From the PNHP press release:
Single-payer health reform bill introduced in Senate
Would save $400 billion on bureaucracy, enough to cover all 46 million uninsured AmericansChallenging head-on the powerful private insurance and pharmaceutical industries, Vermont’s Sen. Bernie Sanders introduced a single-payer health reform bill, the American Health Security Act of 2009, in the U.S. Senate Wednesday.
The single-payer approach embodied in Sanders’ new bill stands in sharp contrast to the reform models being offered by the White House and by key lawmakers like Senators Max Baucus (D-Mont.) and Edward Kennedy (D-Mass.). Their plans would preserve a central role for the private insurance industry, sacrificing both universal coverage and cost containment during the worst economic crisis since the Depression.
In contrast, Sanders’ new legislation would cover all of the 46 million Americans who currently lack coverage and improve benefits for all Americans by eliminating co-pays and deductibles and restoring free choice of physician. The most fiscally conservative option for reform, single payer slashes private insurance overhead and bureaucracy in medical settings, saving over $400 billion annually that can be redirected into clinical care.
Highlights of the bill include the following:
- Patients go to any doctor or hospital of their choice.
- The program is paid for by combining current sources of government health spending into a single fund with modest new taxes amounting to less than what people now pay for insurance premiums and out-of-pocket expenses.
- Comprehensive benefits, including coverage for dental, mental health, and prescription drugs.
- While federally funded, the program is to be administered by the states.
- By eliminating the high overhead and profits of the private, investor-owned insurance industry, along with the burdensome paperwork imposed on physicians, hospitals and other providers, the plan saves at least $400 billion annually – enough money to provide comprehensive, quality care to all.
- Community health centers are fully funded, giving the 60 million Americans now living in rural and underserved areas access to care.
- To address the critical shortage of primary care physicians and dentists, the bill provides resources for the National Health Service Corps to train an additional 24,000 health professionals.
Sanders, who serves on the Senate Committee on Health, Education, Labor, and Pensions, is a longtime advocate of fundamental health care reform. His new bill draws heavily upon the single-payer legislation introduced by the late Sen. Paul Wellstone (D-Minn.) in 1993, S. 491, and closely parallels similar legislation pending before the House, H.R. 1200, introduced by Rep. Jim McDermott (D-Wash.).
More from PNHP’s blog:
At a rare time in our history when comprehensive reform may become a reality, it is important that the single payer model be represented in the legislative process. The House already has Rep. John Conyers’ H.R.676 and Rep. Jim McDermott’s H.R.1200, and now the Senate has Sen. Bernie Sanders’ S.703.
S.703 is very similar to H.R.1200, with two important additions regarding budgeting. Specified funds are budgeted for community health centers, and other specified funds are budgeted for the support of the National Health Service Corps, health professions education, and nursing education, including education of clinical nurse practitioners, certified registered nurse anesthetists, certified nurse midwives, and physician assistants.
These additions in budgeting are not simple tweaks to the bill. They provide a remedy for both the deterioration in our primary care infrastructure and the impaired access to care in underserved regions. There is an urgent need to provide the professionals and the facilities that can help fill the most serious voids in our health care delivery system today.
This is a great time for us to call our Senators and ask them to co-sponsor Senator Sanders’ bill, S.703 : A bill to provide for health care for every American and to control the cost and enhance the quality of the health care system. And while we’re at it, to also call our Representative to ask them to co-sponsor Representative John Conyers’ bill H.R.676 (or thank them if they already have). Here’s some background on H.R.676.
Toll free phone numbers (thanks katymine!) to the capitol switchboard (call one of these numbers and then just ask for any congress member’s office):
(800) 828 – 0498
(800) 459 – 1887
(800) 614 – 2803
(866) 340 – 9281
(866) 338 – 1015
(877) 851 – 6437
There’s no reason healthcare reform should be designed to help big insurance and big pharma instead of us.



47 Comments







That’s a great web site. I’m disappointed to see Ted Kennedy sponsoring legislation that’s at odds to universal coverage and in favor of the insurance-pharma hegemony. Was of course aware of the Third Way of the White House.
…and turning away patients having the greatest needs for health care.
PNHP has been my single-payer go to site and go to group for years. love them.
just called senator kennedy’s office (ask for the health care group) to ask for support of sanders’ s.703 or if they think they can do better, their own single payer bill. told her we should be arguing over the best way to have single payer and not the best way to bail out the insurance companies (actually did say that *g*).
was told they are getting a lot of pro-single payer phone calls and are keeping track of the number of calls.
