The AP is reporting that the American Medical Association today released a report card on the health insurance industry. The primary focus is on the how quickly and accurately doctors get paid but it does have some interesting data that might be useful for patients. It would be interesting to see if the same health insurers that are slow to pay providers are also slow to pay patient claims.

The report card compares Medicare and seven national commercial health insurers on the timeliness and accuracy of claims processing. It is based on a random sample drawn from 3 million claims.

There are no grades like A, B and C, and many of the technical measures may not mean much to most patients. But business leaders and health policy makers are interested in cutting an estimated annual $210 billion in wasted administrative claims processing costs, AMA leaders said.

United Healthcare had the lowest rate of contract compliance, according to the AMA report. About 62 percent of medical services billed were paid by United Healthcare at the contracted rate, compared with 71 percent for Aetna and 98 percent for Medicare.

Medicare performed better than the private insurers in most areas, said Dr. Lawrence Casalino, a University of Chicago health economist and former physician. …

“There’s no question that administrative costs for doctors and the country would be a lot lower in a single-payer system,” Casalino said in an interview after the meeting. But a market-based system has advantages of competition, choice and innovation, he said. “Are the benefits enough to justify the cost?”

For the report card click here

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The Vermont Workers Center has launched a health care is a human right campaign and they have a great retro logo. For more information click here

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Eighty-Three-Year-Old Dynamo Leads Allentown Single Payer Effort

83 year-old Allentown organizer, Ruth Livesay, says it better than anyone I know: “I want to fight everyday for Single Payer Healthcare as if it’s my last.” Ruth’s sentiments are informed by a lifetime of experiences and observations. But she’s hardly alone.

For our all-volunteer, 5,237-member Healthcare for All Pennsylvania citizen force, Ruth’s sentiments are hardly age-bound. Our growing movement depends on a wide variety of motivators. What ties us together is an understanding — based on study, experience, common sense, morality, and/or good old fashioned democracy — that leads to the only proven solution to universal healthcare funding: the Single Payer Solution.

For Ruth, it’s a lifetime of learning that connects her to Healthcare for All Pennsylvania. And a growing sense of urgency — in that she has “observed far too many of my loved ones ravaged by sub-standard healthcare funding…and others entirely wiped out — driven into bankruptcy — by medical bills.” Not an unusual observation, really, when you consider that the 2005 census found that 46.5% of all personal bankcruptcies directly result from medical bills that outstrip the patient’s ability to pay.

For our heartiest and best-informed citizen-activists, they know that their families, friends, and neighbors are much more at risk than the average person is willing to admit to himself or herself. For those of you wondering, Ruth came to us through Lehigh Valley labor leader, Dominic Buscemi. You’ll never a more earnest, plain-spoken, common sense guy than Dom Buscemi.To Ruth Livesay and Dominic Buscemi — Allentown and the entire Lehigh Valley are truly fortunate to count you as their own.

For everyone — keep learning, teaching, donating, and petitioning. It all makes a real difference. Yours in unity,

Chuck Pennacchio
Executive Director, Health Care for All Pennsylvania
www.HealthCare4ALLPA.org

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The Experience of Exclusion: What Do We Do With People Like You?

Good morning. I can scarcely believe I have been asked to deliver this address to all of you, and I am so honored to be doing so. Thank you for including me in this experience and for helping bring me back from the depths of despair and exclusion.

For those of you who have seen Michael Moore’s movie, SiCKO, you know that my husband and I lost our home in South Dakota after suffering through years of healthcare related financial trauma and finding no way to hang on. We are filmed moving into our daughter’s small storage room or computer room or spare office or whatever you’d like to term it. And you see our youngest son confronting us about our situation. He asks us: “What Do We Do With People Like You?”

“What Do We Do With People Like You?”

