Monday, August 31, 2009

Reports From Lynn Woolsey's Town Hall in Petaluma

Early reports on Lynn Woolsey's Town Hall: Not good. Opponents of health care reform had filled up the hall EARLY. Close to a thousand people from both sides of the debate showed up, spilling out into adjoining rooms where they listened over an intercom. 

As I had written earlier about the Pete Stark Fremont Town Hall, we have to get there at least one hour, if not two hours, early if we want to get in.  (There are as-yet unsubstantiated reports that the cars and trucks in the parking lot had an unusually large number of SoCal license plates - it is possible many of the early-arrived opponents were not even constituents of Lynn Woolsey.)

But take heart, some are saying the turnout was approximately 50:50, some are saying there were actually more supporters of health care reform, but that those supporters did not arrive early enough to show their real ratio in the hall. Reportedly, the biggest cheers came for a Petaluma small business owner as reported in the Marin Independent Journal:

'Jason Davies of Petaluma, the vice president of a software company, said, "Our company has become less profitable over the last several years because of the increasing costs of our health care premiums."

Many others tried to score points for health care reform based on caring for others, and moral duty.  I'm sorry, they're absolutely right in their convictions, but wrong in their approach.

I would like to encourage us to stop trying to convince the right based on morality - that particular argument works for us, but not for them. Instead, we need to make the point, as Mr. Davies did, that our small businesses are suffering under the current system of for-profit insurance companies - which in every other country in the developed world would be non-profit and strictly regulated. And most importantly, we need to make the point that we pay the highest price for health care out of all industrialized nations, and we have the worst results in the developed world, from infant mortality to longevity.

We need to make that point over and over again. Because the other side has proved that arguments about "the moral good" don't matter to them. How do we know that? Because some opponents of health care reform were actually booing constituents who had serious illnesses. 

Senator Feinstein's Position Paper Released

I just confirmed with Senator Feinstein's staff that this is in fact her position paper on health care,  which was released late Friday.

I'll be posting comments later on your responses. For the moment, I'll admit that I personally found  former Senate Majority Leader Bob Dole's opinion piece in The Washington Post more in the tradition of the Democratic Party.

And Bob Dole is a Republican.  I hate to say it, but when Republican Former Senate Majority Leaders are better Democrats than our current Democratic representatives, then WE should be headed to protest at City Hall. And if you can't make it to that one, try one of these.

Bob Dole to Obama: Stand Up, Young President!

Bob Dole and I can finally agree on something.  The President needs to stand up to Congress, not the other way around. As the veteran senator and former majority leader put in in this Washington Post opinion piece

"Many of us were taught that the president proposes and Congress disposes. Today, Congress is doing both -- with the president relegated to the role of cheerleader in chief as he campaigns for various House committees' efforts. Certainly, Obama supports much in these proposals -- but Barack Obama is our President, not a commentator."

"Obama's approval numbers would jump 10 points if Americans knew he was fully in chargeA tactical move of introducing his own plan would also stir more Republicans to become active for reform in critical areas. Right now the president's biggest problem is with congressional Democrats, who are split and searching for a way out of the medical wilderness."


Sunday, August 30, 2009

Where to Go If You Can't Make It To The SF City Hall Rally

Some of you have expressed frustration with the fact that the Oakland rally that OFA had planned at Oakland City Hall was canceled in order to create higher turnout at the San Francisco rally on the same day - this Wednesday, September 2, 2009, at 5:00 p.m.

Never fear! Feinstein 1200'er Ellie tells us that we can check this link for rallies that are taking place throughout the Bay Area that day. 

These other rallies have been organized by MoveOn.org, and they fill in a nice gap for young parents who can't schlep all the way into the city at rush hour. And it's all good: one of these moveon.org rallies coincides neatly with the OFA San Francisco City Hall rally. 

Our friends at Single Payer Now will also be at the San Francisco City Hall rally on Wednesday, September 2 at 5:00 p.m. 

And don't forget that this Monday, Lynne Woolsey will have a Town Hall in Petaluma. 

"The two-hour town hall meeting will begin at 6 p.m. Monday at the Petaluma Veterans Memorial Hall, 1094 Petaluma Blvd. in Petaluma. Woolsey said she will answer questions and listen to the opinions of constituents."