I suppose we might follow Moore’s advice and just request the same care given to Senator Kennedy or detainees at public expense.
This is a great web site. It’s why i’m starting to hang out here (along with Open Left and Docudharma) instead of Daily Kos as I used to as TomP.
tomp! do i remember you as a big gore fan from a couple of years ago at dkos?
my apologies if i’m misremembering.
Selise, we hear a great deal about HR 676 but much less about McDermott’s HR 1200, which Bernie’s bill resembles. Has anyone created a simple list or grid of the similarities and differences between the two approaches?
i’ve also been following h.r.676 – but will look around for a comparison (or maybe someone else can find something).
what i’m really afraid of is that something like the massachusetts plan will be pushed by people who either don’t know what they are talking about or who are interested in another bailout for the financial services industry (which now, since the repeal of glass-steagall, includes the insurance companies) and big pharma.
Correct me if I’m wrong, but it seems to me that Howard Dean’s little petition campaign for the “public option” is another red herring.
In the recent Harper’s article on health care, the author made the point that AHIP will be perfectly happy to see a public alternative within a system of mandatory health insurance purchase. As long as everyone too sick or poor to buy private insurance is shunted over to the public option, and everyone else has to buy private junk “coverage,” AHIP and its constituent companies are happy as pigs in slop (even with a few concessions on preexisting conditions and the like).
Dean’s petition got quite a friendly reception at the Orange Satan, where his progressive credentials (prog cred?) have always been overvalued.
Which begs the question: Is Dr. Dean’s support based on preference, or is he practicing in the art of the possible? I am actually asking. I do not know the answer.
I’m sure, like Obama and most of the Democratic elite, he’s concluded that single payer is na ga happen, so it’s better to advocate for a compromise solution. I’m of the mind that you don’t pre-capitulate: you fight for what what’s best and then compromise if you must.
It’s galling that our Democratic and media elite consider single payer politically nonviable. It’s supported by a majority of Americans, including a majority of health professionals. How, in a democracy, is a majoritarian preference politically nonviable?
(I know you know all this.)
Speaking of the art of the possible:
Should Obama win another term, and assuming the Dems don’t lose seats in either body, we will anguish at this/these half-measures.
Should he be defeated and Republicans storm back in the House, we will reflect on how much this half-measure would have helped.
I do not know the answer, but I should, because we have been here before.
Note: not to disagree with the author of this post. I think it’s single-payer or bust.
i don’t think the current insurance centered plans i’ve seen are half measures, i really do see them as a hand out to to big insurance and big pharma under the cover of healthcare reform (see wallstreet bailout).
No argument. Wrong term on my part.
Going from 40+ million uninsured to 30 or 20 isn’t nothing. But in this economy, insurance of most flavors is meaningless.
Related: Dr.Dean on single-payer.
completely agree with this statement. but i think it may be worse than that (based on the MA experience – which i really do need to write about so you-all can poke holes in my thinking on it). and that doesn’t even get to the excellent issue you’ve raised re insurance in this economy.
i have some older links re dean on single payer which i’ll add later.
The only insurance that will matter (unless you’re a Member of Congress of course) is hundreds, stacked ten-thousand dollars at a time. A four-day stay in a post-op ward bed cost a friend of mine recently – $36,000, less doctors fees.
There is no ‘art’ for the possible, it is simply the cowards way of addressing an issue. What is needed is not more of ‘what’s possible’ but much more of what ‘is needed’. And the politico’s that supposedly -but don’t really- represent us have little time for ‘what’s needed’ as such threatens their holding on to their positions.(it’s all about the money.)
Make no mistake – I didn’t and do not intend to stand up for Dr. Dean’s position. Until I found the video in #16, I didn’t know his stance and his reasoning.
dean was never, to my knowledge, a supporter of single-payer. which was why he was not my choice for hhs.
i missed the petition post at the great orange satan. do you have a link? i’d like to take a look (and will gather some links re dean later today).
His campaign is through Democracy For America and can be found here. You can link to it through the HCAN web site, which ought to tell you all you need to know.
