Kucinich Explains Vote

Image via Wikipedia

Published on Wednesday, March 17, 2010 by CommonDreams.org
Why I'm Voting 'Yes'

by Dennis Kucinich
The following are the prepared remarks offered by US Rep. Kucinich today regarding his plans for the upcoming health care vote:

Each generation has had to take up the question of how to provide for the health of the people of our nation. And each generation has grappled with difficult questions of how to meet the needs of our people. I believe health care is a civil right. Each time as a nation we have reached to expand our basic rights, we have witnessed a slow and painful unfolding of a democratic pageant of striving, of resistance, of breakthroughs, of opposition, of unrelenting efforts and of eventual triumph.

I have spent my life struggling for the rights of working class people and for health care. I grew up understanding first hand what it meant for families who did not get access to needed care. I lived in 21 different places by the time I was 17, including in a couple of cars. I understand the connection between poverty and poor health care, the deeper meaning of what Native Americans have called "hole in the body, hole in the spirit". I struggled with Crohn's disease much of my adult life, to discover sixteen years ago a near-cure in alternative medicine and following a plant-based diet. I have learned with difficulty the benefits of taking charge personally of my own health care. On those few occasions when I have needed it, I have had access to the best allopathic practitioners. As a result I have received the blessings of vitality and high energy. Health and health care is personal for each one of us. As a former surgical technician I know that there are many people who dedicate their lives to helping others improve theirs. I also know their struggles with an insufficient health care system.

There are some who believe that health care is a privilege based on ability to pay. This is the model President Obama is dealing with, attempting to open up health care to another 30 million people, within the context of the for-profit insurance system. There are others who believe that health care is a basic right and ought to be provided through a not-for-profit plan. This is what I have tirelessly advocated.

I have carried the banner of national health care in two presidential campaigns, in party platform meetings, and as co-author of HR676, Medicare for All. I have worked to expand the health care debate beyond the current for-profit system, to include a public option and an amendment to free the states to pursue single payer. The first version of the health care bill, while badly flawed, contained provisions which I believed made the bill worth supporting in committee. The provisions were taken out of the bill after it passed committee.

I joined with the Progressive Caucus saying that I would not support the bill unless it had a strong public option and unless it protected the right of people to pursue single payer at a state level. It did not. I kept my pledge and voted against the bill. I have continued to oppose it while trying to get the provisions back into the bill. Some have speculated I may be in a position of casting the deciding vote. The President's visit to my district on Monday underscored the urgency of this moment.

I have taken this fight farther than many in Congress cared to carry it because I know what my constituents experience on a daily basis. Come to my district in Cleveland and you will understand.

The people of Ohio's 10th district have been hard hit by an economy where wealth has accelerated upwards through plant closings, massive unemployment, small business failings, lack of access to credit, foreclosures and the high cost of health care and limited access to care. I take my responsibilities to the people of my district personally. The focus of my district office is constituent service, which more often then not involves social work to help people survive economic perils. It also involves intervening with insurance companies.

In the past week it has become clear that the vote on the final health care bill will be very close. I take this vote with the utmost seriousness. I am quite aware of the historic fight that has lasted the better part of the last century to bring America in line with other modern democracies in providing single payer health care. I have seen the political pressure and the financial pressure being asserted to prevent a minimal recognition of this right, even within the context of a system dominated by private insurance companies.

I know I have to make a decision, not on the bill as I would like to see it, but the bill as it is. My criticisms of the legislation have been well reported. I do not retract them. I incorporate them in this statement. They still stand as legitimate and cautionary. I still have doubts about the bill. I do not think it is a first step toward anything I have supported in the past. This is not the bill I wanted to support, even as I continue efforts until the last minute to modify the bill.

However after careful discussions with the President Obama, Speaker Pelosi, Elizabeth my wife and close friends, I have decided to cast a vote in favor of the legislation. If my vote is to be counted, let it now count for passage of the bill, hopefully in the direction of comprehensive health care reform. We must include coverage for those excluded from this bill. We must free the states. We must have control over private insurance companies and the cost their very existence imposes on American families. We must strive to provide a significant place for alternative and complementary medicine, religious health science practice, and the personal responsibility aspects of health care which include diet, nutrition, and exercise.

