find out that they didn't need to get arrested because the AFL-CIO testified at the hearings.
Second, I'd like to point out that in criticism of for-profit corporations, I saw several other institutions mentioned, and I had to point this out; as we have 'socialized' our schools, they have deteriorated. I don't know what our gov't has done to prove that they won't make the same mess out of our healthcare system. The post office? Another gov't run debacle, same with our state and national parks.
I hope it's clear why I don't want the gov't taking my money and then making decisions about healthcare. They can't sustain medicare or social security, a far more simply scheme. I hardly think that these people who can't figure out their own taxes can figure out how to run a socialized healthcare system.
The gov't is the problem...flat out. They need to get out of the way.
BTW, my health-care insurance provider is NOT-FOR-PROFIT!!!!
The "Blues" give us the blues wiyth their shell game of for profit subsidiaris.
http://www.putmipeoplefirst.com/pdfs/2008/04/Freep-AF-411608.pdf
They still deny needed care. Google this site to find lawsuits they lost if you don't believe me.
Premiums paid for healthcare goes to overhead including millions for individual executives.
Blue Cross and Blue Shield of Florida's chief executive drew $4.7 million in total compensation last year - http://www.redorbit.com/news/health/305369/blue_cross_ceos_pay_at_the_top_lufranos_compensation_not/
The salary and bonus paid to Cleve L. Killingsworth, chairman and chief executive of Blue Cross and Blue Shield of Massachusetts, increased 26 percent last year, to $3.5 million, even though the health insurer's membership declined and its net income fell 49 percent.Based on previous years' retirement benefits - which Blue Cross-Blue Shield did not report for 2008 - Killingsworth's total pay package was likely about $4.3 million, making him by far the highest paid healthcare executive in Massachusetts...http://www.boston.com/business/healthcare/articles/2009/02/28/blue_cross_ceos_pay_rose_26/
The salary and bonus paid to Cleve L. Killingsworth, chairman and chief executive of Blue Cross and Blue Shield of Massachusetts, increased 26 percent last year, to $3.5 million, even though the health insurer's membership declined and its net income fell 49 percent.
Based on previous years' retirement benefits - which Blue Cross-Blue Shield did not report for 2008 - Killingsworth's total pay package was likely about $4.3 million, making him by far the highest paid healthcare executive in Massachusetts...
http://www.boston.com/business/healthcare/articles/2009/02/28/blue_cross_ceos_pay_rose_26/
William C. Van Faasen, the long-time chairman and chief executive of Blue Cross and Blue Shield of Massachusetts, was paid $16.4 million in retirement benefits in January 2006, even though he didn't leave the company....http://www.boston.com/business/globe/articles/2007/11/16/blue_cross_gave_chairman_164m_in_retirement_pay/
William C. Van Faasen, the long-time chairman and chief executive of Blue Cross and Blue Shield of Massachusetts, was paid $16.4 million in retirement benefits in January 2006, even though he didn't leave the company....
http://www.boston.com/business/globe/articles/2007/11/16/blue_cross_gave_chairman_164m_in_retirement_pay/