BusinessWeek Highlights Insurance Industry Lobbying in Action!

These days, some of the harshest criticism of corporate lobbying comes from The Wall Street Journal, The Financial Times, and now... BusinessWeek? 

In a cover story published August 6, 2009, BusinessWeek declared: "The Health Insurers Have Already Won." The article highlights how the insurance giant UnitedHealth has influenced "rookie" Senator Mark Warner of Virginia, to fight the public option. It also discusses how UnitedHealth employs The Lewin Group, a corporate consulting firm that is - surprise! - owned  by UnitedHealth, to advance its anti-public option agenda. 

http://www.businessweek.com/magazine/content/09_33/b4143034820260.htm


The Economist Weighs Dick Armey's Stance Against HC Reform

I was impressed by a recent podcast interview that The Economist ran with Dick Armey. You can hear it without charge through iTunes.

The Economist interview provided the politically skilled former House Majority Leader, a Republican, 12 minutes to present his views of the health care reform issue, with little questioning.

But The Economist used the remaining 47 seconds to conclude:

"Mr. Armey clearly has political skills to spare, however he, like most politicians, can talk in circles and is prone to hyperbole.  In arguing against the Democratic plan, he says that Medicare is a form of tyranny, and that citizens should be able to choose to enroll in the program.  This choice between a public plan and private ones, is precisely what the Democrats propose in a public option."

Confirmed: OFA Moves Sept 2 Oakland Rally to San Francisco

I just spoke with Gia Calvillo of Organizing For America - the September 2 rally planned for Oakland has now been canceled in order to have a larger combined rally in San Francisco. 

To reflect that combined effort, the San Francisco rally has now been renamed the "Bay Area Congressional Send Off Rally for Health Care.") 

It will be held on Wednesday, September 2,  5:00 p.m. to 7:00 p.m. at San Francisco's City Hall, which is very easily accessible from the Civic Center BART station in San Francisco.

There is still a Fresno rally on September 1 at 4:30 p.m. at the Fresno Amtrak Station.

Friday, August 28, 2009

Whatever Happened To...

...that position paper on health care that Senator Feinstein's office promised?

Late this morning I spoke with Daniel Chen, Senator Feinstein's Constituent Services Representative, who said: "The position paper will be coming shortly." 

Which, as you know, is what Mr. Chen said two weeks ago. 

While I had Mr. Chen on the phone, I mentioned Bishop Murphy's statement as quoted in today's New York Times, that health care is "not a privilege but a right." 

Which prompted me to wonder, could the Catholic Church be farther to the left than Senator Feinstein on the issue of health care reform? 

"Has Senator Feinstein," I asked Daniel Chen, "made the same statement as the bishop, which asserts that health care is a right?" 

Mr. Chen replied that he was certain that very same statement could be found somewhere in Senator Feinstein's past press releases, and he hinted that the upcoming position paper may clear up the Senator's position on that issue. 

A Clear Strategy

UC Berkeley Emeritus Professor Hal Wilensky sends us this sneak peek at the Washington Post's Sunday Opinion piece by Peter Dreier and Marshall Ganz, who outline a three-point strategy for winning health care reform:

1) Rally support FOR a specific bill that contains Obama's principles, including "the public option and controls on exorbitant drug and insurance industry costs. The Limbaugh lunatics know what they are against. But Obama and his allies have to be clear about what they are for."

2) "Focus attention on the insurance companies.... This requires "movement" tactics, from leaflets, picketing, vigils and newspaper ads to nonviolent civil disobedience - such as occupying insurance company offices and picketing the homes of executives... As long as the real source of the problem remains faceless (or can hide behind seven conservative Democratic senators), the right remains free to demonize "big government" rather than greedy corporations."

3) "Third, the campaign must educate constituents of the Baucus caucus about their senators' political and financial dependence on the insurance industry and other opponents of reform. They need to ask these conservative Democrats: Which side are you on? If they won't support real reform, they should know that a primary challenge is likely."

It's one of the more convincing strategies I've read. I recommend reading the entire article

Economist Uwe Reinhardt Highlights a Generational Divide

In his blog, Economist Uwe Reinhardt examines the ways in which President Obama could finance the reform bill. 

