Author Topic: Plan B for health care?  (Read 20617 times)

cschwab

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Plan B for health care?
« on: January 27, 2010, 12:00:11 PM »
In an effort for full disclosure I will mention when it comes to health insurance, I've been a single-payer (sort of a Medicare-for-all) advocate for years now.

However, I don't see single-payer happening anytime soon.  Lately, some of my single-payer friends and I have been listening to the idea of health care co-ops.  The more pure form of a co-op has been around since 1947 in the form of Seattle's Group Health.   http://www.pbs.org/newshour/bb/health/july-dec09/rxseattlecoop_09-04.html

The other organization looks to me to have a lot of the elements of co-ops, but has local government involved.  It is San Francisco's 'Healthy San Francisco's plan.  It is looking to me like a more conservative idea implemented by a bunch of San Francisco liberals.  http://www.npr.org/templates/story/story.php?storyId=112839236&ft=1&f=100http://api.npr.org/transcript?id=112839236

« Last Edit: February 06, 2010, 11:10:28 AM by cschwab »
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angieskidney

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Re: Plan B for health care?
« Reply #1 on: January 29, 2010, 08:19:17 AM »
Wow I think those at KidneySpace.com would be interested in reading this Chris!

cschwab

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Re: Plan B for health care?
« Reply #2 on: January 29, 2010, 12:08:23 PM »
It would be good to hear what they have to say, I don't think co-ops and what San Francisco has done has been talked about near enough.
« Last Edit: January 29, 2010, 04:12:31 PM by cschwab »
Proud member of DialysisEthics since 2000

DE responsible for:

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*2000 and 2003 Office of Inspector General (OIG) reports on the conditions in dialysis

*2007 - Members of DialysisEthics worked for certification of hemodialysis
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cschwab

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Re: Plan B for health care?
« Reply #3 on: February 06, 2010, 11:06:32 AM »
[h3]Healthy San Francisco Costs Less Than Private Health Insurance, Report Shows[/h3]

The Healthy San Francisco program costs substantially less than private health insurance plans, according to a new report by the San Francisco Department of Public Health, the San Francisco Chronicle reports (Knight, San Francisco Chronicle, 3/14). Healthy San Francisco was approved in 2006 to provide access to health care services at city clinics and public hospitals for the city's uninsured residents. The program requires private companies with at least 20 employees and not-for-profit groups with at least 50 employees either to provide health care benefits to workers at a cost that meets minimum spending levels or help cover the cost of Healthy San Francisco (Kaiser Daily Health Policy Report, 3/11). The program is not health insurance because it covers services only in San Francisco.

To determine the per-person cost of Healthy San Francisco, researchers divided the cost of operating the program -- $113 million this fiscal year -- by the number of participants and the number of months they were enrolled in the program. The report based the figures for private coverage on the price of a health plan for an individual who is 45 years old, the average age of a Healthy San Francisco participant. According to the report, coverage through Healthy San Francisco cost about $280 per month per person, compared with an average monthly cost of $388 for a Kaiser Permanente health plan and $618 for Anthem Blue Cross coverage.

Mitch Katz, director of the health department, said, "From the point of view of financial viability, this is the first proof we have that Healthy San Francisco works." However, he said, the results should not steer people away from private insurance plans they already have. Charles Bacchi -- CEO of the California Association of Health Plans, which represents 40 companies that provide insurance to 21 million state residents -- said the comparison is not accurate because private health plans provide coverage in a wider service area, not just one locality (San Francisco Chronicle, 3/14).

Reprinted with kind permission from http://www.kaisernetwork.org. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation.

http://www.medicalnewstoday.com/articles/142651.php
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cschwab

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Re: Plan B for health care?
« Reply #4 on: February 08, 2010, 07:30:23 PM »
Proud member of DialysisEthics since 2000

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cschwab

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Re: Plan B for health care?
« Reply #5 on: February 11, 2010, 06:19:49 PM »
Gavin Newsom, Mayor of San Francisco, talks about how 'Healthy San Francisco' has covered 75% of the uninsured, costs are actually coming down due to people getting care, and how Kaiser Permanente - one of the largest HMOs in the US - has joined up with 'Healthy San Francisco': 

http://www.youtube.com/watch?v=uQUdaX5n6yc
Proud member of DialysisEthics since 2000

DE responsible for:

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*Doctors have to review charts before they can be reimbursed

*2000 and 2003 Office of Inspector General (OIG) reports on the conditions in dialysis

*2007 - Members of DialysisEthics worked for certification of hemodialysis
technicians in Colorado - bill passed

*1999 to present - nonviolent dismissed patients returned to their
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cschwab

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Re: Plan B for health care?
« Reply #6 on: February 14, 2010, 09:01:51 AM »
Restaurant owner worried about the effects of 'Healthy San Francisco':

http://www.youtube.com/watch?v=CyHt25Rfrjg
Proud member of DialysisEthics since 2000

DE responsible for:

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*2007 - Members of DialysisEthics worked for certification of hemodialysis
technicians in Colorado - bill passed

*1999 to present - nonviolent dismissed patients returned to their
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cschwab

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Re: Plan B for health care?
« Reply #7 on: February 16, 2010, 07:21:41 PM »
San Francisco Chronicle reporter talks about 'Healthy San Francisco': how it averages $280 a month per person (subsidized if low-income), and how preventative care is saving taxpayer money.

