Published or otherwise impactful material written by our members, including editorials, letters to the editor, academic papers.
Ten years ago, I began transporting sick patients at Forsyth Medical Center. Transporters are some of the hardest working and least recognized workers in the hospital.
Medicine has changed a lot even in the short time since I began transporting patients. Despite the much-vaunted health-care reform of 2010, the Affordable Care Act, medicine is still driven by profit, not progress. ...
A single-payer system would eliminate for-profit insurance companies and replace them with a non-profit, public-payer system. It would be privately run but government funded just like Medicare, saving billions in administrative costs and giving doctors the freedom of practicing medicine without intrusion. Patients would no longer pay high deductibles or co-pays and there would be no fear of losing health insurance if someone loses their job. ...
The only way to get back to the real business of health care — caring for our patients — is to enact universal health care.
The 2016 election turned on racism, xenophobia and anger at the status quo, including the Affordable Care Act (ACA). The law covered about 20 million, and modestly improved access to care. But it didn’t address the health care problems facing most working families, feeding the perception that the Democratic Party had neglected them. Trump seized on the ACA as a symbol of the establishment’s false promises, and has placed repeal at the top of his to do list.
A few suggestions for work in the months ahead:
1. Colleagues are, more than ever, receptive to the single-payer message. ...
2. With Medicaid under attack, in many states we’ll need to join in its defense. ...
3. We need to help focus the anger at elites onto the real health care elites: insurance and drug firms, and corporate health care providers.
4. In the past PNHP has focused narrowly on single-payer reform, avoiding participation in most broad-based coalitions. ... Effective action will require coalitions that span many issues.
5. It’s time to ramp up organizing for H.R.676
The Affordable Care Act has increased access to health care
But it has serious drawbacks
That’s why a large, respected group of physicians is proposing a different, single-payer health care system
The Physicians Proposal is available here
There is little dispute that Medicaid expansion stands to benefit more than 400,000 uninsured North Carolinians who currently fall in the coverage gap. What is more often disputed is the potential cost to the state. Under the established matching plan that would take effect from 2020 onward, federal funding would pay 90% of the cost of... Read More →
Republican leaders of other states have come to their senses.
They realized the benefits in expanding Medicaid: in savings, the jobs created, the federal dollars flowing to their states.
It’s time for N.C. to do the same.
By Jessica Schorr Saxe
We now see health care as a commodity. Applying this model to medical care creates perverse incentives.
When I started my medical career, no one talked about the business of medicine
We now view medical care as a commodity, much as we view buying shoes
Health care’s for-profit system creates perverse incentives for those in the industry.
Deaths in middle-aged, middle class whites; high insurance rates & demanding the return of democracy
The mortality rate for white middle-aged Americans actually increased by 134 per 100,000 between 1999 and 2014, a public health disaster of the same magnitude as the loss of life caused by HIV/AIDS.
The increase in premiums for health insurance that North Carolinians can buy through the health insurance exchange is among the highest in the country.
These two things are related.
The 2 day single payer health care strategy conference in Chicago that began on the evening of 10/30 and ended the morning of 11/1 was one of the most energizing and crammed wall to call events I have ever attended. Hosted by Labor Campaign for Single Payer. Health Care Now, One Payer States and National... Read More →
The big plan of an improved and expanded Medicare for all was on the minds of single payer advocates as they protested the profiteering of American healthcare in front of the Blue Cross Blue Shield headquarters in Chicago on October 30th.
In July 2015, Dr. Andy Coates, past president of Physicians for a National Health Program (PNHP) visited North Carolina. His goal? To help us understand the next steps in ensuring that health care is a right rather than a privilege. More than 5 years after the passage of the Affordable Care Act (ACA) and six months since the last... Read More →
The collateral damage is unacceptable when conflicts leach from Jones Street into bedrooms of sick children or around kitchen tables where worried people must decide between food and rent money or seeing the doctor.
The excuses have expired, including two Supreme Court decisions.
With or without privatization, continued rejection of Medicaid expansion perpetuates a scourge upon compassion and morality.
What do these recent news stories in the Observer have in common?
An insurance agent connives to sell Affordable Care Act policies to homeless people by encouraging them to report inflated incomes. ...
Health care advocates across the state call on Governor McCrory to develop a plan for Medicaid expansion, noting that hundreds of thousands of North Carolinians would benefit significantly, at little cost to the state.
A benefit concert is held to pay mounting medical bills for an artist severely injured when struck by a car.
The answer: None of these stories would exist if the United States provided health care to all – as every other developed nation does.
As a physician, I would love to see us return to the primary mission that has inspired our profession for millennia – caring for patients, listening to their stories, concentrating on their well-being – instead of filling out forms and dancing to the beat of insurance companies.
Happy Anniversary, Medicare! Let’s celebrate its success by improving it and expanding it to all.
Lang sparks wrong questionsHave you weighed in on Luis Lang, the diabetic smoker who put off getting health insurance until he was about to go blind from complications of diabetes, only to find it was too late to enroll in an Affordable Care Act policy and that he wasn’t eligible for Medicaid in South Carolina?
Apparently everyone has a position...
The problem is that this is the wrong discussion...
What’s the best model? ...
We all benefit from coverage ...
Much spending is wasted ...
America’s Health Care and Jesus This essay is seeking broader distribution and publication. It is only 1.5 pages long.
“Skin in the game.” The phrase pops up frequently in health insurance discussions, as it did twice in the recent Charlotte Observer article about high deductible policies (“A Growing Risk: High Deductible Health Plans Can Ruin Finances,” April 9). In finance, the phrase refers to high-level executives investing their own money in stock in their... Read More →
Recent cases of Ebola virus infection in the U.S. have brought attention to the fact that we currently do not have a formally appointed surgeon general, though Rear Adm. Boris Lushniak has been serving in an acting role. The surgeon general’s role is important – especially during times of heightened concern about the public’s health.... Read More →
On May 6, 2013, I was arrested by the North Carolina Capitol Police in front of the doors of the state Senate chamber, protesting our legislature’s decision to forgo Medicaid expansion under the Affordable Care Act (ACA). For a practicing physician and professor of medicine, this was an unusual turn of events in an academic... Read More →
Although I have never met Wake County District Attorney Colon Willoughby, according to news reports he has kindly offered me a deal. To avoid Wake County’s mounting court costs, he wants me to forgo my court date Monday and instead perform 25 hours of community service at an agency of my choice. Then my record... Read More →
Polls about the Affordable Care Act (ObamaCare) nearly always show that the law is unpopular. Despite having positive opinions about the law’s separate components, including improved coverage for kids, seniors’ meds, and pre-existing conditions, most Americans continue to cringe. Obamacare’s polling has virtually never crossed above the 50 percent approval mark. So, the North Carolina... Read More →
Originally published here, the newspaper does not permanently retain content. This link is to a personal archive. This is the first in a five-part series on behalf of the Partnership for a Healthy Durham. Coming Sunday: Medicare changes and health care reform. The Supreme Court has spoken and “Obamacare” is the law. It changes many... Read More →