APN Chat with US Rep. John Conyers (D-MI) on Health Care
(APN) ATLANTA — US Rep. John Conyers (D-MI) made Atlanta his first stop on Wednesday, May 27, 2009, as part of his six city, five day tour across the country to visit hospitals, speak with doctors and nurses, and listen to stories from US citizens struggling to pay for healthcare.
As part of the tour, Conyers is also promoting his legislation, HR 676, which would implement a single payer healthcare system that would be available to all US citizens.
After a press conference and rally in front of Grady Memorial Hospital, Atlanta Progressive News sat down with US Rep. Conyers and his legislative counsel Michael Darner to talk further about single payer healthcare.
The Michigan Congressman, who is also Chairman of the US House Judiciary Committee, recalled APN from our extensive coverage in 2006 and 2007 of his legislation to look into possible grounds for impeaching former President Bush. APN is well-regarded, he said.
Why is single payer the best form of healthcare delivery?
Essentially, it distinguishes itself from insurance. Insurance is something you have to be able to purchase and you’ve got a policy and you get terms.
Unless you are a doctor and an accountant, you could read that insurance policy and not have [any] idea of what you’re covered for and what you’re not.
Single payer takes the what was once the revolutionary step – now every industrial nation on the planet does this — is that you’re born into a country with total health coverage which is totally unconnected to your employer and the amount of money you earn. You get a card and that’s it.
President Obama has said a single payer system would bankrupt the country? How do you respond?
What I’ve heard him say is that if we didn’t already have a system, if we were starting out all over again, that single payer would be the best. He said that we’re not starting out all over again and we’ve got to build on what we’ve got.
This is a long cry from his earlier statements in which he totally committed himself to a single payer system. But, you know, this is then and this is now.
People modify their positions but he understands…
He’s the smartest political person in the United States but some of the people around him are not the smartest people in their positions. As a result, some of his advice is less than perfect.
Single payer brings everybody into the system just by being alive and born in America but we also do something else: we disconnect from any employer. It is not employer connected. We sever that connection.
Another thing we do is that it doesn’t require an assurance. You’ve got everything understood and I mean everything.
So you can just go to a hospital and get what you need?
Right, right. Present the card and establish who you are.
Do you think HR 676 might have a better chance with stronger Democratic majorities in Congress and a Democratic President?
Yeah, it gets stronger and stronger as we go along. The best impetus we’ve got is by Obama becoming the 44th president. That changes the whole terrain completely.
Now within the Congress, there are different Conservative factions that are not willing to take this step.
How do you bring skeptical Republicans and Democrats to your side?
By having open discussions with them in terms of what their alternative is as opposed to what we present.
The truth of the matter is that many people don’t scrutinize the legislation, including members of Congress. So what we do through public discussion, that’s why I’m inviting Congressman Gingery (R-GA) to a discussion in his district here in Georgia about the merits of my plan and whatever merits that are in his plan, if he has one.
So that’s going to change a lot of people. I mean, wow. He’s a doctor. Presumably he knows what I know and hopefully more.
We’re gonna call him after lunch and then we’re going to send him a letter.
Does a person have the choice of opting out of a single payer system? If not, would he ultimately be paying for two plans?
I don’t know the answer to that. I turn to my esteemed colleague.
Darner: 676 is financed through a combination of a payroll tax increase, rolling back the Bush tax cuts, small tax and bond transfers. There are a couple of other possibilities. The bill doesn’t mandate a particular type of financing but those are sure the ones we’re talking about.
In addition to what people pay for their Medicare and their payroll and their Social Security, we add 2.3 percent payroll tax.
What 676 does is it bans insurance companies from providing benefits that mimic the program. Essentially it does ban [insurance companies] from providing health insurance. They can provide other things to you, if they’re in the business of life insurance, insure people’s pets, something like that.
We do allow for supplemental insurance, things like plastic surgery that aren’t covered in the benefit package of a single payer system, you could get covered by that.
You’re not going to be able to get a health insurance package that mimics the benefits of the program and even if you bought supplemental insurance, you’re still paying through the payroll tax system into the system.
So there’s no incentive even if you had the option to buy into the private insurance system.
There seems to be a lack of single payer advocates who have been allowed to participate in hearings and forums on healthcare so far [in the US Senate]… Why do you think these folks are being left out of discussions and hearings?
Because [single payer opponents] know it’s the best plan. The whole idea is to take a half step rather than going all the way and you can’t take a half step if you have a full and honest examination of let’s do it all.
There are also a number of legislative necessities that are built up around the plan. We need more primary care physicians. We need a redistribution of public health hospitals and community clinics. We need far more nurses.
We’re importing the nurses when we could easily [train our own nurses] with more nursing schools and higher compensation for nurses. The teachers in nursing schools make less than the future nurses they’re training.
This is so obviously correctable that you say why are we bringing in hundreds of thousands of nurses from the Philippines as if there is something disabling [about] training our own nurses.
You need companion pieces of supporting legislation.
Is HR 676 scheduled to come up for a hearing anytime soon?
That’s what we’re setting up when you go back from [Memorial Day] recess. We’re down to whether we’re going to meet with each of the individual committees, which is what I want to do, or whether we’re going to meet with all the committees in the House and all the committees in the Senate.
I’d rather meet with the committees as a smaller and more intimate [setting]. You put all [the House and Senate committees combined] in a room and they’re gonna look at their watches and miss half of what you’re saying anyway.
Could you have more meetings with the single payer advocates and get them into question and answer sessions with lawmakers?
What I’d like to do is bring in the team of our cosponsors of 676 and some of our leaders in the medical profession, scholars of medicine, experts outside of the legislative process to sit with Obama.
[NOTE: Darner told APN after the interview that Conyers, along with other members of Congress, recently met with Majority Leader, US Rep. Steny Hoyer (D-MD), who said, “the [Democratic] leadership was committed to incorporating single payer into their discussion efforts that they’re having officially and that they were going to make a serious effort to include single payer experts in the committees of jurisdiction when they’re talking about healthcare.”
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