Reinhardt subtly notes the hypocrisy involved in today's demand for fiscal responsibility coming from politicians and others who never bothered to protest the lack of fiscal conservatism involved in the 2003 Medicare Modernization Act (MMA '03.) 

Reinhardt asks:

"And how was this vast new entitlement for the elderly financed? Were taxes raised specifically to finance the bill? They were not. Was federal spending elsewhere cut specifically to finance the bill? It was not. Instead, the sizable annual federal outlays occasioned by the M.M.A. ’03 simply have been added to the federal deficit since the inception of the program, and will continue to be so treated in the decade ahead."

Reinhardt continues: "... a large fraction of the federal deficits in recent years have been and currently still are being financed by heavy external borrowing from China, Japan, Europe and the Middle East, leaving it to our children and our grandchildren to repay that American debt to these foreign creditors. Few Medicare beneficiaries at the time protested this intergenerational transfer." 

Reinhardt concludes: "American citizens — especially older ones — might keep this backdrop in mind as they behold and comment on the current administration’s and Congress’s travails to place the proposed health reforms of ’09 on a fiscally more responsible footing than was the M.M.A. ’03."

Would the Public Option End Private Insurance Companies?

From the Times article D. sent:
"Every Humana employee interviewed, including Mr. McCallister, predicted that a public plan would place private insurers at an impossible disadvantage, without duplicating their efficiencies.

"Humana’s profit margin was 2.2 percent in 2008 on revenues of nearly $29 billion. Its revenues have more than doubled since 2004, with almost all of the growth coming from the sale of privately administered Medicare Advantage plans. Those plans now account for the vast majority of Humana’s business, a real vulnerability if Mr. Obama succeeds in cutting Medicare Advantage because of its comparatively high administrative costs."

Cue the Violins! - from D.

D. sent us  this article  on beleaguered insurance executives in The New York Times. 

'“I believe we’re getting the pushback because we are standing up for what we believe in,” said Cheryl Tidwell, 45, Humana’s director of commercial sales training.'

"For what we believe in"?     

I personally never had to wonder, in the midst of changing the diapers of elderly patients, or cleaning out a patient's abscesses, what I believed in.  I always knew my job was grubby, but necessary.  But I'm having great difficulty understanding the necessity of for-profit health insurance companies, such as CIGNA and Humana, Inc. 

Like so many other Americans, I've been through job re-training more than once, so I find it ludicrous to suggest that the insurance industry needs to be propped up simply because the loss of the industry would result in the temporary displacement of its workers. 

It's worth noting that ours is the only country that allows "for-profit" insurance companies. In Germany, for example, all the private insurance companies are strictly regulated, and strictly non-profit. 

Thursday, August 27, 2009

Your Comments - Articles

It's not just Gerri, but Frank and Robert.  They really liked this Anne Lamott piece in the L.A. Times. 

Meanwhile, E.S. suggested this Chris Hedges piece, which is highly critical of the insurance industry. I was surprised by how strongly worded it was, given Hedges' previous, more nuanced writing. 

You may remember Chris Hedges as the 15-year foreign correspondent for The New York Times who was forced to leave the "paper of record" when he refused to stop speaking out against the Iraq War. (Hedges' 2002 bestseller, War Is A Force That Gives Us Meaning, is a classic.)

Despite its polemical tone, I think Hedges' insurance article is important to read, especially the quotes from PNHP's Dr. Himmelstein, which include news of some major protests coming early this fall: 

"We are considering a variety of striking efforts for early in the fall,” Dr. Himmelstein said, “including protests outside state capitals by doctors around the country, video links of conferences in 70 or 80 cities around the country, with protests and potential doctors chaining themselves to the fence of the White House.”

I'm just not used to the idea of staid and highly self-disciplined physicians having to chain themselves to the fence of the White House. But these are unusual times. 

Some Roman Catholic Bishops Assail Health Plan

While it appears that some Roman Catholic Bishops are now in opposition to the President's proposed health care reforms, The New York Times features Bishop Murphy of Rockville Centre, N.Y., as far more representative of the majority of Catholic leaders.  

Bishop Murphy stated that "we strongly oppose inclusion of abortion as part of a national health care benefit." But he emphasized the Church's priority of coverage for the poor, calling health care "not a privilege but a right."

