Single-Payer Actions Planned in over Fifty Cities
Published May 29, 2009 @ 10:56AM PT
Activists of every stripe take to the streets to support single-payer
As the Obama administration calls for health reform to be done this year, people in support of improved Medicare for all, a single-payer national health system, take to the streets in over 50 cities around May 30th. Single-payer advocates support the removal of for-profit insurers from providing basic health care, which would create enough savings, an estimated $400 billion a year, to guarantee health care to all. The Obama administration has repeatedly stated that single-payer is not being considered as an option for reform.
Town hall meetings, protests at insurance companies, rallies in state capitols, and vigils in memory of the 22,000 people who die each year because they lack health insurance will be taking place across the country. Members of Healthcare-NOW!, Progressive Democrats of America, the California Nurses Association, Physicians for a National Health Program, and the Green Party have largely mobilized around the day of action under the umbrella of the Leadership Conference for Guaranteed Health Care, a coalition of national organizations supporting national single-payer legislation.
A 2008 study shows 59 percent of U.S. physicians now favor government legislation to establish national health insurance. This alongside a recent CBS Poll showing 59 percent of Americans in favor of government-provided national health insurance reflects the growing support for single-payer. Supporters are angered as leading advocates supporting this solution are left out of the national debate on health reform.
Earlier this month, a total of 13 people, physicians, nurses and activists, were arrested for standing up in the Senate Finance Committee roundtable on health and demanding single-payer be considered. There have been 41 witnesses in the Senate Finance Committee discussions on health reform, without one single-payer advocate.
"A growing majority of physicians support a national health program because they cannot practice quality medicine until private insurers are removed from interfering in medical decisions and denying needed care. Health care providers are now willing to engage in acts of civil disobedience in order to show that health care reform is about improving patients' health, not bailing out insurers. Health care is the civil rights issue of this decade,” states Dr. Margaret Flowers, one of the physicians arrested in the Senate Finance Committee.
"Advocates for single-payer represent the marginalized majority. The people deserve a fair hearing on health care reform. The nationwide day of actions shows that single-payer advocates refuse to be silent." states Katie Robbins, Assistant Coordinator, Healthcare-NOW!
As of yet, a single-payer system is the only plan that would be truly universal and guaranteed to contain sky rocketing health care costs. Many of the best health care systems in the world are single-payer systems. In addition to saving lives, it would end bankruptcies caused by medical debt and remove financial barriers to care.
“The single-payer solution meets President Obama’s three core principles,” said Tim Carpenter the national director of Progressive Democrats of America. “It would reduce costs, guarantee choice, and ensure all Americans have quality, affordable health care; it provides far more in savings than any other option being considered.”HR 676, the National Health Care Act, currently has 77 Congressional cosponsors in the 111th Congress.
To see the full list of participating cities, please visit - http://www.healthcare-now.org/campaigns/may-30th-day-of-action/
Comments
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Well the war is on. I just watched a REP senator from Ga on CNN that was telling every lie he could come up with against single payer. He must have just cashed his PAC check for no telling how much money to appose our rights. We must not allow them to deprive us of health care.
Any plan that inclues private for profit insurance is not acceptable we must fight for what is right for all Americans...
Cherokee Fred Jesus
Posted by Cherokee Fred Jesus on 06/13/2009 @ 06:29PM PT
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Whats up no comments I hope every one did not go back to sleep. That is what our representatives are hoping. The insurance companies are not asleep you can bet on that. They are bribing every one in DC with their hand out and they all have hands out. I am so tired of our senators selling us down the river and lying about single payer. So their PAC check clears. I am still confused why is bribery legal in DC? It is so blatant. Give me 1.5 million I might change my mind!
STOP THE PAYOFFs IN DC MAKE IT ILLEGAL IT WILL BE THE ONLY WAY TO TAKE OUR COUNTRY BACK....
Cherokee Fred Jesus
Posted by Cherokee Fred Jesus on 06/15/2009 @ 06:02AM PT
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Vote for my action to end our representative from taking the bribes and becoming millions richer while in office...
http://www.change.org/actions/view/step_one_end_special_interest_in_washington
CFJ
Posted by Cherokee Fred Jesus on 06/15/2009 @ 06:05AM PT
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OK my main fear is many Americans are still asleep. Much like being used by the matrix in the movie. They think their representatives are looking out for their best interest. They are living in fantasy land!
