'Don't Repeal Health Law - Go Beyond it to Single-Payer Medicare for All'
Statement by the 18,000-member Physicians for a National Health Program
Dr. Garrett Adams, president : January 7, 2011
WASHINGTON - A nationwide organization of doctors who favor a single-payer
health care system today rejected calls by Republican leaders to repeal the
new health law, noting that the law contains modest benefits for patients
that should not be spurned.
At the same time, the doctors said that the enactment of a single-payer,
Medicare-for-all program is the only way to assure high quality,
comprehensive care to all Americans and the only way to rein in skyrocketing
health care costs.
"We reject the call by Republican leaders to repeal the Patient Protection
and Affordable Care Act (PPACA), even as we recognize the new law is
incapable of resolving our health care morass," said Dr. Garrett Adams,
president of the 18,000-member Physicians for a National Health Program.
"The health law is flawed because it continues our nation's reliance on an
inefficient and wasteful private-insurance-based model of financing care - a
rickety structure that denies health care access to millions, bankrupts
patients, ratchets up costs and frustrates efforts to improve quality," he
said.
"That's why we need to move to a single-payer system," he said. "In doing
so, we'll save about $400 billion annually by cutting out the unnecessary
paperwork and bureaucracy inflicted on us by the private insurers. We'll
also gain the one-system bargaining power we need to negotiate lower prices
for pharmaceutical drugs and medical supplies."
Adams said the "modest" benefits in the administration's health law include
greater funding of community health centers, the expansion of Medicaid
coverage, and "measures to restrict some of the most outrageous practices of
the private health insurance companies like denying coverage because of
pre-existing conditions or rescinding coverage when people get sick."
"These beneficial measures could have been enacted separately," Adams said.
"But now that they're part of the law, we cannot in good conscience support
the repeal of any provisions that might conceivably benefit our patients."
Adams said Republican leaders' call to repeal PPACA is especially
objectionable, given that they have no serious alternative to offer by way
of health care reform.
"The GOP and conservatives urge greater reliance on the private sector and
'free market' mechanisms, including less regulation of the insurance
industry," Adams said. "Such measures include allowing people to purchase
insurance across state lines, which would lead them to buy junk insurance
policies from companies in states where consumer protections have been all
but eviscerated. It would mean a race to the bottom to even skimpier
insurance policies than people have now."
He also dismissed claims by the Republican leadership that tort reform will
significantly affect the U.S. health care scene, noting that research has
shown malpractice suits have a marginal impact on the costs of medical care.
"The proposals emanating from the GOP leaders would do nothing to control
costs or reduce the enormous administrative waste in our current health care
system," he said. "They would do nothing to reduce the number of uninsured.
In fact, the number of uninsured, now at 51 million, would likely rise much
higher - worsening an already catastrophic situation."
Adams, a pediatric infectious disease specialist who resides in Louisville,
Ky., said that, in his opinion, Republican leaders who are vowing to repeal
the new health law are not really aiming to do so.
"Despite their bluster, GOP lawmakers don't really want to repeal the law
because some of their chief financial backers, the health insurance
companies, like its basic provisions," he said. "The insurers especially
like PPACA's requirement that millions of people buy insurance from them and
that at least $447 billion in federal subsidies will be coming their way
over the next 10 years as part of this arrangement.
"We reject such political posturing at the expense of human suffering and
human lives," Adams said. "We call for a real, sustainable solution to our
health care woes. PPACA should be superseded by a comprehensive health
reform that provides quality, affordable care to everyone - single-payer
national health insurance, an improved Medicare for all."
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