On What Just Happened to Medicare for All in California—and the Organizing We Need to Win

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    • #470588
      eridani
      Participant
      • Total Posts: 11,935

      https://www.commondreams.org/views/2022/02/08/what-just-happened-medicare-all-california-and-organizing-we-need-win

      The Assembly Speaker required the AB 1400 author, Assembly member Ash Kalra, to develop a financing plan as a condition to move the bill through the legislative process. After eight months of work, Kalra complied in late December. With the introduction of the financing plan, known as ACA 11, the debate focused on the taxes necessary to replace the current premiums, co-payments, and deductibles: the media narrative adopted the industry perspective and highlighted the supposed costs of single payer.

      No one mentioned that the “private taxes” workers and employers pay for healthcare are the greatest financial burden faced by the middle class, as the Commission had shown. Nor did we hear about the much greater expense of the present system ($517 billion in 2022!) even though it provides less benefits, is hugely inequitable, and includes out of pocket costs of $2000 per year from each Californian just for the administration of the commercial insurance system. AB 1400 proponents didn’t utilize the very favorable studies and analysis provided by the Commission—the Los Angeles Times pointed to one study after the fact, but it’s not just “supporters” who assert single payer will cost less (see researchers from UCSF review of 22 financing studies, 20 of which show savings from single-payer).

      Much has been accomplished. AB 1400 supporters organized the most comprehensive grassroots digital lobbying campaign ever, building a key infrastructure for future campaigns. The bill received significant endorsements, though the organizations including unions, that provide campaign funding and volunteers to elect Democrats did not make AB 1400 a priority. Organizational capacity to take on the industry was insufficient. There is also not a sufficient working-class base, particularly in non-union workplaces and during labor disputes, demanding single payer as the solution to the on-going healthcare crisis, and especially to the inequities exposed by the pandemic. We need to bring the diverse healthcare reformers who are in Sacramento everyday urging immediate improvements to pressure legislators for single payer. We need to be able to persuade and if necessary, force politicians to guarantee healthcare—not simply adopt “universal coverage” with all its gaps and disparities—whether they or their donors want to or not. That takes greater organizational and institutional support, and base building, in addition to activist mobilization.

      The message environment matters, and single payer proponents are not winning the media narrative. Our slogan could be “We Care, They Scare. Better Healthcare, Not Bigger Profits.” We must educate and inoculate voters, which takes door-knocking, earned media and paid ads, funded by tens of millions of dollars over a few years. Once the industry funded TV campaign begins against a ballot initiative—and we can expect based on recent ballot fights $200 million to publicize their lies about high costs, taxes, unreliability, lost jobs and limited choice under single payer—we’ll need to be on TV, too.

      Jesus: Hey, Dad? God: Yes, Son? Jesus: Western civilization followed me home. Can I keep it? God: Certainly not! And put it down this minute--you don't know where it's been! Tom Robbins in Another Roadside Attraction

    • #470634
      GZeusH
      Participant
      • Total Posts: 5,508

      You’ll never spend as much on advertising as the industry that turns insurance premiums into advertising dollars.  First, get the money out of politics, then maybe you have a fighting chance.

      Hitler 1944: Kiev is to be held to the last man.
      Biden 2022: Kiev is to be held to the last Ukrainian.

      • #470676
        djean111
        Participant
        • Total Posts: 8,713

        legislate themselves away from the trough.

        America is not a country, it's just a business. (Brad Pitt, Killing Them Softly)

        "Sometimes when I try to understand a person's motives, I play a little game. I assume the worst. What's the worst reason they could possibly have for saying what they say and doing what they do? Then I ask myself, 'How well does that reason explain what they say and what they do?'" GRRM

        A YouTube comment – we need new conspiracy theories – the old ones have all come true.

        • #470686
          GZeusH
          Participant
          • Total Posts: 5,508

          Haven’t heard that one before; I must be living under a rock.

          And you are right, as long as money buys politicians, “industry funded TV campaigns” will get what they want.

          Hitler 1944: Kiev is to be held to the last man.
          Biden 2022: Kiev is to be held to the last Ukrainian.

          • #470701
            djean111
            Participant
            • Total Posts: 8,713

            cracks my shit up.  Sorry!

            America is not a country, it's just a business. (Brad Pitt, Killing Them Softly)

            "Sometimes when I try to understand a person's motives, I play a little game. I assume the worst. What's the worst reason they could possibly have for saying what they say and doing what they do? Then I ask myself, 'How well does that reason explain what they say and what they do?'" GRRM

            A YouTube comment – we need new conspiracy theories – the old ones have all come true.

    • #470643
      djean111
      Participant
      • Total Posts: 8,713

      for or against.  There will always be something that prevents it from happening.  Deliberately.  Throwing money at it will not help anyone but the media.  We are talking about “voter outreach” when the head of the Democratic Party, ostensibly to be sure, said M4A would be vetoed if it somehow reached his desk.  and the Democrats fucking right well KNOW how our health “care” system hurts people financially and physically.  They just do not care.

      Yes, I know this is at the state level, but it still is Dems, and I seem to recall the M4A was stopped with pretty much this same method – here is a blog or article from 2012, for example.  Advocates throwing more money at it.  The comments are really good about why that is likely futile, as is voting in more politicians who are for M4A.

      https://www.healthcare-now.org/blog/why-did-single-payer-health-care-fail-in-california/

       

      America is not a country, it's just a business. (Brad Pitt, Killing Them Softly)

      "Sometimes when I try to understand a person's motives, I play a little game. I assume the worst. What's the worst reason they could possibly have for saying what they say and doing what they do? Then I ask myself, 'How well does that reason explain what they say and what they do?'" GRRM

      A YouTube comment – we need new conspiracy theories – the old ones have all come true.

    • #470665
      Ohio Barbarian
      Moderator
      • Total Posts: 24,981

      They won’t because they are corrupt. They’re bought and paid for. This is just another effort to separate well-intentioned people from their money.

      Never let your morals stop you from doing the right thing.--Isaac Asimov

      The United States is also a one-party state but, with typical American extravagance, they have two of them.--Julius Nyerere

    • #470717
      snot
      Participant
      • Total Posts: 1,517

      E.g., the media obsesses about the energy involved in Bitcoin, but never calculate the energy consumed in the dollar system; or we talk about the expense of converting to green energy while ignoring the incalculable, externalized costs of dirty energy in the forms of environmental degradation and species extinctions.

       

       

      Destruction is easy; creation is hard, but more interesting.

    • #471386
      Snort McDork
      Participant
      • Total Posts: 5,583

      …Ain’t shit going to happen. Don’t remember his name, but did hear he has killed a previous attempt to bring healthcare to the state. And don’t get me started as I may have to come up with $819 for a dental surgery that insurance won’t pay. Damn this pisses me off.

      I'm Snort McDork and I approved this message.

      "I like Birdy Num-Nums"

      If you come for Nina Turner, Your ish better be airtight like Tupperware" -Rashida Talib

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