Like in universal health care sigle payer. This would do more to help the disparity in our contry, second only to ending the war on drugs. But how can we wake up America and get them to see the truth?
Look at it this way all federal employees are covered by very comprehensive health insurance. The FEDs pay for this insurance with your tax money. They pay a huge amount to cover the FEDERAL employees!
If we went to single payer the insurance companies would lose billions. Rather than lose the billions they choose, for lack of a better word, to bribe our representatives through pacs and lobbyist. They go against what would be best for the American people. They vote to support big insurance profits. It cost the insurance a small amount (millions) to insure their profits grow. If you doubt any of this please go read dig I have no fear that you will agree with what I say if you dig.
Now how can we over come the problem stated above? We must stop our representatives from becoming rich by voting against and lying to us.
THEY LIE AND REAP MILLIONS IN NET WORTH VOTING AGAINST US. TAKINGS OUR MONEY TO PAY BILLIONS IN INSURANCE TO INSURE THEMSELVES. FOR LACK OF A BETTER WORD THEY ACCEPT "KICK BACKS" WHILE WE DIE IN THE STREET WITH NO HEALTH CARE. WE ENDURE PAIN BECAUSE WE HAVE NO MONEY TO GO TO A DENIST. I SEE IT EVERY DAY OF MY LIFE AND I AM 60.
SAME WITH PUBLIC SCHOOLS AND THE WAR ON DRUGS ITS ALL ABOUT THE MONEY........
THEY THROW AWAY 100 BILLION AND JAIL ALMOST ONE MILLION OF OUR CHILDREN EVERY YEAR. WHILE THE "LEGAL" DRUG PUSHERS MAKE BILLIONS. THEY ALSO KILL HUNDREDS OF THOUSANDS WITH THEIR FOUL CHEMICAL DRUGS EVERY YEAR. TO DATE CANNABIS HAS KILLED NO ONE NO ONE HAS OVERDOSED ON WEED YET WE ENSLAVE OUR OWN PEOPLE FOR GREED AND POWER......
WAKE UP READ, DIG VOTE.....
http://www.change.org/actions/view/step_one_end_special_interest_in_washington
Cherokee Fred Jesus
Help us make ours a better place.
Posted by Cherokee Fred Jesus on 06/16/2009 @ 12:58PM PT
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Hi Fred! I'm not asleep! I sent my letter to my local newspaper:
Your letter has been sent to The Sun!
If the email containing your letter comes back from the newspaper because
of an addressing problem, please let us know so we can correct the
information in our system by clicking on the following link:
http://www.political.moveon.org/lte/help.html?entity=pac
Thanks,
-- The MoveOn.org Political Action Team
-----------------------------------------------
Your letter follows:
-----------------------------------------------
Americans need a strong public health insurance option available to anyone who chooses to participate nationwide. It is only fair to give consumers a public option.
To ensure it's held to the highest standards of accountability, a public health insurance option must be truly publicly run--accountable and transparent to Congress and to voters. In order to control costs the Legislature must repeal tax loopholes and consider new revenues.
We must not wait on health reform while health care costs continue to rise. Some economist estimate that every percentage-point increase in the jobless rate adds 1 million people to the ranks of the uninsured. Private insurers lost 9 million customers between 2000 and 2007 due to the loss of coverage. The rate of aging far exceeds the birth rate. In 2011, the 79 million baby boomers begin turning 65. Health insurers stand to lose 162 to 172 million over to Medicare.
A strong public health insurance option right out of the gate is key to building a competitive program that will help control costs.
Posted by Mary Acosta on 06/17/2009 @ 11:23AM PT
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Cool wake up some others!!!!
CFJ
Posted by Cherokee Fred Jesus on 07/18/2009 @ 01:51PM PT
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RE: Single Payer System
I thought you might be interested in this web page: http://sanders.senate.gov/petitions/index.cfm
Posted by Mary Acosta on 06/18/2009 @ 08:21AM PT
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Most people who oppose socialized medicine do so on the grounds that it is moral and well-intentioned, but impractical; i.e., it is a noble idea -- which just somehow does not work. I do not agree that socialized medicine is moral and well-intentioned, but impractical. Of course, it is impractical -- it does not work -- but I hold that it is impractical because it is immoral. This is not a case of noble in theory but a failure in practice; it is a case of vicious in theory and therefore a disaster in practice. So I'm going to leave it to other speakers to concentrate on the practical flaws in the Obama health plan. I want to focus on the moral issue at stake. So long as people believe that socialized medicine is a noble plan, there is no way to fight it. You cannot stop a noble plan -- not if it really is noble. The only way you can defeat it is to unmask it -- to show that it is the very opposite of noble. Then at least you have a fighting chance.
