Universal Single-Payer Healthcare in Hawaii via The Hawaii Health Authority

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We the People of Hawaii see a need to lower the cost of and increase the quality of our health care.

The best way to do that is to implement a state based Universal Single-Payer Health Care Plan based on the Illinois Single-Payer Plan of 2011, with influence from John Marty's book on Single Payer Health Care. 

A state based single-payer plan will result consolidating all insurance providers into one 'plan,' in Hawaii, including Workers Comp companies.  This will result in significant savings for employers and at the same time, it improves reimbursement for providers and improves the quality of care and availability of care for all state residents.

We are asking for as many Hawaii State representatives and senators as possible to implement the HHA bill passed in 2009; the Hawaii Health Agency is a bill passed in 2009 which directed the new agency, HHA, to create a Universal Single-Payer plan in Hawaii.

Currently, 17 other states have similar bills in consideration in 2017.  To see a complete list visit the website:  www.healthcare-now.org

Please review this links for a detailed example of what our own bill could look like:

The Montana Plan:


The Colorado Plan


The Illinios Plan


Facts are your Friends if you support Single-Payer:


The purpose of this petition is to show how much support Universal Single-Payer Health Care has in Hawaii.  Lets find as many members of our legislature as possible to introduce a bill. With a single-payer bill introduced, we will be able to rally public support for both fixing health care.

Please add your name and let's use People Power to "drain the swamp" of corporate bureaucracy, as our Commander in Chief says.  Said. 




This is the memo which Alan Burdick wrote to the Hawaii Democratic Party, in support of asking the HDP to make Single Payer a legislative priority in 2017:


Memorandum to the Legislative Committee of the Democratic Party of Hawaii
Requesting Addition to the Agenda of Legislative Priorities an Action Plan for
Adoption of Universal Health Care at the Hawaii State Level

Short Title – Calling for the Hawaii Health Authority to adopt an action plan for legislation to create a Hawaii state-level universal healthcare system.

Specific Request and Proposal: We ask that the Legislature enact a bill to:
Direct the Hawaii Health Authority (HHA) to update its prior reports and proposals of December 2011, January 2013, and December 2014, and prepare an action plan to adopt a unified state-level system of universal health care to be implemented as soon as practicable.  The plan would include proposed statutory language to the extent practicable. The plan would also outline regulations to be adopted. (The HHA is the state entity established under HRS Chapter 322H in 2009 to study and recommend action on healthcare policy for the State. Its work is not done and it is essential to support its mission.)

2. The action plan would include, but would not be limited to a feasibility study that would address all relevant financial and legal issues, including funding streams, cost-control measures for physicians, hospitals, and other medical providers, and for pharmaceuticals, and address maintaining and improving outcomes in all aspects of health, including physical and mental health, and dental and vision services, and it would address, as much as practical, the anticipated reductions in Federal funding and support for Medicaid, Medicare, and other Federally-supported healthcare systems and programs.  HRS §322H-2(b) specifically anticipates that the Authority will create such a plan;

3.  The HHA would send its action plan to the Legislature by mid-December 2017, for adoption as soon as is reasonably practical;

4.  The Legislature would appropriate a sum adequate to ensure that HHA may complete the action plan, including a thorough feasibility study; this appropriation would be for staff and other expenses of the HHA for use in the task.

Rationale – The Problems to be Addressed:
Health care is a human right. Currently, health care delivery in the United States is provided, if at all, by a patchwork of systems and programs: Private insurance as regulated by Obamacare and ERISA; Medicare; Medicaid; medical services under the Department of Veterans’ Affairs; Planned Parenthood; CHIP; welfare agencies; and other avenues.

The United States is unfortunately “Exceptional” in the wrong way. It is the ONLY industrialized country in the entire world that lacks a unified public healthcare delivery system. As a direct result, many thousands of people suffer and die for lack of prompt and adequate medical care, and literally hundreds of thousands more people are thrown into bankruptcy every year due to medical debt.