The health care debate has been severely hampered by fear, myths, and by hyper-partisanship. The President clearly does not advocate socialism or a government takeover of health care. The fear that this legislation has engendered has deep roots, not in foreign ideology but in a lack of confidence, a timidity, mistrust and fear which post 911 America has been unable to shake.

This fear has so infected our politics, our economics and our international relations that as a nation we are losing sight of the expanded vision, the electrifying potential we caught a glimpse of with the election of Barack Obama. The transformational potential of his presidency, and of ourselves, can still be courageously summoned in ways that will reconnect America to our hopes for expanded opportunities for jobs, housing, education, peace, and yes, health care.

I want to thank those who have supported me personally and politically as I have struggled with this decision. I ask for your continued support in our ongoing efforts to bring about meaningful change. As this bill passes I will renew my efforts to help those state organizations which are aimed at stirring a single payer movement which eliminates the predatory role of private insurers who make money not providing health care. I have taken a detour through supporting this bill, but I know the destination I will continue to lead, for as long as it takes, whatever it takes to an America where health care will be firmly established as a civil right.
Rep. Dennis Kucinich is a Democratic Congressman from Ohio.

Related articles by Zemanta

• Kucinich will vote for health care bill, says he's bothered by 'the attempt to de-legitimatize Obama's presidency.' (thinkprogress.org)
• Liveblogging the Kucinich Announcement (news.firedoglake.com)
• Kucinich Switches Vote on Health Care (prescriptions.blogs.nytimes.com)
• Kucinich switches to a yes vote on health care reform (trueslant.com)
• Dennis Kucinich Flips On Health Care Reform: Will Support The Bill (huffingtonpost.com)

