Obama Transition Team Seeks Americans’ Input on Health Care Future - Make Your Voices Heard!

Camryn Hansen
Contributor
Posted by Camryn HansenDecember 06, 2008 11:04 PM

This got me excited. On Friday, Senator Tom Daschle announced that Obama’s transition team is seeking input from Americans about how to improve the national healthcare system. He asked that we volunteer to hold meetings in our homes and communities to discuss options for reform, and then offer our best ideas to the transition team. Daschle’s even promised to make a guest appearance at one of the meetings. If you sign up on the transition website to host a meeting, they’ll send you a moderator kit with all you need to effectively lead it, and turn in your notes to the people in charge of the country. They might even send Tom Daschle himself.

Were I to host a meeting (and I just might), I would make it a point to talk about the rarely discussed option of co-op community health insurance. I was fortunate enough to live in Ithaca, NY at a time when the community was organizing a co-op health fund, the purpose of which was to provide emergency and backup health insurance coverage to the uninsured and under-insured. When I joined the Ithaca Health Alliance in 2002, the cost of membership was $100 per year, and health services covered were limited to broken bones and ambulance rides. It seemed like not so much coverage at the time, but I took what I could get, since my employer wasn’t offering a nickel’s worth of mainstream coverage.

Six years later, Ithaca Health Alliance, running on the $100 a year per adult/$175 per couple/$50 per child it still charges, has opened its own Free Clinic, which provides 100% free health services to any member of the community who is uninsured. The Ithaca Health Fund also provides up to $4000 of health coverage per year for any of its members. After just a few years of accumulating community funds under the auspices of the local Ithaca community, it’s a completely workable health insurance organization that’s universally affordable, and doesn’t discriminate. Anyone in New York State can join, for the same nominal fee.

Of course, some Americans need more health care than $4000 can pay for in a year. But isn’t this a fantastic start? Wouldn’t you like to see organizations like this crop up in every community, making health care fully accessible to everyone who wants it?

I would. And as a matter of fact, we almost had one here in Pennsylvania. The founder of the Ithaca Health Alliance, Paul Glover, a former Ithacan who now teaches at Temple University, began organizing a similar health co-op a few years ago, when he moved to Philadelphia. (He called it PhilaHealthia.) When the Philadelphia Insurance Department was asked to endorse it, however, not only did it refuse, but it ordered Glover to “cease and desist”—making it illegal to continue the program, despite its demonstrated success in New York State, and despite guarantees of full transparency and accountability. Uninsured Philadelphians everywhere (by recent estimates there are more than 135,000 in the city; 900,000 in the state) have written desperate, pleading letters to the Insurance Department to approve the program, but it won’t budge.

I, for one, am asking the Obama transition team to consider federal intervention into state health insurance departments like Pennsylvania’s, such that community-run programs which offer concrete and practical solutions to the American health care/health insurance crisis cannot be indiscriminately prohibited by insurance company-dominated state regimes. If you have innovative thoughts on solving the health care crisis, I encourage you to take a moment to offer them to all of us, as well.

11 Comments

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dan
Posted by dan
December 07, 2008 12:53 AM

Get the lawyers completely out of health care and our system will improve completely. LAWYERS add to the cost. And intentionally run up hrs of service. Also law suites devastate doctors and there premiums. If you notice everything lawyers are involved in is a mess, politic, judges, real estate, they are the cancer of our country.

Donny_S
Posted by Donny_S
December 07, 2008 1:25 AM

"community-run programs which offer concrete and practical solutions to the American health care/health insurance crisis"

THERE IS NO CRISIS!!!

First, stop those that do not have skills, benefits, and high incomes from having kids. Second, force the bottom 66-percent and the top 1-percent to pay their fair share of taxes by using a flat tax. Third, realize that health, car, malpractice insurance are all related and should be integrated as a whole in a non-profit fashion.

Michael
Posted by Michael
December 07, 2008 1:35 AM

Donny_S, you are full of shit. You should sterilize yourself for the good of all humanity and give up any current children to adoption. There is a crisis. Just because your ignorant ass is not aware of it does not make it nonexistent.

owl
Posted by owl
December 07, 2008 1:37 AM

Reframe education so that it focuses not only on intellectual, but physical health. Guarantee free, unimpeded access for all citizens to health services. Demand that all foods be vetted for their health value, and heavily tax foods that are not healthy or that use known carcinogens or unknown chemicals. Legalize drugs, and allow any user to take advantage of rehab programs. Discontinue the barbarian practice of having an "insurance middleman" between good health and health services. Award doctors with long term patients that do not get sick bonuses. Allow triage to function based on need, not on economic perogatives, such that the person with the most need, not the most money, is treated first.

Shereeta Johnson
Posted by Shereeta Johnson
December 07, 2008 1:50 AM

Why should some of us have excellent health care when we all could have lousy health care.

We are all going to get the same lousy but equal (except Congress of course) health care. Get used to it!!! We are now a socialist country. Get used to it!!! The Government will decide who will get treatment and who will be deemed terminal (with the option of humane "disposal" of course). Get used to it!!! You voted for it.

