Wednesday, February 6, 2019

THE NEW YORK TIMES IS 

NOT ALWAYS GOSPEL

On February 2nd, Jonathan Martin and Amy Goodnough in the New York Times wrote an article that unsettled me. I provide a link to it below:
Medicare For All Emerges as Early Policy Test
Prior to reading it, I had managed to feel that somehow there might be hope in our country's finally adopting a genuine single-payer program. But the article left me feeling that there was no way our elected Democrat representatives would spring for it -- or anything like it. But then I read an email circulated by Maggie Veve, an activist in the New Paltz area. What she said made so much sense that, with her permission, I'm reprinting it here:

This is a conventional article, not a good one: it's misleading (cost) and therefore, biased. In addition, the content is expected. 

 I am sure you know that politicians test the waters and politicians run scared. They run scared with the Green New Deal (GND) too. We will see the same when the fuel industry really hits back hard against the GND. It's just easier to run from Medicare for All because the fight is on with heavy hitters of the for-profit health establishment. They know health care cost is a non-partisan issue and that hearings will occur in the House. So the industry is clearly afraid of losing profits and wants to scare the populace with "socialism", "bankrupting the economy", "no choice", "long waits" to distract from the radical / root causes of the true cost of the current system. We cannot afford NOT to do what every other developed nation provides for their citizens. I think we need to educate the populace and push for what we think is right ("imagine the best of what is possible"/Deray McKesson). I also believe the narrative can be turned around by fearless belief in the right thing to do.

For an example of this fearless belief in the right thing to do, Maggie  provides a link featuring AOC answering Chris Cuomo's challenge: "How are you going to pay for all this healthcare, this Green New Deal you want?" AOC answers him with words that are for the ages:
Not satisfied with that, Maggie then forwards her letter to Elissa Krauss, in these parts the lead organizer and advocate for the NYHA and Single-Payer in general. And Ms. Krauss replies with an email that nails it:

Thanks for including me in the conversation. Some thoughts:
   1.The regular Dems oppose Medicare for All. The Dem Congressional Campaign Committee specifically forbade candidates from mentioning single payer. Antonio Delgado has made clear that he does NOT favor Medicare for All. He wants a public option. More on that later.
  2. It is true that the Mercatus Center projected cost of Medicare for $32 trillion WITH A SAVINGS OF $2 trillion over 10 years. In other words, even a right wing think tank had to acknowledge that Medicare for All would cost LESS than current costs for health care. 
  3. NYHA would save New Yorkers billions in health care costs. Instead of premiums, deductibles and co-pays New Yorkers would pay a progressive tax on payroll and non-payroll income, that tax can be less than what they are currently paying.
  4. Two studies agree that NYHA would save money for New York and for New Yorkers. The RAND study agrees that single payer would cost NY less than current costs. It mistakenly predicts that some low-income New Yorkers would pay more for health care than they do now.  That’s because RAND’s analysis is based on a hypothetical tax structure that is not truly progressive and assumes that all New Yorkers would have to pay a tax. The Friedman study presumes that no tax would be paid on incomes less than $25,000.
   5. Exactly how the NYHA tax would be calculated remains to be seen.  First the bill needs to pass. Then the very important details need to be worked out. But the bill specifies a progressive tax. Remember- current private health insurance is a regressive tax. Note – NYHA is improved Medicare for All. No premiums, deductibles or co-pays,
   6. For single payer advocates I think the message of this article has to be – we have to embrace taxes as a cost-effective way to provide care to all. The fiction that all taxes are bad has been promulgated by opponents of government who have taken over the national government at the same time as they are trying to dismantle it. We need taxes. Taxes pay for police, firefighters, roads, bridges, and schools among other things. These important basics of society are all suffering because of the successful myth that taxes are inherently bad. Remember in Europe those higher taxes pay for free public education from Pre-K through college, access to medical care for all, paid family leave, longer vacations, etc.
   7. Public option. PNHP [Physicians for a National Health Plan] opposes a public option for the simple reason that if private insurance companies were competing against the government then we would see an expansion of what we are seeing now. The government provides care for the sickest, oldest and poorest. With a public option private companies could go further in limiting who they would cover and focus on the younger, healthier and richer. We would end up with an even worse two-tier system than we have now.
      So those are some thoughts on the NYT opinion piece. It is true that some studies show that when people are told that Medicare for All would increase taxes or end their private insurance, some get scared. BUT those questions do not tell them that their costs would be lower and their access to care increased.
      Let’s continue this conversation. Henry Moss is better than I am at covering these issues. I’m sure he’d be glad to come back to New Paltz to do another presentation.

Elissa

Personally, I don't believe that anybody could be much better in covering these issues than Elissa.

What  more can I say? After 57 years of marriage, I've learned to listen to women smarter than I am.

Hurray for Maggie!
Hurray for Elissa!
Hurray for AOC!

With women like these -- and thank God there are plenty of 'em -- we're in good shape!

Dio

PS: If you want to leave a comment -- and I hope you will -- simply click on the number of comments area and share your thoughts in the "comment rectangle" that appears.
PPS: If you'd like to share your story, I'd like to help you. You can share it publicly -- if you're up to it -- or privately, with only your representative knowing it. Either way, you would be helping the cause. Our current medical system is hurting people.  If you are one of them, you deserve to be heard. You need to be heard.  Thanks!

1 comment:

  1. in 2017, CNN (citing only one of the cable companies) brought in $19.9 million of commercial time among its top pharmaceutical brand advertisers https://www.adweek.com/tvnewser/heres-how-much-ad-revenue-the-cable-networks-bring-in-from-their-biggest-advertisers/361164. According to the Washington Post nine out of 10 big pharmaceutical companies spend more on marketing than on research....(Anna Swanson; February 11, 2015).
    According to USA Today
    (https://www.usatoday.com/story/money/2017/03/16/prescription-drug-costs-up-tv-ads/99203878/)
    "“Pharmaceutical advertising has grown more in the past four years than any other leading ad category,” said Jon Swallen, chief research officer at Kantar Media, a consulting firm that tracks multimedia advertising. It exceeded $6 billion last year, with television picking up the lion’s share, according to Kantar data. Shows such as the major network’s evening news programs, the CBS comedy Mike & Molly and ABC’s daytime drama General Hospital are heavy with drug ads,
    the Kantar data shows."Posted March 16,2017 Bruce Horovitz and Julie Appleby, Kaiser Health News.
    According to a report at National Council of State Legislatures (NCLS)11/5/2018, New York State is not listed among the 10 States that have attempted to enact laws directed at pharmaceutical pricey advertisements impacting costs to consumer constituents ( http://www.ncsl.org/research/health/marketing-and-advertising-of-pharmaceuticals.aspx).
    In 2016 CBS NEWS has indicated that Drug ads: were at $5.2 billion annually -- and rising.
    (https://www.cbsnews.com/news/drug-ads-5-2-billion-annually-and-rising/).
    While the question of price impact created by Pharmaceutical advertising spending has been noted by News outlets, economic statisticians, and even the American Medical association (for competitive reasons), the impact it has on media market revenue share is itself a perverted incentive and moral hazard against restructuring medical care delivery, and is a profit sharing opposition to medical economies of scale that would end such lucrative (and growing)interests. There are disincentives against "saving" money in society when it is up against profit dependencies. The ugly irony, of course, is that the people pay for these disincentives in their actual medical costs.

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