Ralph Nader on Health Care Reform

Image via Wikipedia

Published on Wednesday, November 11, 2009 by CommonDreams.org

Still Waiting for Health Care

by Ralph Nader

The House of Representatives debate on the health insurance "reform" is over with the Democrats failing the people and the Republicans disgracing themselves as having left their minds back in the third grade (with apologies to third graders).
House Democrats were determined to pass any bill with a nice sounding name, such as "The Affordable Health Care for America Act". Single payer, full Medicare for all was never on the table even though a majority of citizens, physicians and nurses support that far more efficient, free choice of health care professionals, system.
There are no effective cost containment or prevention measures in the bill. The public option is so weak it will be a receptacle for the sickest of patients among the meager number of people who qualify for its coverage. There are no provisions to reduce the number of people (100,000) who die annually from medical malpractice in hospitals.
Nor is there a major program to reduce the tens of billions of dollars that is stolen yearly out of Medicare from criminals inside and outside the medical profession.
The cover story in the November issue of the AARP Bulletin is on the elaborate but detectable schemes to swindle Medicare with phantom services, phony rentals of equipment, stolen Medicare numbers and the like. The author, Jay Weaver, writes: "So lucrative, and so low-risk, the FBI reports, that a number of cocaine dealers in Florida and California have switched from illicit drugs to Medicare fraud."
Although more money is finally going for prosecutions, there is nowhere near enough for this corporate crime wave. Medicare's office of Inspector General asserts that every dollar of law enforcement will save $17 of theft.
Computerized billing fraud and abuse takes anywhere from $250 billion to double that estimate by the General Accounting Office. (The GAO said ten percent of health care expenditures are going down the drain.) The reason why the estimates cover such a broad range, according to Professor Malcolm Sparrow of Harvard University, is that there are inadequate resources to document the huge hemorrhaging of the nation's health care budget and come up with better data.
Apart from the impoverishment of the debate, there is the actual doing of harm. The bill, if enacted, doesn't take effect until after the presidential elections in 2013, mostly to let the drug and health insurance industries adjust, though they can scarcely believe their good fortune at being delivered all those profitable customers paid for by taxpayers with scarcely any price restraints.
The Journal of Public Health has just published a peer-reviewed study by Harvard physicians-researchers that estimates 45,000 Americans lose their lives yearly because they cannot afford health insurance to receive diagnosis and treatment. Strange how cool the House is to giving these fatalities a four year pass.
Congressman Dennis Kucinich (D-OH), a leading single payer advocate, voted against this legislation for many reasons, most notably the Obama-driven omission of his amendment to clear the way legally for states to pass their own single payer laws. Several states, such as Pennsylvania, are in the process of moving legislation in this direction, but are concerned that the health insurers will claim federal pre-emption.
The victims of medical malpractice - estimated by the Institute of Medicine and the Harvard School of Public Health to be about 100,000 deaths a year - escaped having to overcome more hurdles before they have their full day in court. Helping to beat back the Republicans, who define "medical malpractice reform" as letting the negligent perpetrators get away with their lethal consequences, was Congressman Bruce Braley (D-IA).
Rising on the House floor he delivered a factual plea for patient safety. Hardly had he started to speak with Republicans started shouting "trial lawyer, trial lawyer" referring to his previous profession of representing wrongfully injured people before local juries in Iowa. This rare display of shouting by opponents was punctuated by one of their unleashed members rushing down the aisle shouting "You'll pay for this."
During this overall debate on the bill, Republicans stood up one by one, as prevaricatory dittoheads, to often scream and howl (like coyotes) that this is "a government takeover of one sixth of the economy," "would destroy the economy," "put 5.5 million people out of work," "destroy the doctor-patient relationship," "be a steamroller of socialism," "force millions of seniors to lose their current health coverage" (meaning, Medicare?) and, in a passionate appeal to the Almighty, Congressman John Fleming (R-LA) declared "God help us as the government takes over your day-to-day life."
Never mind that this bill is just an expansion, however misdirected, of government health insurance designed to increase corporate profits and increase the corporate grip over the day-to-day decisions regarding who, when and how people get their health care or get their bills paid.
To top off the madness, Senator Joe Lieberman (I-CT), an ever maturing political hermaphrodite, reneged on his assurance to Senate Majority Leader Harry Reid and imperiously announced on Fox News Sunday that "if the public option plan is in there, as a matter of conscience, I will not allow this bill to come to a final vote."
For media-centric Joe, his motto seems to be "L'Senat c'est moi."
Ralph Nader is a consumer advocate, lawyer, and author. His most recent book - and first novel -  is, Only The Super Wealthy Can Save Us. His most recent work of non-fiction is The Seventeen Traditions.

Why Some Progressives Oppose Present Bill

Published on Monday, November 9, 2009 by The Nation

Six Smart Progressive Complaints About House Health Bill

by John Nichols

The Affordable Health Care for America Act was approved by the U.S. House Saturday night with overwhelming support from progressive Democrats who serve in the chamber and from a president who was nominated and elected with the enthusiastic support of progressive voters.
But that does not mean that informed and engaged progressives are entirely enthusiastic about the measure.
In fact, some are openly and explicitly opposed to it -- among them former Congressional Progressive Caucus chair Dennis Kucinich, D-Ohio, and CPC member Eric Massa, D-New York, both of whom broke with the majority of their fellow Democrats to vote "no" when the House approved the measure by a narrow 220-215 vote Saturday.
How can this be?
Isn't this a fight between Democrats and Republicans? Between reforming liberals and tea-party conservatives?
How can there possibly be any subtlety or nuance to this debate?
Well, of course, the debate over this 1,900-page behemoth of a bill is more complicated than the easy spin of political insiders -- and media cheering sections -- would have Americans believe.
Key interest groups, such as the National Organization for Women, and key congressmen who have been long-term supporters of reform, such as single-payer backers Massa and Kucinich, argue that the bill is not the cure for what ails the U.S. health care system.
Indeed, they suggest, the bill as it is currently constructed could make a bad situation worse.
Many sincere progressives in the House, and outside of it, chose to back the bill as the best that could be gotten. Others supported it on the theory that flaws could be fixed in the Senate and in the reconciliation of the House and Senate bills.
But those repairs will only be made if activists are conscious of what ails this bill.
For that reason, even supporters of the House legislation would be wise to consider the criticisms of it by groups that advocate for the rights of women, patient advocates, unions and some of the most progressive members of the House.
Here are six smart progressive complaints about the House bill:
1. FROM CONGRESSMAN ERIC MASSA: "This Bill Will Enshrine in Law the Monopolistic Powers of the Private Health Insurance Industry"