The words seered my heart and my soul then and they still do now as I recall the fight to maintain what little dignity we had left at that point. You see the moments you see on the screen came only after many years of fighting and falling and fighting and crawling our way back again. Moving in with our daughter wasn’t our only homeless moment over the past 20 years of healthcare struggle, we had lived in a motel for a while after one of my husband’s surgeries, in a double-wide trailer house that we actually fought to keep as our last vestige of home owning freedom, and when we finally gave up the home you see in SiCKO, it was the deepest and darkest instant of that struggle when I heard the baby boy I brought into this world, the young man who I protected and loved and honored with my life’s work ask me, “What do we do with people like you?”

My own son excluded me from the people like him. Successful people. People with good jobs and good benefits. Healthy people. People with enough money to pay the rent, the utilities, the insurance premiums and all the rest of the things people like me could not. He believed that if I had just tried harder or worked smarter or reached deeper, I could have patterned for myself a different outcome. Being homeless was, in fact and in his mind, my fault. If only I had made other choices.

Yet, I knew somewhere in my heart he was simply expressing what we have created in our society. A attitude of exclusivity in which one group feels more worthy than another and in which those of us who cannot afford a home or healthcare or brand-name toothpaste are placed in a category outside of the mainstream. I grieved not for the loss of my home but for the cruelty even in my own family and felt deeply that as a mother I had not taught him that sometimes no matter how hard you try or how hard you work or how hard you believe, sometimes you cannot alone lift yourself from the depths.

Over the years prior to that moment, it is true we struggled up and down and in every way. Most of the time we did so quite privately, not admitting to anyone how bad things had become. Sometimes we tried borrowing money in ways that were not the wisest or in the only ways we could, and our situation simply got worse. We followed the pattern many, many families and individuals do in our nation — fighting to make it work somehow. But there we were. Standing in line at the food pantry every month, asking churches to help pay utility bills, selling anything we could to stay afloat — Did you know you can actually cook — well sort of — Ramen noodles in lukewarm motel room tap water? I’ll bet some of you do know that. And it’s sometimes 10 cents a package. That’s the way things were for a while.

After finally accepting the offer to move in with our daughter, we began the emotional and mental unraveling you saw on the screen in SiCKO. We begged people to know that we were trying hard to pull things out. It was so painful to have family and friends change their tone of voice when we’d call — they were terrified we were calling to ask for money. And sometimes we were. And I took an office job I hated just to get the benefits and earn enough for a security deposit, and first and last month’s rent to get an apartment again. And we moved into the place with a broken futon, some $5 lawn chairs from the evil empire — WalMart — and our clothes and the dog.

It seemed that everything we had worked to do in our lives was now distilled down to the measure of our financial failure and loss of our health. For me, having cancer was not a time when my diagnosis afforded me great support and love. I worried about losing time from work and spending money and losing benefits. Now in recent news reports, we all heard about this: we all want Sen. Ted Kennedy to win his battle with cancer, but I’ll guarantee you his first thought was not about finances. And he never wished to die quickly rather than bankrupt his spouse — like I did on that lonely August day when I heard the words, “You have cancer.”

So, how do we survive the exclusion and the pain and the anger and the withdrawal it takes to simply survive being viewed as a person with so little value? It seems to me that how I survived was a miracle. I am always acutely aware that more than 25,000 people who told their stories of health care horror to Michael Moore are not in the film… And those 24,988 people and families did not get to know the dignity that came along with simply having someone care enough to let us speak our truth.

But over the next several months after SiCKO was released, I have come to see another side of what it means to be “people like me.” Some of you know I spent two months this fall and early winter traveling on a 1980 school bus telling the healthcare reform message in 12 states and 17 Congressional districts. From Gary to Nashville — where I first met John — to Huntsville and down into New Orleans, from Florida and back up through the Carolina’s and on into Pittsburgh. I spent Thanksgiving in Birmingham, Alabama where other homeless people embraced me in ways I never knew I could be embraced. They thanked me and wished me a happy Thanksgiving.

They held my hand as they told me their health care stories and we cried together about the pain we are all suffering. I was finally with “people like me.” And I met veterans of our armed services who are most assuredly deserving of homes and healthcare, food and our deepest thanks and respect.

So, my young son asked, “What do we do with people like you?”

Well, after visiting 28 states and the District of Columbia this year speaking about healthcare reform, I can finally answer him.

