Category Archives: Healthcare, Medicare & Medicaid

Molly’s Path to Single Payer Healthcare

from Sheehan for Congress (PA-07) (n.b., see here to download statement in favor of statewide single payer health care by PA Dem Committee and CCDC)

The American Healthcare System

The USA is ranked 37th in the world in respect to overall healthcare systems (WHO) while we spend by far the greatest amount per capita and yet have 30 million uninsured and many more underinsured. The ACA was very successful in increasing accessibility and protecting individuals from a private market that denied and capped coverage. It brought us a little closer to universal coverage but it continues to rely upon the utilization of a private market structure that values profit over performance and personal health.

As of 2013, U.S. government’s paid for nearly two-thirds (64.3%, $1.9 trillion) of all healthcare expenditures in our nation. Direct payment programs (ex. Medicare, Medicaid, VA) cover about 48% of outlays. Government payment of public employee health plans account for 6.4% and the US loses tax revenue through employer health plan subsidies of 10.1% total healthcare costs. The ACA increased total expenditures by direct subsidies as 8 million joined the Market Place and many received tax subsidies. Early assessments of new enrollments estimate by 2024 the government share will be 67.3%. Governments in the U.S. already assume by far the majority of financial responsibility for our existing healthcare system.

The Problem

Our current healthcare system is laced with inefficiencies due to administrative waste (profit, advertising, multiplicity of plans, lack of simplicity), improper incentives to doctors and consumers, and misdirection of the control of care. Under our current system, there is little democratic control of our healthcare sector. While government may administer 64% of all healthcare in America it is the strength of lobbying and campaign donations by private corporations in Health Insurance, Pharmaceuticals, Medical Device Providers and large HealthCare Provider Networks that dictate patterns of care, availability and access to care, the costs of care and the prices of treatments and diagnostics used to provide your care….

keep reading and view videos at Sheehan for Congress. [n.b. at this point in the election cycle we post occasional items by or about candidates that raise important issues; this does not imply endorsement or favoritism, and we will give space to all candidates for whom we receive such information.]

Molly on the Issues: Healthcare

email from Molly Sheehan, candidate for US House PA-07, 12/4/17 (see CCDC’s position on health care here)

Healthcare is the major issue today and while the Republicans may have recently postponed their assault on all we have gained through the ACA, we as Democrats must face up to the fact that unless we boldly improve upon the ACA, then there will always be Republican attacks on the ACA. By prohibiting denial of coverage based upon pre-existing conditions, or lifetime caps, and securing coverage for children up to 26 years of age and mandating essential care, the ACA has guaranteed health care coverage for millions of Americans.

We must successfully move forward to a Single-Payer system that provides excellent health care, that reduces the costs of care and within a model that is financially sound!

However, as long as the provision of essential care continues to be financed by the private, for-profit health insurance industry, through a largely employer-based system, we will never be able to contain costs or guarantee universal coverage. I firmly believe that a Single-Payer healthcare system is the only answer to provide the most affordable and universal care for American citizens.

In order to make this transition we will need legislators who understand the complexity of our healthcare system. Adopting any system will need to be done thoughtfully. I’ve worked in multiple areas of our healthcare system, including purchasing group health insurance for a diverse group of tens of thousands of Pennsylvanians. I’ve been doing constituent services on healthcare for years and bringing concerns back to non-profit buyers, insurance companies, and health systems to negotiate the best plans for our constituent needs. If the switch is flipped recklessly, a new system will be under the control of the same misogynists who believe that being pregnant is a pre-existing condition. Government insurance would require political firewalls and avoiding budgetary austerity that can cripple healthcare innovation and breakthroughs in treatments, quality of care or, the entire system itself. We must successfully move forward to a Single-Payer system that provides excellent health care, that reduces the costs of care and within a model that is financially sound! If we deliver this system to Americans, that will build a constituency that will remain loyal to the Democratic party and our American health system forever!

Read more about my stance on healthcare as well as other issues I will make priority as the Candidate for Pennsylvania’s 7th Congressional District.