Couldn’t locate his Kos diary from last week; clunky search functionality, at least for me.
ok. now that i’ve taken a look at it, i don’t know what to think. my first impression was this: i’m going with worse than a red herring – an intentional attempt to distract dfa membership from single payer. damn. i really like dean before this too (although not on healthcare reform). but if dean was going to be fair, he be asking the membership if they wanted to fight for single-payer or fight fora public option in an insurance based reform. this is just crass anti-democratic (little “d”) manipulation. i think that is actually what pisses me off the most – that leaders like dean think they have the right to make these kinds of decisions for their organizations and their supporters. this is the kind of frank elitism i despise. if dean thinks this is the way to go, he should make the case to dfa (and allow representatives of others who disagree to make their case also), and then put it to the membership: what should our negotiating position be? what do we care about and want to work for? if, after an open debate, people chose an insurance based health care reform, i wouldn’t agree, but i would support it because that’s how it’s supposed to work. but that’s not what’s happening. and yes, the association with hcan tells me a lot. although, i don’t think most people know what an astroturf con hcan is and has been.
but then i read this new post from pnhp, and now i don’t know what to think (well, i do know that on this issue, i don’t trust any person or organization that has not previously been advocating for single-payer, or at least that single-payer advocates should have a seat at the negotiating table). from pnhp: STAKEHOLDERS AGREE! (to block reform)
…………
an old dean on single payer link (sorry i couldn’t find more, thought i had a list somewhere but couldn’t find it – will look again tomorrow):
http://www.pnhp.org/news/2008/….._singl.php
We need a word for these “stakeholder” coalitions. Something less harsh than “astroturf” but less forgiving than “misguided friends.”
in this case (hcan), astroturf is exactly what we would call it if it was done by those on the right. i’ll write more on this if it comes to that (i hope not) to explain why i think that. but just wanted to say, that i absolutely meant to use that word. doesn’t mean thought that i don’t understand a lot of good people got conned, but that’s what it was. a con.
Don’t know the details of the Sanders plan, but it seems inescapable that single-payer is the way to go, especially given the incredible legacy costs being shouldered by american business during this downturn.
Recommended.
The response from my Representative, Susan Davis D-CA53:
“Thank you for taking the time to share with me your support for universal health care coverage. I appreciate hearing from you on this crucial issue.
The lack of access to health care is one of the most challenging issues we as a nation face. An estimated 46 million Americans are without insurance coverage – 6.6 million of whom live in California. Those without coverage often have no where to turn for treatment if they become sick or suffer an injury.
Because of the health care crisis, families and individuals often lose out on their entire life savings or fall deeply into debt or even bankruptcy as a result of a serious illness. The situation is only becoming worse with the deep economic recession. As unemployment rises, the number of those without health insurance also increases.
Like you, I feel strongly that we as nation must move toward a universal health care system that covers every American regardless of employment status. However, achieving universal health care will not come easy and there are no simple solutions.
The question becomes how best to achieve universal coverage and which is the best approach. A number of bills have been proposed in the House and Senate. The United States National Health Insurance Act (H.R. 676) is a single-payer system plan that would bring us to near universal coverage.
The Healthy Americans Act would make health insurance available to every American and provide subsidies for those who cannot afford premiums. I share the concerns of some Americans when it comes to the health insurance industry and the focus on profits. However, President Obama’s reform plan would also seek to make health insurance more accessible and affordable. As such, health care reform may be more likely to go in this direction. Additionally, some health insurance companies are actually nonprofits and those who subscribe to these plans often report high rates of satisfaction. This approach could be successful if the reform plan includes strict standards of care for the insurance companies participating.
The stakes are high and we must select a plan that will be both workable and effective. I am pleased to report that Congress expanded the State Children’s Health Insurance Program in the first days of the 111th Congress to cover more young people without insurance. We also made progress in the American Recovery and Reinvestment Act (H.R. 1) by including new funding for Medicaid and providing federal subsidies for the unemployed to pay for COBRA.
I am also encouraged that President Obama made health care reform a priority in his first federal budget proposal. I am hopeful we will see comprehensive health care reform that gives access to every American. Affordable health care ought to be a right in the United States – not a privilege. It is time to make health insurance available to every American regardless of income level or preexisting medical conditions.
You may be interested to see the results of my health care survey: http://www.house.gov/susandavi….._res.shtml
Note the ‘there is no simple solution’ phrase (even though there is); I had called wanting to know why she -as contrasted to the other Dem Rep for SD County who has signed on as a co-sponsor of HR676- hadn’t signed on as a co-sponsor.
Sanders,Webb,Feingold; there are so few in Congress that have any ‘gumption’ to do other than what the corporate masters tell them to do. And that includes Obama.
that’s the fucking massachusetts plan.
i really should write a diary on our experience with an insurance company centered plan. guess i’ve just been hoping someone else (who knows the topic better than i) would do it…
“that’s the fucking massachusetts plan”; and what State is Kennedy ’serving’?
Simon Johnson has it straight.