It is interesting to note that, in the current political environment, the Catholic Church's insistence that health care is not a privilege but a right, places the Church well to the left of the G.O.P., not to mention to the left of our own Senator Feinstein, who cannot bring herself to make a similar statement. 

The article should remind those of us with close ties to the Catholic community to reinforce the fact that the majority of Catholic leaders support the President's health care reform package. 

I'll be in touch with contacts at the non-denominational organization PICO tomorrow to learn how they're dealing with this news.

Your Comments - from Mike

Feinstein 1200'er Mike tells us that Lynne Woolsey has reversed course and will be holding a Town Hall this Monday, at 6:00 p.m. in Petaluma. 

Let's go and show our support for health care reform at this extraordinary Representative's Town Hall.

If you don't yet know Congresswoman Woolsey, this podcast of her interview on local station KQED yesterday might inspire you.

Let's Get Senator Feinstein on the Record!

This, from Democracy for America, is wonderful, and takes only a moment to fill out online. Some of our Feinstein 1200'ers have included their own notes, which I'll write about soon.

"Senator Dianne Feinstein,

We, the undersigned, urge you to make a strong public statement supporting the choice of a public health insurance option.

With healthcare reform including a public option -- and the lives of millions of Americans who are uninsured, under-insurance or limited to no competitive choices -- hanging in the balance, now is the time for you to stand with the late Senator Edward Kennedy and honor his legacy by enacting the mission he worked so hard to achieve.

You are in a unique position to lead the effort in the Senate to fundamentally reform healthcare. As the Senate prepares to reconvene after the August recess, we are asking you to use that influence to speak out publicly in support of a public option."





Wednesday, August 26, 2009

Upcoming Physician/Economist Seminar

We're very pleased to announce that several of the highly regarded UCSF physicians you requested have now accepted the invitation to speak at our upcoming seminar. 

The seminar will cover what the Congressional Budget Office continues to ignore in its estimates: the significant savings that will accrue from the provision of basic primary and preventive care for the general population.

We are awaiting word from the economists who were invited, and should be able to announce the final speaker panel within this week. 

In terms of dates/locations, we are aiming for mid-September at a downtown San Francisco location. Several videographers have already stepped forward to provide their services, so the event can be distributed via youtube and vimeo. These videographers have pointed out that we can always use more cameras on site, so please feel free to contact me if you would like to join the other videographers in recording the event.

Your Comments - District 10

Feinstein 1200'er Bobbie reminds us that there is a special election this Tuesday, September 1, to replace Congresswoman Ellen Tauscher in District 10.  (Click on District 10 to determine if you or your friends live in the district.) Says Bobbie:

"Remember, the opposition is super-motivated, and most of us are not paying attention. Please get the word out to anyone you know who lives in this district. We want to ensure that our very “Blue” district doesn’t wake up to a bad surprise that would further whittle away the chances for our voices to be heard 
on Health Care reform."

Your Comments - A Physician Asks About Fair Representation at CNN

And internal medicine doc passed this along, and wants to know why CNN can't run an advertisement that questions the insurance industry, specifically the $12 million salary and $73 million retirement package of CIGNA's CEO, Ed Hanway.

A $73 million retirement package? Well, at least we know the market phenomenon that can rationalize Monica's patient having to go without prescribed medication after a stroke.  

Your Comments - An Online Petition

Our friend Libby sent this in, it's an online petition to 1) rename the health care reform bill that passed Kennedy's health committee as "The Kennedy Bill" and 2) pass the newly renamed bill (which includes the public option) through the Senate. 


Your Comments - A Physician's Notes

Of the several Feinstein 1200'ers who sent me this David Leonhardt article in The New York Times, one of you, a physician, included the following important note:

"I've been concerned by the fact that some news articles about "the public option" made passing mention of the fact that it was to be limited to the people who are currently uninsured.

"This article takes up that major issue, which has previously been mentioned only in passing in news reports regarding the public option in the several House committee versions of the health reform bill. 