Andy
Posted by Andy
December 07, 2008 2:35 AM

Everyone who posted above with solutions or relevant comments (Donny_S, Dan, owl): You are idiots. You have simple solutions that are almost certainly wrong. This is not a simple problem.

The real reason why health care is failing in this country is that we refuse to recognize and avoid hidden costs in many areas of this field.

- Want great health care, and the government stays out of it? Then prepare to pay the regulatory overhead out of your own pocket.

- Want the ability to sue your doctor if he makes a mistake? His insurance goes up, and you pay the cost.

- Want patients to be classed based on need, not money? Then prepare to be treated based on the schedules of a small amount of busy doctors (anyone who has waited for six hours in an emergency room will know what I'm talking about).

- Want all foods vetted for health value, specially screened for citizens? Prepare to have your right to eat what you like put in the hands of a (probably unelected) body, controlled by unions, corporations, or both, and prepare to pay the administrative costs of said regulation.

Flat taxes won't fix the problem, because the problem is caused by demands made by consumers of the system, upon the system -- sooner or later, people have to change their ways collectively or the system goes broke.

I think regulations are making healthcare expensive. I'm NOT saying, "oh, let the free market decide", although it deserves some consideration. I'm just saying that regulations add safety in some respects, but add to the cost -- you can't have both cheap AND heavily-regulated healthcare, I think, because heavy regulations require an entire sub-industry to write, comply with, and prosecute the violators of the regulations.

Just...think about those costs, will you? What are you willing to give up, and what are you willing to pay for? Would you rather be safer, or have more money?

rr
Posted by rr
December 07, 2008 2:49 AM

We should expect what president-elect Obama promised us: same coverage as the US Senators.

There are two paths: we all get upgraded, or the senators are equalized with what we are given to pick from.

Surely, the new president will deliver on his commitment. His teams are working to deliver. I will do all I can to help get there.

Concerned About Privacy
Posted by Concerned About Privacy
December 07, 2008 6:02 AM

Here's a suggestion: cancel the privacy-shredding proposal to further computerize medicine, particularly prescriptions. This is little more than a give-away to Silicon Valley in return for their campaign cash. At a time when computer security is worse than ever, this proposal needs to be delayed or, at a minimum, patients should be permitted to opt out. I don't know any physicians or pharmacists who believes that this will result in any meaningful advantage in care and plenty of physicians have expressed concern about the thousands (or tens of thousands) in additional expenses as we approach a depression, and the questionable security (if any) of wireless devices transmitting sensitive data. There are plenty of locales that monitor patients for study purposes (Mayo, for one)--and more can be established without going national.

Sailingwindward
Posted by Sailingwindward
December 07, 2008 1:56 PM

If you take out the PROFIT from healthcare premiums they would be affordable, healthcare needs to be government run because it would be affordable to everyone, most of your healthcare premium is profit advertising, millions of dollars in CEO pay and money to lobby congress, take all that out of the equation and you can cut healthcare premiums by 50-60% problem solved, but since part of the profit is to bribe our corrupted congress we will never universal healthcare.

Ithaca Health Alliance
Posted by Ithaca Health Alliance
December 09, 2008 11:07 AM

We're very proud of what we've been able to achieve on a grassroots level in Ithaca, and we've proven that community members acting together and sharing resources *can* create a health safety net in our own community.

To be clear, the Ithaca Health Fund is not an insurance program and doesn't offer coverages. What we have set out to do is create a community model which is entirely different from the insurance industry: and we have succeeded. The Ithaca Health Alliance is a not-for-profit community health charitable organization owned and governed by our members. Healthcare benefits through the Health Fund come from a variety of grants and interest free loans which are cooperatively financed by the membership.

Although our grants are not able to pay for every sort of health care, we augment this program with our preventive health education programs (free to the community) and the immediate primary care services available to all community members without insurance at Ithaca Free Clinic. Our staff and volunteers also work as informed patient advocates, helping members and Free Clinic patients navigate the incredible complexities of the health industry and its billing.

We, like you, hope that we'll see the development of broad systems which make care more accessible to all. And we'll continue our efforts on a community level to facilitate access to care in the ways that we can.

fleabag
Posted by fleabag
December 13, 2008 2:57 PM

I WORK IN THE HEALTH CARE PROFESSION. AT LOT OF TIME IT MAKES ME SICK. IT IS ALL ABOUT MONEY. 99 YEAR OLD MEDICARE PEOPLE CAN HAVE TEST AFTER TEST. BUT A 50 YEAR OLD WHO WORKS EVERY DAY, CAN GET NO HELP. ESPESIALLY IF HE TRIES TO OWN A HOME AND A CAR. IF YOU TRY TO BUY AN INDIVIDUAL POLICY THE RATES ARE HORRIBLE, NO NON-PROFESSIONAL CAN AFFORD IT. YOU WILL BE TURNED DOWN IF YOU ARE DIABETIC. IT IS PITIFUL. I SURE HOP OUR NEW PRESIDENT KEEPS HIS WORD.

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