Moreover, the United States endures the highest per-capita healthcare costs and suffers from some of the worst medical outcomes, on average, of industrialized countries in the world. These high costs and relatively poor outcomes are directly attributable to our current system. Some of the factors that militate against efficiency and fairness in the U.S. healthcare system include: linkage of health insurance to employment status; reliance on private insurance that maintains multiple systems of accountability and billing; inefficient cost-control strategies that are highly burdensome to physicians and other medical care providers; and federal prohibitions on price negotiations on pharmaceuticals by Medicare authorities even though the Veterans’ Affairs Department has this authority.

The Hawaii Health Authority has issued three reports – in December 2011, January 2013, and December 2014. All of them have advocated adopting an “all payer” model to consolidate all healthcare funding that comes into Hawaii, and funding that is generated locally, into a single pool, to be governed and regulated under a single set of reasonable accounting, reporting, and billing procedures, designed to reduce administrative costs and burdens on medical providers and all others concerned.

Since the time of those HHA reports, healthcare in Hawaii has been has been substantially deteriorating in important respects: The state ACA exchange has become a $200 million catastrophic failure. Doctor shortages are getting worse. Hawaii’s remaining doctors are increasingly demoralized by new documentation and reporting requirements that make it more difficult to practice medicine. Patients are paying higher insurance-coverage premiums, but are being charged higher co-payments and face higher deductibles, all with more restrictions on benefits. Hawaii’s hospitals are in serious financial trouble due in part to reductions in Medicare reimbursements that are likely to get worse with the new administration in Washington DC.

The Democratic Party of Hawaii has long supported universal health care as part of its platform. In the most recent iteration of its Platform in May 2016, the Democratic Party of Hawaii declares, on pages 7-8 at lines 360-371:

Access to health care is a basic human need. Our citizens and visitors have an inherent right to high quality, high standard health care. The state legislature and the federal government should take all appropriate steps to create and support a health care system of public, for-profit, and nonprofit hospitals and other medical facilities that follow best practices to enhance and protect and preserve life.

We support the development of long-term care financing solutions, better pay and working conditions for all health care providers, parity of mental and physical health coverage, and appropriate regulation of health care delivery systems. We also support the development of empirically validated prevention programs targeted at major public health issues.

We support national healthcare reform via single payer universal healthcare. . . .

The Hawaii Health Authority has already provided the underlying analytical framework for adoption of universal healthcare at the State level. It is now time to turn to action. That requires specific feasibility studies and action plans to launch the system.

With a hostile new President and Congress, we fully expect attacks at the national level on all public support for health care to begin in the very near future. This situation has become a serious emergency that now requires our urgent and focused attention.

Legislative Support:
This proposal and request are supported by at least one member of the State Legislature to be formally named in the near future.

Prior Legislation:
HB 1504 of 2009, enacted as Act 11, 2009 First Special Session, passed over Gov. Lingle’s veto, and now codified as HRS Chapter 322H. Sponsors of HB 1504 included Reps. John Mizuno, Marcus Oshiro, Ryan Yamane, and then-Rep. Marilyn Lee.

Democratic Party member(s) who will champion this proposed legislation
Alan B. Burdick, burdick808@gmail.com; 486-1018; SCC Oahu at-large rep; Chair, Progressive Democrats of Hawaii; Vice President, Americans for Democratic Action – Hawaii Chapter.
Scott Foster, Chair, Kupuna Caucus of the Democratic Party of Hawaii, or his designee(s), fosters005@hawaii.rr.com; 590-5880;
Dennis B. Miller, spawaikiki@gmail.com; 227-8241.
SCC liaison – Alan B, Burdick, Oahu at-large Rep.; burdick808@gmail.com; 486-1018.

Respectfully Submitted by:
This request and proposal are respectfully submitted by the Kupuna Caucus of the Democratic Party of Hawaii, Progressive Democrats of Hawaii, Americans for Democratic Action – Hawaii Chapter, Young Progressives Demanding Action (YPDA), and by hundreds of individual members of the Democratic Party of Hawaii, including more than 600 people who have signed a petition on Change.org sponsored by members of the Democratic Party of Hawaii.


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