"Specifically, those versions all limit the public option's availability to persons who were previously uninsured.  In plain language, what that means is that the previous monopoly which private insurance companies have held on the market (except for Medicare) will be protected against competition!  That's a BIG DEAL!  But a dirty one.  And certainly it's not providing what Obama has promised in this reform, namely health insurance competition "on a level playing field".  That's what I have been trying (unsuccesfully) to talk to Feinstein about, and is what I feel needs to changed and included in any "ROBUST public option", i.e. one available to anyone who wants it.”

Write-up of Jackie Speier's Town Hall

The unvarnished truth

Your Comments - A Nurse's Brief, Heartbreaking Note

From Monica, who had just received The New York Times article on Remote Area Medical (R.A.M.), which you can read here:

"Eva, Thanks, for the updates and heartbreaking article. I am a hospital RN. One of the patients I sent home last night called me from the pharmacy and told me she couldn't afford her medications. She went home without them. She had just had a small stroke."



Your Comments - The Rate Regulation Strategy

From Kenneth:

"When I spoke with Dianne Feinstein's representative, I mentioned that
the only way that I think health care reform should go forward without
a public option is if there is a government enitity with broad and
complete authority to regulate health care rates.  This morning I saw
an article on Huffington Post which summarizes this position:

http://www.huffingtonpost.com/mike-lux/an-alternative-to-the-pub_b_262117.html


I think we should start asking for either a public option or rate
regulation---I am sure the insurance industry will back down from
their position on public option when faced with the possibility of
rate regulation.  Also, by pushing for one or the other, it succinctly
explains why a public option is a necessity (i.e. we want a public
option so that we can control health care premiums).

Just a thought."

Your Comments (and Questions) - Ed's Original Question for Speier

"I have friends who argue that we already have universal health care -- "all a person has to do is go an emergency ward or hospital and receive immediate free care". The counter that it is clearly not free seems to ring hollow or fall on deaf ears.. Therefore, I would like to know:

1.  What is the average relative cost of an insured person's visit to an
emergency hospital versus the average cost (in dollars) for an uninsured
person?  If hospital billings were broken out or identified in this way

2.  For the average emergency hospital, what is the relative percentage of
the operating budget allocated for insured versus non-insured patients?
These data should be availiable and part of the discussion.

In other words, just how much money (in dollrs) might be saved if all
patients were insured?

Finally, where is Montara?

Regards, Ed" 


Ed, I can't immediately answer the first two questions, but for right now Montara is about 20 miles down the coast from San Francisco's Ocean Beach! On a more serious note, I'm hoping to get your questions answered at our upcoming physician/economist seminar. We were lucky to get two excellent UCSF physicians to speak, and are awaiting word from the invited economists. 

Your Comments - Single Payer v. The Public Option

In reviewing and posting your comments, I need to say that I'm agnostic in regard to single payer v. the public option. I want to present both of your views, and the upcoming seminar of physicians and economists will make arguments for both. I thought this email letter I received from a Ph.D./entrepreneur made a very strong case for the public option. But I will also post letters that argue as cogently for single payer. We're all on the side of health care reform here, and the better we stick together, the better chance we have at getting reform, however it's named.  
With that said, here is James' excellent comment:

“Eva-Lets not let the perfect be the enemy of good.  

France has a system where everyone gets a baseline insurance plan from the government and must purchase a private insurance policy to cover the rest. In France catastrophic illnesses that bankrupts people here in the US are all covered by the base plan, but to see a doctor promptly or to have non-essential medical services performed requires extra private insurance. The Administration's wish list is to move to a system that is similar to the Federal Employee plan and regulated in terms of services - a private insurance system with a public option competing with private companies. 

There are solutions that are a lot better than what is available now that are different from a single payer plan and that would be enormously better than our current system. Please don't respond to the extremism of the right with a rigid, unwilling to compromise demand from the middle. We have lost the ability to compromise in our nation; in the past this ability has occasionally arisen to move the nation out of a rut of policy and beliefs. Once we are on a different path further changes are possible, we need to compromise ourselves out of the rut. Demanding a public plan that would compete with private ones is a compromise.

An ideal single payer plan could be wonderful, but it is highly unlikely in this political climate. Getting the private sector to compete on quality of service instead of just price would be greatly aided by a public plan that would force the private plans to offer higher quality of services to compete with the government run plan. As the automobile industry has finally learned quality does matter every now and then even in our economic system. Lets work towards policies that force both price and quality competition in healthcare.