What is morality in this context? The American concept of it is officially stated in the Declaration of Independence. It upholds man's unalienable, individual rights. The term "rights," note, is a moral (not just a political) term; it tells us that a certain course of behavior is right, sanctioned, proper, a prerogative to be respected by others, not interfered with -- and that anyone who violates a man's rights is: wrong, morally wrong, unsanctioned, evil.
Now our only rights, the American viewpoint continues, are the rights to life, liberty, property, and the pursuit of happiness. That's all. According to the Founding Fathers, we are not born with a right to a trip to Disneyland, or a meal at Mcdonald's, or a kidney dialysis (nor with the 18th-century equivalent of these things). We have certain specific rights -- and only these.
Why only these? Observe that all legitimate rights have one thing in common: they are rights to action, not to rewards from other people. The American rights impose no obligations on other people, merely the negative obligation to leave you alone. The system guarantees you the chance to work for what you want -- not to be given it without effort by somebody else.
The right to life, e.g., does not mean that your neighbors have to feed and clothe you; it means you have the right to earn your food and clothes yourself, if necessary by a hard struggle, and that no one can forcibly stop your struggle for these things or steal them from you if and when you have achieved them. In other words: you have the right to act, and to keep the results of your actions, the products you make, to keep them or to trade them with others, if you wish. But you have no right to the actions or products of others, except on terms to which they voluntarily agree.
To take one more example: the right to the pursuit of happiness is precisely that: the right to the pursuit -- to a certain type of action on your part and its result -- not to any guarantee that other people will make you happy or even try to do so. Otherwise, there would be no liberty in the country: if your mere desire for something, anything, imposes a duty on other people to satisfy you, then they have no choice in their lives, no say in what they do, they have no liberty, they cannot pursue their happiness. Your "right" to happiness at their expense means that they become rightless serfs, i.e., your slaves. Your right to anything at others' expense means that they become rightless.
That is why the U.S. system defines rights as it does, strictly as the rights to action. This was the approach that made the U.S. the first truly free country in all world history -- and, soon afterwards, as a result, the greatest country in history, the richest and the most powerful. It became the most powerful because its view of rights made it the most moral. It was the country of individualism and personal independence.
Today, however, we are seeing the rise of principled immorality in this country. We are seeing a total abandonment by the intellectuals and the politicians of the moral principles on which the U.S. was founded. We are seeing the complete destruction of the concept of rights. The original American idea has been virtually wiped out, ignored as if it had never existed. The rule now is for politicians to ignore and violate men's actual rights, while arguing about a whole list of rights never dreamed of in this country's founding documents -- rights which require no earning, no effort, no action at all on the part of the recipient.
You are entitled to something, the politicians say, simply because it exists and you want or need it -- period. You are entitled to be given it by the government. Where does the government get it from? What does the government have to do to private citizens -- to their individual rights -- to their real rights -- in order to carry out the promise of showering free services on the people?
The answers are obvious. The newfangled rights wipe out real rights -- and turn the people who actually create the goods and services involved into servants of the state. The Russians tried this exact system for many decades. Unfortunately, we have not learned from their experience. Yet the meaning of socialism (this is the right name for Obama's medical plan) is clearly evident in any field at all -- you don't need to think of health care as a special case; it is just as apparent if the government were to proclaim a universal right to food, or to a vacation, or to a haircut. I mean: a right in the new sense: not that you are free to earn these things by your own effort and trade, but that you have a moral claim to be given these things free of charge, with no action on your part, simply as handouts from a benevolent government.
How would these alleged new rights be fulfilled? Take the simplest case: you are born with a moral right to hair care, let us say, provided by a loving government free of charge to all who want or need it. What would happen under such a moral theory?
