Healthcare is a Human Right! Maryland Campaign 2012
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Transcript of Healthcare is a Human Right! Maryland Campaign 2012
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Healthcare is a Human Right! Maryland Campaign 2012
Eric Naumburg, M.D., M.P.H
PNHP Maryland
Healtcare-Now! Maryland
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Maryland Demographics
Population 5.8 Million Median Income 3rd highest Blue State Government Workers (Federal, State) Diverse Population Wide variation in medical outcomes
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Number Uninsured in Maryland 2006-2011
500000
587500
675000
762500
850000
2006 2007 2008 2009 2010 2011
Year
Nu
mb
er
Un
insu
red
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Maryland Uninsured 2011
• 802,000 (Current Population Survey)
• 13.8% of total population• Estimated deaths 800 (9th leading
cause)• 2007 Reforms fail lower uninsured
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Maryland Private Health Insurance MarketPercent of Total Premiums in 2008
• Carefirst - 54%
• Aetna - 15.6%
• Cigna - 13.7%
• Kaiser - 8.1%
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Maryland Health Security Act
Canadian Style Single-Payer SystemIntroduced 4 yearsNumber of co-sponsors stable2010 closest to getting out of committeeReached a plateau of support
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“Financing the Maryland Health Secuity Act”Gerald Friedman, Ph.D.
February 2012
Ideal System incorporate all government programs folded in24% Savings Possible Current SystemInsures Everyone; Save 15% ($7 Billion) 1st yearExcellent Benefits Package -dental, Rx, vision, mental health/addiction, home health, etc.; no expansion of long-term care.
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Time for a Change
• Lobbying by itself is not working
• Human Rights Approach (Vermont)
• Save our money and hire a full-time community organizer
• Strategic Alliance Formed of 3 Groups
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• The United Workers is a human rights organization led by low-wage workers.
• Founded 2002 Eutaw Street Shelter• Living Wage Stadium Workers 2007• Declared Human Rights Zone Baltimore Inner
Harbor 2008• Fair Development and GGP• 501[c]3 corporation
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• Revitalized 2008
• Maryland Health Security Act
• Lobbying State Legislature
• Economic Impact Study
• Fundraising
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Healthcare-Now! Maryland
•1992 United Healthcare Action Network (UHCAN) formed loose
alliance, national focus. Citizens group.
• 1994 Wellpoint attempts to buy non-profit Carefirst BC/BS of
Maryland and fails; UHCAN opposes buyout.
•Name changed to HCN result of split (SP vs. Incremental),
RWJ Grant
• State Mandated Audit Reveals Carefirst databases deny 20%
to 29% clean claims (2007); a result of the buyout opposition.
•2010 Becomes chapter of Healthcare-Now!, a 501.c.4
•Works closely with Maryland Chapter PNHP
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Guidance/Learning
• NESRI - National Economic & Social Rights Initiative; partnership approach to local groups; 4 areas of emphasis education, health,housing, work with dignity
• Vermont Workers Center
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Memorandum of Understanding
“HCN, PNHP and UW share a vision for health care as a human right, provided as a public good by a publicly funded and administered single payer health care system. HCN, PNHP and UW are coming together to create a broad-based grassroots movement as the foundation for achieving this vision in Maryland.”
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MOU: Structure of Document
• Parties to the MOU• Purpose• Statement of Mutual Benefit• Interim Governance Structure• Responsibilities of Parties• Information and Data Sharing• Funding and Cost Allocation• Dispute Resolution
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Human Rights Principles• Universality: Public policies must ensure that everyone’s
human rights are protected and their fundamental needs met. Everyone is included.
• Equity: Public policies must enable equality of opportunity and outcome with regard to protecting human rights and meeting human needs. Everyone contributes what they can and gets what they need.
• Public Goods: The services, goods and infrastructure necessary to realize human rights and meet human needs must be treated as public goods, not as commodities. Public goods belong to everyone.
• Participation (Power/Accountability): Policies must be accountable and ensure the participation and power of the people. Everyone is empowered to participate and to hold public and private sectors accountable.
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Objectives for Campaign• Independent HCHR Movement• Statewide Grassroots Organizing Campaign• One or more Regional Committees in all 23
counties and Baltimore City• Hire Full Time Community Organizer - Done • Report based on surveys (NESRI) in 2013• Leadership Training Curriculum• De-emphasize Legislative Lobbying 1st yr.
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Campaign Activities
• Canvassing: survey and photo petition
• One-on-one conversations
• Building Regional Committees
• Story Telling Tools
• Outreach events - Kickoff Dec. 15th
• Local Human Rights Forums
• Speakers’ Bureau
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Committees to be Formed
• Policy
• Media
• Organizing and Education
• Fund Raising
• Permanent Governance Structure
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