Thanks Selise. I just called Gillibrand here in NY. She has a new office now that she is a Senator but she has been getting calls non-stop. I asked her office staff if she could send me a letter when she decides where she stands on this issue.
thanks to you and to everyone else for calling. my impression is that they are getting lots of calls – and my comment about another measure designed to bailout the financial services industry instead of help people seemed to hit a nerve.
i’m going to call again tomorrow.
Private health insurance companies’ profits in 2005, $100 Billion.
Put me down as a Pessimist.
I would much prefer to see UHC put into the VA’s Medical and Hospital Systemic. Without doing so, we will be arguing about what is “best” as to UHC. Thus, starting with the VA Systemic, over time and years, we can begin to ‘fine tune’ UHC to better reflect on cost savings and ‘acceptability’ in terms of coverage. Consequently, permitting our Elected Official to create a new “wheel” is insane, to put it politely, and in doing so, we gain nothing of consequence, beyond the political and more federal contractors.
Jaango
Well I did call both of my Senators. Barbara Boxer, of course, is in favor of a public option, Dianne Feinstein, not so much. I also complained for about the twentieth time about Feinstein not having a message box, so that you can never leave a message if all the lines are busy. This has been going on for years. I believe, as I told her aide, Peter, that the Senator does not want to hear from her constituents.
Selise,
No disrepect intended, but I have created diary and posted it and which is titled, “Crafting a Universal Health Care Schematic.”
Please feel free to comment. My thanks in advance.
Jaango
that’s great – the more discussion the better. but if you have specific criticisms of the single-payer bills now in congress, would you share them with us here? i bet i’m not the only one who’d love to know the details. thanks.
Thank you for this post. I called both my senators–yay single payer, and not a moment too soon.
I challenged Blanche Lincoln to do the right thing, ardently support this… which would also allow her to whip any Republican opponent in ‘10 in a single move.
Selise, this “Unless Americans are ready to march on Washington, both literally and figuratively, the reform process is dead. Yes, dead!” is so accurate on many issues. When was the last time that anything like a nationwide strike occurred in the U.S.?
Jaango, as a vet who uses the VA system, I understand your point but I would ask why -given that the VA solicits bids for pharmaceuticals- can I buy a 3 month supply of hydrochlorathizide at a grocery store pharmacy for less than what that costs me from the VA? Or why Walmart can supply a 3 month supply of lisinopril for less than the VA?
Something is wrong somewhere when Walmart offers better pricing than the VA.
if we want people to consider marching or to striking, then it’s up to us to organize in our communities.
It needs to be nationwide; yes, locally but local only gets nowhere.
I only pay $5 for a three month supply of any drug I have prescribed from the VA. But you also must remember that the Rethugs forced the VA to start charging co-pays in the first place, they also forced the VA to use a means test. Of and if you are a poor Vet your drugs are free! Can Walmart beat that price??
Thanks Nahant ; if I have to pay a bit more so that a ‘poor vet’ can get the drugs for free, I have no problem with that at all. (But I’m anything but ‘well off’ and of course, I’m of the opinion that drugs,eyecare, and dental care should be part of any ‘healthcare’ proposal and that such not occur an increase of premium; dental care HMO’s are such a ripoff it’s disgusting).
Recommended and DUGG!!
Thanks selise for the diary. We sure need single payer in this country! I wonder just how many are truly un/under insured because the current system??
thanks.
Happy to help selise!!! (:>))
thanks Votus and ES for calling. lots of pressure coming from the top to keep single payer off the table.
but what do we want? $400 billion spent on corp welfare or on healthcare? because that’s what this comes down too and i for one think it’s time for us to say “NO MORE” to corporate handouts while people are dying from a lack of health care.
Senator Burnie Sanders bill is a step in the right directions. Rep. John Conyers’ H.R.676 is much better in that it would be easier to implement and would solve two problems in stead of just one.
Conyers bill endorsed by Kucinich and others just extends Medicare to everyone. The whole system is in place and has been working for over 40 years.
The real beauty of it is that Medicare now is a burden on the government because it has the worst demographic.. elderly people. And elderly people require more healthcare than yonger people.
By extending Medicare for all we solve the demographic problem and the cost burden.
The doctors, hospitals and clinics are already using Medicare. They are familure with the procedures and forms. It’s a great system that is already in place. Why would we want to add another bureaucracy?
I want “Sicko ” on national tv so we ca pressure the GOP on National Healthcare. We can’t win fights if we can’t get or side out to the people.
Right now its people loosing healthcare because they are being laid off that is helping us on this issue. I wonder if Obama forces GM and Chrysler into bankruptcy all those workers lose their healthcare right? Suddenly National Healthcare would get a huge amount of support.
Dugg. Thanks selise.