At the highest level, this bill will enshrine in law the monopolistic powers of the private health insurance industry, period. There's really no other way to look at it. I believe the private health insurance industry is part of the problem. This bill also, I believe, fails to address the fundamental question before the American people, and that is how do we control the costs of health care. It does not address interstate portability, as Medicare does. It does not address real medical malpractice insurance reform. It does not address the incredible waste and fraud that are currently in the system.

2. FROM THE CALIFORNIA NURSES ASSOCIATION: This Bill Fails to Control Costs

While the current bills will provide limited assistance for some, the inconvenient truth is they fall far short in effective controls on skyrocketing insurance, pharmaceutical and hospital costs, do little to stop insurance companies from denying needed medical care recommended by doctors, and provide little relief for Americans with employer-sponsored insurance worried about health security for themselves and their families.

3. FROM THE NATIONAL ORGANIZATION FOR WOMEN: "This Bill Obliterates Women's Fundamental Right to Choose"

The House of Representatives has dealt the worst blow to women's fundamental right to self-determination in order to buy a few votes for reform of the profit-driven health insurance industry. We must protect the rights we fought for in Roe v. Wade. We cannot and will not support a health care bill that strips millions of women of their existing access to abortion. Birth control and abortion are integral aspects of women's health care needs. Health care reform should not be a vehicle to obliterate a woman's fundamental right to choose.
The Stupak Amendment (to the House bill, which was approved and attached on Saturday) goes far beyond the abusive Hyde Amendment, which has denied federal funding of abortion since 1976. The Stupak Amendment, if incorporated into the final version of health insurance reform legislation, will:
• Prevent women receiving tax subsidies from using their own money to purchase private insurance that covers abortion;

• Prevent women participating in the public health insurance exchange, administered by private insurance companies, from using 100 percent of their own money to purchase private insurance that covers abortion;

• Prevent low-income women from accessing abortion entirely, in many cases.
NOW calls on the Senate to pass a health care bill that respects women's constitutionally protected right to abortion and calls on President Obama to refuse to sign any health care bill that restricts women's access to affordable, quality reproductive health care.

4. FROM PLANNED PARENTHOOD'S CECILE RICHARDS: This Bill Embraces Religious-Right Extremes

It is extremely unfortunate that the United States Conference of Catholic Bishops and anti-choice opponents were able to hijack the health care reform bill in their dedicated attempt to ban all legal abortion In the United States. Most telling is the fact that the vast majority of members of the House who supported the Stupak/Pitts amendment in today's vote do not support HR 3962, revealing their true motive, which is to kill the health care reform bill.
These single-issue advocates simply used health care reform to advance their extreme, ideological agenda at the expense of tens of millions of women.