 Thanks for you efforts, my family greatly appreciates what you are trying to do.

Cheers,

James"

Your Comments - A Small Business Owner Speaks Out

Over the last two weeks, I've received many excellent comments from the Feinstein 1200. 

I'm passing them along. Please note that I am only using first names or first initials to protect your privacy.

To all who are concerned about our current medical insurance crisis…..

The only things that loom large in this debate is whether doctors have to increase their staffs, thereby increasing their costs, thereby increasing their willingness to deny care, and all due to whether they get paid or not. This has been the tactics of the past 30 years when the Kaiser HMO model became the favorite of Richard Nixon (2007, Moore). The status quo has created gate keepers who actively deny care. In today's system you are more likely to be sent home or to a convalescent care facility then to recuperate in a hospital. The hospitals like Stanford love this model. They can charge $500 to be admitted and kick you out when the payments from the gate keepers requests, all due to the insurance company stopping payment. It is legal and is the current status quo.  
 
I like the idea of local neighborhood clinics you can walk to, and where you pay a nominal fee (see the state of Washington). The clinic aspect has a model that works and is comprehensible from the idea of care at the clinic level. The average range is $75 to $110 per month where one can go anytime and for any number of visits. If this model can somehow be tied to a comprehensive catastrophic care program like an insurance policy,

    1. The model takes the care at the clinic level away from the insurance companies, a very good thing I might add, and
    2. The model puts the care when things are critical into the hospitals. The model will cause the costs of care to the insurance companies to drop significantly, will add roles of new patients into the system, and will enable insurance companies to offer better care at the critical care levels only.

I also want to see that small businesses get a hefty tax break if they adopt a health care system into their businesses and offer a standard package to all the employees.  
 
If nothing is done, I am the officer of a corporation and will only do what is legal and that resolves around trusts that enable the executives to get platinum medical insurance while offering very little to the rank and file employee. This is the corporate status quo. Ever wonder what the banking industry is paying in those obscene bonuses? A big component is these medical trusts. They care complex and a regulation in the IRS where only large sophisticated corporations can afford. This current model is in place across the board in all fortune 500 companies. 
 
Let’s keep the debate flowing, 
 

Sincerely yours, 
 
Chris

Your Comments - Ted Responds to President Obama's 8/20 Interview

I always like to hear from Ted, a thoughtful retiree who moved so many Feinstein 1200'ers when he spoke to Feinstein's representative about the importance of providing for the next generation. I'm posting (belatedly) his reaction to Obama's radio interview on 8.20.09. 

A quick note: I've often felt very frustrated with the progress the administration is making, and Ted's humility and patience reminds me that we won't get the change we voted for unless we actively demonstrate that our numbers for health care reform are there for the President to leverage. The situation is now so critical that your physical presence is needed. Bring whatever sign you want - just get there for the media to see you. Rallies are set for September 1 and September 2. 


"Dear Eva;
I saw President Obama on a Radio Show interview this morning 8/20. Obama reiterated or restated his priority of his health care reform visions -- cost containment; consumer protection for existing insurance holders; and making health care insurance available to more legal residents of the US.
Whether the Obama Administration had shifited or has simplified its health care reform goals or not, I support them! 
And, I submit that our first goal is to tell the Congress that we must pass legislation within this year, which meets President Obama's reform priorities. I also sumbit that our argument and support for a single-payer system, or a pure public option, or a cooperative public option, should be offered as an efficient/necessary method to achieve one of the reform priority goals, RATHER than a priority goal in and by itself."

Podcast: T.R. Reid on Fresh Air, Congresswoman Lynn Woolsey on KQED

Classics Major, Former Naval Officer, and Journalist T.R. Reid compares health care across nations - it's an incredibly entertaining and informative podcast:

Congresswoman Lynne Woolsey was on KQED this morning discussing health care reform. It's also worth a listen.

Tuesday, August 25, 2009

Upcoming Physician/Economist Seminar

We're very pleased to announce that several of the highly regarded UCSF physicians you requested have now accepted the invitation to speak at our upcoming seminar. 