Haircuts are free, like the air we breathe, so some people show up every day for an expensive new styling, the government pays out more and more, barbers revel in their huge new incomes, and the profession starts to grow ravenously, bald men start to come in droves for free hair implantations, a school of fancy, specialized eyebrow pluckers develops -- it's all free, the government pays. The dishonest barbers are having a field day, of course -- but so are the honest ones; they are working and spending like mad, trying to give every customer his heart's desire, which is a millionaire's worth of special hair care and services -- the government starts to scream, the budget is out of control. Suddenly directives erupt: we must limit the number of barbers, we must limit the time spent on haircuts, we must limit the permissible type of hair styles; bureaucrats begin to split hairs about how many hairs a barber should be allowed to split. A new computerized office of records filled with inspectors and red tape shoots up; some barbers, it seems, are still getting too rich, they must be getting more than their fair share of the national hair, so barbers have to start applying for Certificates of Need in order to buy razors, while peer review boards are established to assess every stylist's work, both the dishonest and the overly honest alike, to make sure that no one is too bad or too good or too busy or too unbusy. Etc. In the end, there are lines of wretched customers waiting for their chance to be routinely scalped by bored, hog-tied haircutters some of whom remember dreamily the old days when somehow everything was so much better.
Do you think the situation would be improved by having hair-care cooperatives organized by the government? -- having them engage in managed competition, managed by the government, in order to buy haircut insurance from companies controlled by the government?
If this is what would happen under government-managed hair care, what else can possibly happen -- it is already starting to happen -- under the idea of health care as a right? Health care in the modern world is a complex, scientific, technological service. How can anybody be born with a right to such a thing?
Under the American system you have a right to health care if you can pay for it, i.e., if you can earn it by your own action and effort. But nobody has the right to the services of any professional individual or group simply because he wants them and desperately needs them. The very fact that he needs these services so desperately is the proof that he had better respect the freedom, the integrity, and the rights of the people who provide them.
You have a right to work, not to rob others of the fruits of their work, not to turn others into sacrificial, rightless animals laboring to fulfill your needs.
Some of you may ask here: But can people afford health care on their own? Even leaving aside the present government-inflated medical prices, the answer is: Certainly people can afford it. Where do you think the money is coming from right now to pay for it all -- where does the government get its fabled unlimited money? Government is not a productive organization; it has no source of wealth other than confiscation of the citizens' wealth, through taxation, deficit financing or the like.
But, you may say, isn't it the "rich" who are really paying the costs of medical care now -- the rich, not the broad bulk of the people? As has been proved time and again, there are not enough rich anywhere to make a dent in the government's costs; it is the vast middle class in the U.S. that is the only source of the kind of money that national programs like government health care require. A simple example of this is the fact that the Obama Administration's new program rests squarely on the backs not of Big Business, but of small businessmen who are struggling in today's economy merely to stay alive and in existence. Under any socialized program, it is the "little people" who do most of the paying for it -- under the senseless pretext that "the people" can't afford such and such, so the government must take over. If the people of a country truly couldn't afford a certain service -- as e.g. in Somalia -- neither, for that very reason, could any government in that country afford it, either.
Some people can't afford medical care in the U.S. But they are necessarily a small minority in a free or even semi-free country. If they were the majority, the country would be an utter bankrupt and could not even think of a national medical program. As to this small minority, in a free country they have to rely solely on private, voluntary charity. Yes, charity, the kindness of the doctors or of the better off -- charity, not right, i.e. not their right to the lives or work of others. And such charity, I may say, was always forthcoming in the past in America. The advocates of Medicaid and Medicare under LBJ did not claim that the poor or old in the '60's got bad care; they claimed that it was an affront for anyone to have to depend on charity.
But the fact is: You don't abolish charity by calling it something else. If a person is getting health care for nothing, simply because he is breathing, he is still getting charity, whether or not President Obama calls it a "right." To call it a Right when the recipient did not earn it is merely to compound the evil. It is charity still -- though now extorted by criminal tactics of force, while hiding under a dishonest name.
As with any good or service that is provided by some specific group of men, if you try to make its possession by all a right, you thereby enslave the providers of the service, wreck the service, and end up depriving the very consumers you are supposed to be helping. To call "medical care" a right will merely enslave the doctors and thus destroy the quality of medical care in this country, as socialized medicine has done around the world, wherever it has been tried, including Canada (I was born in Canada and I know a bit about that system first hand).