GOP eyes post-tax-cut changes to welfare, Medicare and Social Security

by Jeff Stein, Washington Post, 12/1/17

High-ranking Republicans are hinting that, after their tax overhaul, the party intends to look at cutting spending on welfare, entitlement programs such as Social Security and Medicare, and other parts of the social safety net.

House Speaker Paul D. Ryan (R-Wis.) said recently that he wants Republicans to focus in 2018 on reducing spending on government programs. Last month, President Trump said welfare reform will “take place right after taxes, very soon, very shortly after taxes.”

As Republicans advocate spending cuts, they have frequently cited a need to reduce the national deficit while growing the economy.

“You also have to bring spending under control. And not discretionary spending. That isn’t the driver of our debt. The driver of our debt is the structure of Social Security and Medicare for future beneficiaries,” Sen. Marco Rubio (R-Fla.) said this week.

While whipping votes for a GOP tax bill on Thursday, Senate Finance Committee Chairman Orrin G. Hatch (R-Utah) attacked “liberal programs” for the poor and said Congress needed to stop wasting Americans’ money.High-ranking Republicans are hinting that, after their tax overhaul, the party intends to look at cutting spending on welfare, entitlement programs such as Social Security and Medicare, and other parts of the social safety net.

House Speaker Paul D. Ryan (R-Wis.) said recently that he wants Republicans to focus in 2018 on reducing spending on government programs. Last month, President Trump said welfare reform will “take place right after taxes, very soon, very shortly after taxes.”

As Republicans advocate spending cuts, they have frequently cited a need to reduce the national deficit while growing the economy.

“You also have to bring spending under control. And not discretionary spending. That isn’t the driver of our debt. The driver of our debt is the structure of Social Security and Medicare for future beneficiaries,” Sen. Marco Rubio (R-Fla.) said this week.

While whipping votes for a GOP tax bill on Thursday, Senate Finance Committee Chairman Orrin G. Hatch (R-Utah) attacked “liberal programs” for the poor and said Congress needed to stop wasting Americans’ money….

keep reading and see linked sources at Washington Post

Calling on Costello: The GOP Tax Bill will put us in the poor house!

From: Concerned Constituent Action Group

[see also “Protests rage as Meehan, Costello vote for GOP tax plan,” Daily Local News, 11/16/17)}. Congratulations to all 3 Chesco congressmen for raising their impressive “Trump Scores” by 4 recent votes since we last looked on Oct. 24. Smucker now boasts a near-perfect 98.1%, Costello 94.0%, and Meehan 88.7% in this measure of how often their votes agree with the Trump position.

Calling on Costello (R-PA 6)
Friday Nov. 17, 11:30am to 1pm
21 W. Market Street, West Chester

On-street parking or the Bicentennial Parking Garage at 20 South High Street, West Chester.

We will protest outside as a large group; then rotate into the office in small groups to speak with staff and deliver letters, if permitted.

This week’s focus: The GOP Tax Bill will put us in the poor house!

The Tax Plans of the House & Senate differ but the common theme is drastic cuts in taxes that will put the United States even further in debt. The Senate bill shows a rosy future with economic growth spurred by their bill and yet, even with the optimistic growth projections, the cuts in revenue are NOT OFFSET! It’s still a net increase on our national debt.

How will we pay for this increased national debt? $1.5T cuts to Medicaid and Medicare and to a lot of other important programs that benefit all of us. So that corporations and the wealthiest among us can see huge tax cuts.

Don’t let the GOP sell us all out with promises of tax cuts.

The GOP Joint Budget Resolution identified $1T of cuts to Medicaid and almost $500B in cuts to Medicare to offset the effect of the drastic tax cuts the GOP is proposing.

Don’t the let GOP sell us all out with promises that these tax cuts will spur economic benefit to everyone. They will certainly help the very wealthiest but will they help most people? Past history proves the answer is a clear no.

The GOP tax scam will leave us all so much deeper in debt that it will mean drastic cuts to Medicaid & Medicare and a lot of other important programs.

If you cannot attend but would like to submit a letter, email it to us at
contact@ccag-d6.com and we will deliver it for you.