The seminar will cover what the Congressional Budget Office continues to ignore in its estimates: the significant savings that will accrue from the provision of basic primary and preventive care for the general population.

We are awaiting word from the economists who were invited, and should be able to announce the final speaker panel within this week. 

In terms of dates/locations, we are aiming for mid-September at a downtown San Francisco location. Several videographers have already stepped forward to provide their services, so the event can be distributed via youtube and vimeo. These videographers have pointed out that we can always use more cameras on site, so please feel free to contact me if you would like to join the other videographers in recording the event.

Sunday's Montara Town Hall: Wherein Jackie Speier Meets Latka Gravas

What’s it like to Attend a Town Hall Where The Majority Is Actually on Your Side? 

The Scene:

Early Sunday morning, I pedaled down to beautiful Montara, California, the site of Congresswoman Jackie Speier’s Health Care Town Hall. 

I was armed with a change of clothes, a bicycle pump, and – from Feinstein 1200 member “Ed” – an excellent question for Congresswoman Speier.

Ed’s question, which addressed how the lack of access to primary care has resulted in outrageously expensive emergency room care, managed to express many of the concerns I’d received from the Feinstein 1200 about the short-term thinking inherent in our current system.

The Town Hall was set up at the Farallone View Elementary School playground - a huge space. I’d arrived an hour before the town hall started, but the seats were already filling up with health care reform supporters wearing OFA stickers.  It was a remarkable turnout estimated at 700 people, with quite a few “Feinstein 1200’ers” in the crowd. 

The audience had the nervous high spirits reminiscent of high school basketball games. Police presence was kept at a minimum at the request of Speier’s office, which was both fiscally responsible (no overtime!), and appropriate, given the crowd.

The Ratios:

There have been some reports online that the audience for this Jackie Speier event was “95% pro-health care reform.” But SEIU organizer Doug Jones more realistically estimated it as 75%. Regardless of the specific percentage, the audience was overwhelmingly in support of health care reform. And that, as Jones remarked, provided excellent crowd control all by itself. (As well as the kind of media images we’ve been missing. Fortunately, C-SPAN was there.)

Our Question:

I caught D., one of the Feinstein 1200 who is part of the Silicon Valley Action Network, and ran Ed’s question by him. D. thought that Ed’s question might be misinterpreted or warped by HCR opponents, who have been quick to turn any discussion of emergency care into a trope about “illegal immigrants in the E.R.” Given that C-SPAN was there, D. helped me to build on the question, adding a point about the Congressional Budget Office’s failure to adequately assess the savings that would accrue from the public option, which neatly complemented Ed's point.

The Play-by-Play:

To begin the Town Hall, the local boy scouts led the Pledge of Allegiance, after which Speier’s office introduced a group of schoolchildren who grow organic vegetables. These adorable displays of wholesomeness set the tone. Who could assail Congresswoman Speier as some kind of “socialist” after this display of tow-headed children, American flag, and home-grown string beans?

And yet they tried. Health care reform opponents, while in the minority, were strategically spread throughout the seats, and not just in the back, as their signs would suggest.

And to be in the front, I learned, is to have your question addressed. Due to the canny placement of the opposition near the front, there was an over-representation of their questions. But Jackie Speier used this to her advantage, smartly dispelling some of the more ludicrous ideas. I did not hear any questions regarding “death panels” although others did, and there were some equally ironic concerns about “government meddling in Medicare.”

As Jackie Speier neatly pointed out to a constituent who requested the definition of single payer: “What is single payer? Single payer is Medicare.”

Paid Operatives?

I have previously disagreed with the contention that the tea party people are paid operatives, and have believed most of them to believe what they say, however misguided. But seeing actual scripts held by some of the opponents, and the rote huffiness with which their words were delivered, challenged my previous view.

Microphone Tricks:

It turns out not to be that easy to get called on during a town hall; I did a fair amount of jockeying to get to the microphone before the meeting ended. You should be able to see the question, and the rest of the Town Hall, on C-SPAN on Wednesday.

The question was received well, despite my ridiculous stammer, because it managed to tie together so many of your points into one statement. 

(Per my not-ready-for-prime-time delivery, it may amuse you to turn the sound off and dub in Andy Kaufman's Latka Gravas from "Taxi", bearing in mind the fact that Kaufman's original act only got booked because the audience felt empathy for such a hapless performer.) 

