Healthcare debate: Single Payer vs Public Option

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Healthcare debate: Single Payer vs Public Option

This petition had 91 supporters

Ani L. Schwartz started this petition to Readers & Thinkers

Learn the difference between them.
Pass on the info to as many as possible.
 


Hi, AfDers and friends,
 
First, let me say that the national Alliance for Democracy has taken a firm stand in favor of Single Payer Healthcare (www.thealliancefordemocracy.org). 
 
But recently in conversation with some other AfD members here in Portland, I learned that confusion exists as to the difference between single payer and the public option being advocated by Pres. Obama. This note is to go into some of those differences.
 
I think that most if not all of us would agree to the need for healthcare reform.  The present system leaves million of American without health insurance.  In 2002, the number of uninsured was 43.6 million; in 2007 that number had climbed to 47 million, representing almost 16% of the American population.  (http://www.medscape.com/viewarticle/567737).  Of personal bankruptcies, about half were caused by illness and health related expenses.  Almost 3/4 of those were people who had health insurance indicating that large number of peoples have inadequate insurance. While they had health insurance, they were underinsured.
 
I think that the first most important difference is that single payer is an actual proposed law (HR 676) whereas the Public Option is an idea, an idea which is very fluid.  It has no specific legislation yet.  We cannot evaluate it on its merits because we don't really know what it is or will be. 
 
That having been noted, lets compare what we do know.      

Single Payer would pay all the healthcare costs of all Americans without payment of co-pays, deductibles or premiums. 

Public option will pay healthcare costs of Americans who choice to use it.  Those people would have to purchase the public option much as they now buy private health insurance and they would be subjected to the co-pays, deductibles and premiums as they are now with private insurance.
 
Single Payer would guarantee coverage for everyone; public option allows people to buy either private insurance or buy into the public option plan. Some people may not be able to afford to buy into it. There would still be people who are not covered. 
 
Single Payer eliminates the healthcare insurance company and saves about $350 billion dollars which is currently administrative waste.  Single Payer will have no net increase in health spending. 

Public Option will keep the insurance companies in place and will increase health spending more than $1 trillion over 10 years according to the Obama administrations' estimates.  Other estimates put that figure even higher.
 
Single Payer saves money; first by eliminating $350 billion in administrative costs, then by negotiating fee schedules with physicians, budgeting with hospitals, bulk purchases of pharmaceuticals, rational planning. Public Option adds layers of administrative expenses by the introduction of a Health Care Exchange. 
 
Oregon has experimented with providing healthcare to all its citizens by gradually adding more people into a public healthcare program (The Oregon Health Plan).  Yet today thousands of Oregonians remain without health care.  This just ended legislative session enacted another reform which will add 100,000 children to the plan and a few more adults.  Still, thousands will continue to have inadequate care or none at all except the very expensive emergency room.
 
It is time for the reform that will cover everyone with equal access, no deductibles, no co-pays, no gaps in coverage.  That system is single payer and it can be enacted by our representatives in Washington DC.  Please call your Oregon or Washington senator or representative and tell them you want single payer.  You want them to support HR 676.

Here is a link to write Obama and your Congressmen:
http://action.nwlc.org/site/PageServer?pagename=Find_Your_Elected_Officials



David e. Delk, Alliance for Democracy - Portland Chapter 503 232 5495 www.afd-pdx.org

From: "David Delk" davidafd@msn.com
Date: 6 июля 2009 г. 22:24

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This petition had 91 supporters