We give people like me healthcare — always and freely.

We give people like me warm shelter and food.

We give people like me credit for having as brain and will power that did not break but enduring a system that did.

We give people like me the dignity to choose what they will do next in life with the tools we can together provide and that are given with joy.

We give people like me a voice — the way Michael Moore did for me and U.S. Rep. John Conyers, author of the National Health Insurance Act, HR676, did for me when he had me testify before a sub-committee in Congress, or the way the California Nurses Association and National Nurses Organizing Committee wrapped us in decency and welcomed us into their fight for single payer healthcare for all — and the way a civilized people do for one another.

We embrace people like me in the fight for a better nation — people like me are the people who built this nation and we are the people who will rebuild it into a more just and peaceful and compassionate society once again.

We will include people like me and we will call one another to task when any one of us is excluded — people like me are people like you.

Thank you so much.

Delivered in Phoenix, AZ

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June 10th APU National Coordinator Donna Smith discussed Health Reform on the the Laura Flanders Show.

See Donna on Grit TV

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Title: National Day Of Protest
Location: Across the country
Description: June 19, 2008, Americans across the nation will demonstrate in favor of guaranteed healthcare and in protest of AHIP — America’s Health Insurance Plans — the insurance industry lobbyists who profit from pain. Their annual convention will be met by thousands of protestors onsite in San Francisco and simultaneously in cities across the nation. PLEASE JOIN US!
Date: 2008-06-08

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From our friends at TIME magazine:

In theory, a year of human life is priceless. In reality, it’s worth $50,000. That’s the international standard most private and government-run health insurance plans worldwide use to determine whether to cover a new medical procedure. More simply, insurance companies calculate that to make a treatment worth its cost, it must guarantee one year of ‘quality life’ for $50,000 or less. New research, however, would argue that that figure is far too low.

Stanford economists have demonstrated that the average value of a year of quality human life is actually closer to about $129,000. To get to that number, Stefanos Zenios and his colleagues at Stanford Graduate School of Business used kidney dialysis as a benchmark.

I’m amazed and appalled by the absurd nature of our health care system. Undoubtedly this will be used to pressure the Medicare system to introduce cost/benefit analysis and reduce benefits.

Nearly all other industrial nations — including Canada, Britain and the Netherlands — ration health care based on cost-effectiveness and the $50,000 threshold. Medicare, on the other hand, decides whether to pay for new technology based on whether a treatment is ‘medically necessary and appropriate.’ But as health care expenses rise and entitlement programs grow fiscally strapped — at least one part of Medicare is now expected to be bankrupt by 2019 — more and more academics have called for this approach to be reconsidered, and for cost to become a factor. Such a move would mean that ‘if the incremental cost of a new technology was more than the threshold,’ Zenios says, ‘then the recommendation would be that Medicare not cover that new technology.’

Enacting health care reform without cost control is like giving a fish a bicycle and wishing him good luck on his trip.

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Title: Health Care For The Homeless Symposium
Location: Phoenix
Description: This year’s HCH Policy Symposium address will be delivered by Donna Smith, who became homeless as the result of a health care crisis, as chronicled in the opening segment of the 2007 documentary film Sicko. Sicko will be shown Wednesday night to the conference. Since this experience, Ms. Smith has become an articulate and forceful consumer voice for universal health care. For more information

Date: 2008-06-12

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This is another example of how the health care finance system is beginning to cannibalize itself.
From the Wall Street Journal

Hospitals Put Patients’ Debt Up for Auction

In a move that consumer groups say could increase pressure on people with unpaid medical bills, some hospitals are trying out a new tactic to recoup patients’ debts: They’re auctioning the debt online.

Hospitals have long relied on outside collection agencies to go after debtors. Under traditional arrangements, these agencies receive a percentage of any money they get from a debtor; the more they collect, the more they earn.

In a key paragraph the impact comes out: Winning bidders may “have to work harder” to make a profit from auctioned debt, says Michael Klozotsky, an analyst at Kaulkin Ginsberg Co., a collections-industry strategic-advice company. “Working harder means sometimes using strategies that are more aggressive.”

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