The gist of it was:

“We are concerned that the CBO (the Congressional Budget Office) has failed to consider the enormous savings that would accrue from the public option. These savings need to be considered. Please, when you return to Washington, please tell the CBO to look at the overall costs and savings associated with this.”

Then I got back to Ed’s point: The failure to provide basic primary care, I said, had resulted in enormous costs for the state through emergency care.  And it was holding back our economic recovery in more than a few ways.

Bringing in another Feinstein 1200’er’s voice, I added: Small businesses, which are the real engine of the U.S. economy, are unable to innovate when they are stuck with the burden of providing health insurance to employees.

I closed with the examples of Germany and France, both of which are already recovering from the economic downturn, in part thanks to the fact that their businesses are free to be businesses, rather than health care insurance providers. 

The realistic response from Jackie was that the CBO wasn’t going to be too impressed with criticism from a junior Congressperson. Well, if Jackie can’t do it, we should create the groundswell of criticism about the CBO’s short-sightedness.

Why Keep Pushing the Fiscal Conservatism line? (Beside the Fact that We're Up to Our Necks In Debt?)

Making the fiscally conservative, pro-small business argument for health care reform may be our best weapon, as it hits them in the most sensitive area. Instead of being defensive, it’s patriotically pro-business. It’s even stronger when we can link it to the competition we face from all the other developed nations that already provide basic health care for all citizens. (Don’t ask me why the moral arguments don’t work for the opposition, they just don’t.)

Best Question. Ever.

I thought the most salient question from the audience was a woman who asked: “What can we do to help you to win this, Jackie?” I’ll give you Jackie’s answer in the next newsletter, but it’s one I think we should be pondering first ourselves. What is our role as citizens? Did we think we were just going to send these people to Washington and they would magically make the problems go away without our active participation?

If we’re not in the streets applying pressure and/or support for our representatives, we can’t complain when the GOP wins in 2010.

Jackie's Message To You/The Follow-Up:

On Monday, I spoke with Mike Larsen, Congresswoman Speier’s Communications Director, to follow up on some questions one of our members had from the Friday meeting. To clarify one of the simpler points: Jackie Speier was among those who signed the letter urging Speaker Pelosi that any bill passed should contain the public option.

But she did not “pledge” to vote against any bill that didn’t include the public option.

I told Mike Larsen that, regardless of the language used, I felt that Jackie Speier was strongly supporting the public option, and her fierce handling of the town hall had essentially confirmed that for me.

“But what,” I asked, “does Jackie have to say to those of us who don’t feel that way - who might understandably feel like giving up without a hard-set promise?”

Mike Larsen: “The message is: it’s not over yet. Keep fighting.”

Why should you keep fighting on faith? As my friend the oncology nurse asked me, “I want to know why I’m engaged in this battle – it’s not because I’m a nurse, it’s something deeper.”

I know how she feels. In the decades that our generation shunned activism and entered the corporate workforce, I still kept under my work calendar a picture torn from a magazine. It was the iconic photograph of a civil rights worker being attacked by two police dogs in Birmingham. You know the picture. His body is limp after the fire hoses were turned on him, but the expression on his face is resolute.

I kept the picture all those years, because I didn’t understand what motivated that man’s courage, and I never will. But if he could withstand that, with no discernible victory in sight, how can we give up on this so easily?

Thank you for not giving up,

Eva

 

Events Where You Can Support Health Care Reform


I just spoke with Gia Calvillo of Organizing For America - the September 2 rally planned for Oakland has now been canceled in order to have a larger combined rally in San Francisco. 

To reflect that combined effort, the San Francisco rally has now been renamed the "Bay Area Congressional Send Off Rally for Health Care.") 

It will be held on Wednesday, September 2,  5:00 p.m. to 7:00 p.m. at San Francisco's City Hall, which is very easily accessible from the Civic Center BART station in San Francisco.

There is still a Fresno rally on September 1 at 4:30 p.m. at the Fresno Amtrak Station.

Because OFA events have been change faster than I can update them, I will only post major OFA events, such as the September 2 Rally.  I recommend consulting this site for OFA events in your area. 

http://my.barackobama.com/