http://www.youtube.com/watch?v=szOsGjiVhXc
Proud member of DialysisEthics since 2000

DE responsible for:

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*Doctors have to review charts before they can be reimbursed

*2000 and 2003 Office of Inspector General (OIG) reports on the conditions in dialysis

*2007 - Members of DialysisEthics worked for certification of hemodialysis
technicians in Colorado - bill passed

*1999 to present - nonviolent dismissed patients returned to their
clinics or placed in other clinics or hospitals over the years

cschwab

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Re: Plan B for health care?
« Reply #8 on: February 18, 2010, 06:06:42 PM »
Kaiser Permanente joins 'Healthy San Francisco':  http://www.youtube.com/watch?v=YbnVVoAtfMk

Proud member of DialysisEthics since 2000

DE responsible for:

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*1999 to present - nonviolent dismissed patients returned to their
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angieskidney

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Re: Plan B for health care?
« Reply #9 on: February 18, 2010, 10:56:12 PM »
Oh wow this thread is very informative!

cschwab

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Re: Plan B for health care?
« Reply #10 on: February 20, 2010, 03:18:59 PM »
Thanks!  I can't recall hearing much about this until a fellow I know at Health Care for All Colorado started posting about it.  I also recall reading or finding somewhere where they said it wasn't hurting the health insurance companies as much as the companies were afraid it would - not that it would break my heart.  I'll have to find that again.  But in the meantime Mayor Gavin talks about the program after 2 1/2 years into it in the following:

http://www.youtube.com/watch?v=ATgWL4ODHcM

recall hearing:
-75% of former uninsured, now insured
-it is a public option that works
-no new taxes
-no new bureaucracy
-no loss of employment
-we need this sort of public option at the federal level
 
« Last Edit: February 20, 2010, 03:34:08 PM by cschwab »
Proud member of DialysisEthics since 2000

DE responsible for:

*2000 US Senate hearings

*Verified statistics on "Dialysis Facility Compare"

*Doctors have to review charts before they can be reimbursed

*2000 and 2003 Office of Inspector General (OIG) reports on the conditions in dialysis

*2007 - Members of DialysisEthics worked for certification of hemodialysis
technicians in Colorado - bill passed

*1999 to present - nonviolent dismissed patients returned to their
clinics or placed in other clinics or hospitals over the years

cschwab

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Re: Plan B for health care?
« Reply #11 on: February 25, 2010, 03:08:04 PM »
A good article on 'Healthy San Francisco':
http://articles.latimes.com/2009/oct/04/local/me-sf-healthcare4

I love the quote at the end when a lady complained about the surcharge on her restaurant bill:

"Though her customers have largely taken it in stride, one woman demanded an audience so she could say how "truly offended" she was "that I have to pay a dollar to subsidize your employees' healthcare," Piallat recounted recently.

Piallat's response? "While we're being honest, I'm offended that you're wearing a 4-carat diamond and complaining about a dollar.""
Proud member of DialysisEthics since 2000

DE responsible for:

*2000 US Senate hearings

*Verified statistics on "Dialysis Facility Compare"

*Doctors have to review charts before they can be reimbursed

*2000 and 2003 Office of Inspector General (OIG) reports on the conditions in dialysis

*2007 - Members of DialysisEthics worked for certification of hemodialysis
technicians in Colorado - bill passed

*1999 to present - nonviolent dismissed patients returned to their
clinics or placed in other clinics or hospitals over the years

angieskidney

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Re: Plan B for health care?
« Reply #12 on: March 01, 2010, 04:26:13 PM »
Thanks!  I can't recall hearing much about this until a fellow I know at Health Care for All Colorado started posting about it.  I also recall reading or finding somewhere where they said it wasn't hurting the health insurance companies as much as the companies were afraid it would - not that it would break my heart.  I'll have to find that again.  But in the meantime Mayor Gavin talks about the program after 2 1/2 years into it in the following:

http://www.youtube.com/watch?v=ATgWL4ODHcM

recall hearing:
-75% of former uninsured, now insured
-it is a public option that works
-no new taxes
-no new bureaucracy
-no loss of employment
-we need this sort of public option at the federal level
 

Wow I hadn't heard anything about it neither and I get more American channels on my TV than Canadian because I live right on the border, so I thought I would have heard SOMEthing..

I just watched the video. Thanks for posting this!

cschwab

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Re: Plan B for health care?
« Reply #13 on: October 20, 2011, 10:54:34 AM »
Looks like Colorado has been coming up with it's own idea for a health cooperative!

Colorado Health Care Cooperative:
http://www.healthcareforallforless.org/
« Last Edit: August 29, 2012, 02:15:01 PM by cschwab »
Proud member of DialysisEthics since 2000

DE responsible for:

*2000 US Senate hearings

*Verified statistics on "Dialysis Facility Compare"

*Doctors have to review charts before they can be reimbursed

*2000 and 2003 Office of Inspector General (OIG) reports on the conditions in dialysis

*2007 - Members of DialysisEthics worked for certification of hemodialysis
technicians in Colorado - bill passed

*1999 to present - nonviolent dismissed patients returned to their
clinics or placed in other clinics or hospitals over the years