PNHP endorses Jayapal's new bill

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    • #23698
      eridani
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      • Total Posts: 10,257

      About PNHP

      The House bill is being revised under the leadership of its new chief sponsor, Rep. Pramila Jayapal (D-Wa). PNHP played an important consultative role in the redrafting process. There were initial concerns that the revised House bill might replicate some shortcomings of the Sanders bill, which (unfortunately) adopted current Medicare payment strategies for hospitals and physicians. At the same time, however, H.R. 676 had notable shortcomings, notably its failure to explicitly cover the full spectrum of reproductive health care.

      The revised House bill will launch soon (under a new bill number), and I’m happy to report that drafts reviewed by PNHP leaders indicate that it will be a strong, though not a perfect bill.

      The revised bill includes almost all of H.R. 676’s key provisions: It will eliminate all copays and deductibles; cover long-term care; exclude private insurers; and reform hospital and physician payment as PNHP has long recommended, adopting global budgets for hospitals and eliminating Medicare’s value-based payment approach, which has added waste but little value to the system. The bill’s two-year implementation period is a bit longer than in H.R. 676. However, it improves on H.R. 676 by overriding the Hyde Amendment that bans public funding of abortion, and includes an additional mechanism to control drug prices—allowing the override of drug patents when drug firms demand extortionate prices—a provision recommended in PNHP’s recently launched pharmaceutical proposal.

      The bill has one disadvantage compared to H.R. 676: Although it constrains opportunities for profit-making by investor-owned hospitals and other providers, it lacks a mechanism for the orderly transition of these facilities to not-for-profit status. We fear that managers of for-profit hospitals and nursing homes faced with a ban on profit-making would either circumvent the ban through subterfuge, or convert their real estate to condos or office space, depriving communities of vital health care facilities. In contrast, H.R. 676, following PNHP’s advice, included a provision for a bond-funded buyout of these facilities.

      Given the new bill’s strengths, PNHP’s Board recently voted to endorse it. We are also calling on legislators to co-sponsor the bill, and we encourage you to call your representative at (202) 224-3121 and amplify our request that they become an early co-sponsor, and vocal supporter, of improved Medicare for All. At the same time, we will continue to publicly advocate for improvements in both the House and Senate single-payer bills.

      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

    • #24458
      eridani
      Participant
      • Total Posts: 10,257

      Jayapal Says Medicare for All Bill Coming in Two Weeks as Expert Calls Plan ‘Astonishingly Strong’

      https://www.commondreams.org/news/2019/02/14/jayapal-says-medicare-all-bill-coming-two-weeks-expert-calls-plan-astonishingly

      “Medicare for All is the solution our country needs. Long-term care, mental health services, women’s reproductive health. All without co-pays or deductibles,” declared Jayapal, who sent a letter to her House colleagues this week urging them to sign on to the legislation. “Join me in two weeks and let’s make history with the Medicare for All Act.”

      Speaking to the Washington Post, Jayapal said she expects to introduce her bill with at least 100 original co-sponsors.

      “Count us in!” said National Nurses United (NNU), which has been holding “barnstorms” nationwide to build grassroots momentum for single-payer. “Thousands of nurses and healthcare activists who participated in the National Week of Action are fired up and ready to do what it takes to pass the Medicare for All Act of 2019.”

      In an analysis of Jayapal’s legislation and the broader fight for Medicare for All in Splinter on Thursday, single-payer proponent and health policy expert Tim Faust offered strong praise for the Medicare for All Act after reading an overview of the bill.

      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

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