Where we are on health care reform

Don’t make yourself crazy! I generally don’t recommend health care activists follow the ins and outs of the legislative process in Washington. There is always a tug of war between progressives and conservatives and it changes as we move from one field of play to another, that is from one committee to another and then to the floor of each house of Congress. Bills get better and they get worse. There is little that any of us can do to influence the details of legislation at each of these moments. The fundamental thing we need to do is to shape the overall environment in which legislation is being considered by getting the word out about health care reform; building our movement; and keeping pressure on our members of Congress by means of letters, phone calls, emails. We especially need to focus on those who seem to be wavering in support… Continue reading

Where is the movement? Notes on the PA HCAN campaign.

Pretty much every day for the last few weeks, I talk to  a health care activist last week who is freaking out about the ups and downs in Congressional consideration of health care. “Relax” I said. “There are always ups and downs whenever Congress is considering any important legislation. There is always  a great deal of tension and division and dispute—some of it is real and some of it is posturing. We are going to win, because we are building a real movement for historic reform.” “But where is that movement?” he said. It’s a good question. And I have to say that, despite my spending twenty five years as a political scientist who sometimes taught and wrote about political and social movements, I don’t think I ever understood what a political movement was until this moment. I understand what one is now because at this moment I’m kind of… Continue reading

50,000 Congressional Contacts on Health Care Today!

That’s our goal, nationwide. And we are hoping for 3-4000 from Pennsylvania. Can you help? You can use our on-line tool to send and email to your own member of the House http://healthcareforamericanow.org/page/speakout/affordability Or you can call at 1.877.264.4226 And if you really want to help, you can do phone banking into the districts of PA Blue Dogs. I’ll send you a script and a list of people to call if you contact me at MarcStier@hcanpa.org. Thanks! Continue reading

The rural health care issue and Pennsylvania

The Blue Dog leader on Health Care is Congressman Mike Ross of Arkansas. He has been arguing that we need to increase Medicare reimbursement rates in rural areas because they are lower in those areas and have to be raised in order to attract good doctors and to keep hospitals open. We share those concern. But like the Blue Dog idea of negotiating reimbursement rates in the public health insurance plan instead of setting them at Medicare rates plus 5%, Rep. Ross’s solution will raise premiums in the public health insurance plan, not just in rural areas but across the country. It will also cripple the public plan and reduce competition for private insurance, which will also raise premiums. And, because higher subsidies will be required for these higher premiums, the cost to the Federal government and, ultimately, taxpayers will be greater. And, at any, rate it’s not totally clear… Continue reading

Blue Dogs: running with the wrong pack

Five members of Congress from Pennsylvania—Representatives Jason Altmire, Chris Carney, Kathy Dahlkemper, Tim Holden, and Patrick Murphy—are part of the Blue Dog Coalition, whose demands for changes in the Health Care reform bill before the House of Representatives has gained a great of attention in the last week or so. While at least one of those demands might actually improve the bill, others are deadly to the health care reforms we so badly need around the country. Indeed those demands are so deadly for reforms that will very much benefit Pennsylvanians, that it’s time for us start asking our Pennsylvania Blue Dogs, why are you running with this wrong pack? Continue reading

Why Red, Yellow, and Blue Dogs are all going to support Health Care Reform.

Everyone who favors health care reform, including me, is worried about the Blue Dog Democrats. As the state director of Health Care For America Now in PA, I’m concerned about the five blue dog Democrats in Pennsylvania and our staff, volunteers and I are working as hard as we can to keep all of them on the straight and narrow. We have a long week ahead of us dealing with the Blue Dogs. But I think we are going to win, for two reasons. One is the enormous pressure we are going to bring on Blue Dogs, from our coalition partners and the activists we identified. I’m building and talking and writing about that pressure fifteen hours a day, so I won’t say that much about it here. Instead I want to consider a second reason: given the political logic of the moment, while a lot of the Blue Dogs… Continue reading

The question remains, which side are you on?

We are reaching a critical moment in the effort to reform health care in America this year, a moment in which we will find out who is serious about addressing the health care crisis we have we have in this country and who is not. Everyone knows problem: health insurance for the middle class is becoming more and more uncertain for two reasons. The first is that that the costs of health insurance are rising far faster than wages. Health insurance premiums have doubled over the last 9 years, going up three times faster than wages. As costs rise, health care becomes unaffordable for individuals and businesses drop health care coverage for their employees, The second reason is that insurance companies deny people coverage and care. In the fine print of insurance policies are provisions that limit lifetime benefits that enable insurance companies to decide that a treatment we need… Continue reading

Small Business and Health Care Reform

NOBODY will benefit more from the health care reform bill, HR 3200, now making its way through the House of Representatives than the commonwealth’s small businesses. Yet some of the official lobbyists for small business, such as the National Federation of Independent Businesses, are fighting to block it. The NFIB doesn’t actually represent most small businesses in the country. And what’s worse—this is the dirty little secret of health-care lobbying— the leaders of this and other business advocacy organizations are fighting insurance reform out of their own self-interest, not out of a concern for their own members. Continue reading