5. FROM CONGRESSMAN DENNIS KUCINICH,: This Bill Worries About the Health of Wall Street, Not America

We have been led to believe that we must make our health care choices only within the current structure of a predatory, for-profit insurance system which makes money not providing health care. We cannot fault the insurance companies for being what they are. But we can fault legislation in which the government incentivizes the perpetuation, indeed the strengthening, of the for-profit health insurance industry, the very source of the problem. When health insurance companies deny care or raise premiums, co-pays and deductibles they are simply trying to make a profit. That is our system. Clearly, the insurance companies are the problem, not the solution. They are driving up the cost of health care. Because their massive bureaucracy avoids paying bills so effectively, they force hospitals and doctors to hire their own bureaucracy to fight the insurance companies to avoid getting stuck with an unfair share of the bills. The result is that since 1970, the number of physicians has increased by less than 200% while the number of administrators has increased by 3000 percent. It is no wonder that 31 cents of every health care dollar goes to administrative costs, not toward providing care. Even those with insurance are at risk. The single biggest cause of bankruptcies in the U.S. is health insurance policies that do not cover you when you get sick.
But instead of working toward the elimination of for-profit insurance, H.R. 3962 would put the government in the role of accelerating the privatization of health care. In H.R. 3962, the government is requiring at least 21 million Americans to buy private health insurance from the very industry that causes costs to be so high, which will result in at least $70 billion in new annual revenue, much of which is coming from taxpayers. This inevitably will lead to even more costs, more subsidies, and higher profits for insurance companies - a bailout under a blue cross.
By incurring only a new requirement to cover pre-existing conditions, a weakened public option, and a few other important but limited concessions, the health insurance companies are getting quite a deal. The Center for American Progress' blog, Think Progress, states, 'since the President signaled that he is backing away from the public option, health insurance stocks have been on the rise.' Similarly, healthcare stocks rallied when Senator Max Baucus introduced a bill without a public option. Bloomberg reports that Curtis Lane, a prominent health industry investor, predicted a few weeks ago that 'money will start flowing in again' to health insurance stocks after passage of the legislation. Investors.com last month reported that pharmacy benefit managers share prices are hitting all-time highs, with the only industry worry that the Administration would reverse its decision not to negotiate Medicare Part D drug prices, leaving in place a Bush Administration policy.
During the debate, when the interests of insurance companies would have been effectively challenged, that challenge was turned back. The 'robust public option' which would have offered a modicum of competition to a monopolistic industry was whittled down from an initial potential enrollment of 129 million Americans to 6 million. An amendment which would have protected the rights of states to pursue single-payer health care was stripped from the bill at the request of the Administration. Looking ahead, we cringe at the prospect of even greater favors for insurance companies.
Recent rises in unemployment indicate a widening separation between the finance economy and the real economy. The finance economy considers the health of Wall Street, rising corporate profits, and banks' hoarding of cash, much of it from taxpayers, as sign of an economic recovery. However in the real economy - in which most Americans live - the recession is not over. Rising unemployment, business failures, bankruptcies and foreclosures are still hammering Main Street.
This health care bill continues the redistribution of wealth to Wall Street at the expense of America's manufacturing and service economies which suffer from costs other countries do not have to bear, especially the cost of health care. America continues to stand out among all industrialized nations for its privatized health care system. As a result, we are less competitive in steel, automotive, aerospace and shipping while other countries subsidize their exports in these areas through socializing the cost of health care.
Notwithstanding the fate of H.R. 3962, America will someday come to recognize the broad social and economic benefits of a not-for-profit, single-payer health care system, which is good for the American people and good for America's businesses, with of course the notable exceptions being insurance and pharmaceuticals.

6. FROM "SICKO'S" DONNA SMITH: The Bill Does Not Cure What Ails Us

Passing a healthcare reform bill that does not provide me with better access to care or protection from bankruptcy and financial ruin is not what I asked you all to do. Stripping away all reference to a progressively financed, single standard of high quality healthcare for all - also known as single-payer -- is done only to more deeply ensconce the deep pocketed interests in healthcare: the private, for-profit insurance giants, the big pharmaceuticals, the medical equipment companies, the hospital corporations and all the other making huge profits as thousands die needless deaths. Healthcare is a basic human right. Granting that right is not something to be calculated differently in swing Congressional districts, off-year election strategy or second-Presidential term planning. It is your (members of Congress') duty to me, to my fellow citizens and to your nation.
And (members of Congress) are marching away from reality when you think all the hard-working people who counted on you to make this a better healthcare system will not notice when you deliver insurance purchase mandates and a corporate bail-out that will dwarf the Wall Street trillions you've already justified.

Watch Smith's video: "American Sickos: Will the Current Bills Help? No"
Follow Smith's organizing for real reform at the website of Progressive Democrats of America. She is the national co-chair of PDA's Healthcare NOT Warfare campaign.

© 2009 The Nation

John Nichols is Washington correspondent for The Nation and associate editor of The Capital Times in Madison, Wisconsin. A co-founder of the media reform organization Free Press, Nichols is is co-author with Robert W. McChesney of Tragedy & Farce: How the American Media Sell Wars, Spin Elections, and Destroy Democracy - from The New Press. Nichols' latest book is The Genius of Impeachment: The Founders' Cure for Royalism.