I would like to clarify the point about socialized medicine enslaving the doctors. Let me quote here from an article from few years ago: "Medicine: The Death of a Profession." [The Voice of Reason: Essays in Objectivist Thought, NAL Books, c 1988 by the Estate of Ayn Rand and Leonard Peikoff.]
"In medicine, above all, the mind must be left free. Medical treatment involves countless variables and options that must be taken into account, weighed, and summed up by the doctor's mind and subconscious. Your life depends on the private, inner essence of the doctor's function: it depends on the input that enters his brain, and on the processing such input receives from him. What is being thrust now into the equation? It is not only objective medical facts any longer. Today, in one form or another, the following also has to enter that brain: 'The DRG administrator [in effect, the hospital or HMO man trying to control costs] will raise hell if I operate, but the malpractice attorney will have a field day if I don't -- and my rival down the street, who heads the local PRO [Peer Review Organization], favors a CAT scan in these cases, I can't afford to antagonize him, but the CON boys disagree and they won't authorize a CAT scanner for our hospital -- and besides the FDA prohibits the drug I should be prescribing, even though it is widely used in Europe, and the IRS might not allow the patient a tax deduction for it, anyhow, and I can't get a specialist's advice because the latest Medicare rules prohibit a consultation with this diagnosis, and maybe I shouldn't even take this patient, he's so sick -- after all, some doctors are manipulating their slate of patients, they accept only the healthiest ones, so their average costs are coming in lower than mine, and it looks bad for my staff privileges.' Would you like your case to be treated this way -- by a doctor who takes into account your objective medical needs and the contradictory, unintelligible demands of some ninety different state and Federal government agencies? If you were a doctor could you comply with all of it? Could you plan or work around or deal with the unknowable? But how could you not? Those agencies are real and they are rapidly gaining total power over you and your mind and your patients. In this kind of nightmare world, if and when it takes hold fully, thought is helpless; no one can decide by rational means what to do. A doctor either obeys the loudest authority -- or he tries to sneak by unnoticed, bootlegging some good health care occasionally or, as so many are doing now, he simply gives up and quits the field."
The Obama plan will finish off quality medicine in this country -- because it will finish off the medical profession. It will deliver doctors bound hands and feet to the mercies of the bureaucracy.
The only hope -- for the doctors, for their patients, for all of us -- is for the doctors to assert a moral principle. I mean: to assert their own personal individual rights -- their real rights in this issue -- their right to their lives, their liberty, their property, their pursuit of happiness. The Declaration of Independence applies to the medical profession too. We must reject the idea that doctors are slaves destined to serve others at the behest of the state.
I'd like to quote from Ayn Rand. Doctors, she wrote, are not servants of their patients. They are "traders, like everyone else in a free society, and they should bear that title proudly, considering the crucial importance of the services they offer."
The battle against the Obama plan, in my opinion, depends on the doctors speaking out against the plan -- but not only on practical grounds -- rather, first of all, on moral grounds. The doctors must defend themselves and their own interests as a matter of solemn justice, upholding a moral principle, the first moral principle: self- preservation. If they can do it, all of us will still have a chance. I hope it is not already too late.
Posted by Health Care is nto a rite on 06/30/2009 @ 04:44PM PT
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I read the post from "Health Care is nto a rite."
To your long-winded argument I have a short reality check.
I lived in Britain for ten years. The National Health System (NHS) worked. Your fears did not happen. Everyone in Britain enjoys better healthcare for half the price of Americans.
Sometimes we invent crap and think its clever. Facts on the ground say we are doing it wrong and are paying a hefty price. Let's cut the cost, raise the care, save lives from misery (bankruptcy, ill health and death) and do what works.
PS: Your moral argument kills people. Doctors cannot do that.
Posted by Bruce Kran on 07/14/2009 @ 08:23AM PT
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I am so sick of having our representaion voting to back big money every time. We must stop the decision makers from taking money (bribes) to buy their (our) vote.... see below.
Here are eight senators who may stand in the way of the public option -- along with the total amount of money they’ve received from health and insurance interests.
Sen. Max Baucus $3,973,485
Sen. Evan Bayh $1,565,088
Sen. Kent Conrad $2,154,200
Sen. Dianne Feinstein $1,749,887
Sen. John Kerry $8,994,077
Sen. Mary Landrieu $1,653,943
Sen. Joe Lieberman $3,308,621
Sen. Ben Nelson $2,214,715
Cherokee Fred Jesus
Posted by Cherokee Fred Jesus on 07/18/2009 @ 01:47PM PT
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Big money is winning... We are failing... I heard yesterday where the plan must allow insurance companies to compete in health care... THIS IS NOT WHAT WE WANT....DO AWAY WITH THE GREEDY INSURANCE COMPANIES THAT ADD 30% TO THE COST OF HEALTH CARE ALL THEY WANT IS MORE MONEY AND COULD CARE LESS ABOUT YOUR HEALTH OR CARE..
CFJ
Posted by Cherokee Fred Jesus on 07/30/2009 @ 06:27AM PT
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Perhaps a little off topic but had to share. One way we are kept down is insuring we have only enough money to exist. Money is power in our country and 1% has all of the money and power. One reason is our lawmakers only help the rich not us the poor who they keep in a substance live style.. WHAT DO YOU THINK ABOUT THIS PLAN I WOULD VOTE FOR IT!!! ITS OUR MONEY WE NEED TO TAKE IT AND OUR COUNTRY BACK. STOP OUR LEADERS FROM USING US AS SLAVES TO THEIR LAWS PASSED TO INCREASE CORPORATE PROFIT . WAKE UP AND HELP RECLAIM OUR COUNTRY AND IT5 WEALTH.
Cherokee Fred Jesus
This is from an article in the St. Petersburg , FL Times Newspaper on Sunday.
The Business Section asked readers for ideas on “How Would You Fix the Economy?”
I think this guy nailed it!
Dear Mr. President:
Please find below my suggestion for fixing America ’s economy.
Instead of giving billions of dollars to companies that will squander the money on lavish parties and unearned bonuses, use the following plan.
You can call it the Patriotic Retirement Plan:
There are about 40 million people over 50 in t he work force.
Pay them $1 million apiece severance for early retirement with the following stipulations:
1) They MUST retire. Forty million job openings -
Unemployment fixed.
2) They MUST buy a new American CAR. Forty million cars ordered-
Auto Industry fixed.
3) They MUST either buy a house or pay off their mortgage-
Housing Crisis 20 fixed.
It can’t get any easier than that!
If more money is needed, have all members of Congress an d their constituents pay their taxes…
If you think this would work, please forward to everyone you know.
If not, please disregard.
Then shoot yourself!!!! 1 job opening
Posted by Cherokee Fred Jesus on 07/31/2009 @ 08:50AM PT
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I'm not asleep...I hear you. Over the past weeks I have watched the conservatives go up against the single payer plan in the most reprehensible manner. This new tactic of harsh bullying...intimidating representatives that are trying to educate those who not only 'want' to hear but 'need' to understand just shows how low they are willing to sink.
If you know that there are between 45 - 58 million with no health care how can one stand up against his/her fellow man, woman or child receiving it? How can one look a person in the face...one who after fighting cancer, has now reached their 'lifetime benefits' and because of pre-existing conditions can no longer find viable health care? What about people like my coworker who had to reduce her 40hrs to 32hrs and is now no longer eligible for health care and can't afford the $838 a month Cobra payment since her husband lost his job. Or people who have health care but it covers a tenth of what should be covered?
this system just doesn't work! It never has! Oh sure if you are wealthy it is not a problem but the majority of this country is not. We are hard working individuals whose health was sold out to the highest bidder. I so angry right now!!!! We have to do something. We can not let the conservatives ruin this chance not this time!!!!!!
Posted by Rica Sims on 08/04/2009 @ 12:52PM PT
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You can say that again :)
support women's healthcare now :)
http://womensrights.change.org/actions/view/support_womens_healthcare_now
As well, no trigger, because triggers don't get pulled. Also, please, advocate for singlepayer healthcare, with Community First Choice Option and CLASS Act (Community Choice Act for the handicapped, elderly, autistic, disabled, etc.); H.R. 676 & S. 703, are the best of the lot, so far; i.m.h.o..
Related actions and group :)
Healthcare Reform Actions :)
http://healthcare.change.org/actions/view/healthcare_reform_actions
http://www.change.org/profile/189788/actions
http://www.singlepayeraction.org//join.html
reality
Posted by james m nordlund on 11/10/2009 @ 12:45PM PT
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