By Stephen Janis
Sitting in the Common Ground coffee shop in Hampden Friday afternoon, pediatrician Eric Naumberg displays the low-key mannerisms of a doctor who could heal the sick simply by imparting a bit of his own personal serenity.
But Dr. Naumberg's calm bedside manner, the result of years of delivering babies in the Baltimore region, did not dissuade officials at Maryland Care First from having the physician arrested and tossed into the city’s Central Booking facility during a protest in October over health care reform at the company’s Canton offices.
Naumberg, and his colleague Dr. Margaret Flowers, also a pediatrician, were cuffed and charged with trespassing after they sat down on the floor in the lobby, refusing to leave.
Now, having just completed their community service Friday at the city's 28th Street dumping station, both doctors said they were forced to endure the blunt end of the U.S. justice system to call attention to the fact that the debate over health care reform is lacking.
“The real solution is a single-payer system,” Naumberg said. “It provides universal access to care, and saves money.”
They argue much of the U.S. spending on health care goes to fatten the pockets of highly paid health care executives, not to the care of patient. With a single-payer system, hospitals, doctors and other health care providers would bill the same government-run organization, similar to the way Medicare operates. Proponents say the system would reduce paperwork, and most importantly save money by eliminating the so-called corporate middleman, who soaks up between 15 to 30 cents of every health care dollar spent in the United States for administrative costs.
“Doctors spend on average $70,000 per year just processing paperwork for insurance companies,” said Flowers, who has been arrested twice for protesting,
“The estimate is that we would save $400 billion a year if we went to a single-payer system,” Naumberg said.
But since the democratic party leaders abandoned the single-payer idea early in the health care reform debate, both doctors said health care providers who support a single-payer system have been left out of the debate.
That’s why the two physicians joined a group of nearly 17,000 health care providers nationwide who believe the single-payer system is the answer. Unfortunately the organization has had a tough time getting a seat at the table.
“There were 41 health care lobbyists and insurance company representatives who testified in front of Senator Max Baucus' Finance committee,” Flowers noted.
“But they wouldn’t let one person from our organization testify.”
Thus Flowers staged a sit-down protest in the Senate in August, resulting in her first of two arrests. The first for which she pled guilty.
“I’m still on probation,” she said.
Much of the problem, the doctors argue, has been media coverage that has failed to adequately inform the public about the benefits of the single-payer system.
Former Green Party candidate Kevin Zeese agrees. “No question. Television and newspapers [both struggling] are dependent on insurance and pharmaceutical advertising and there is a great deal of interlocking boards between the industry and newspapers,” said Zeese, now executive director of a web site called the Prosperity Agenda.
The savings from using a single-payer system, Zeese said, would be more than enough to offset the cost of insuring the 41 million Americans who currently do not have health insurance.
“The U.S. has double the number of insurance agents than doctors. Hospitals often have one insurance billing agent per bed, more administrators than nurses [who are very overworked],” Zeese said.
“Doctors spend 3.5 weeks a year dealing with the insurance industry and 20% of their overhead. Businesses also have overhead with insurance. And, consumers have to fight to get covered, wasting a lot of their time. Medicare's overhead is 3%, in comparison.”
A spokesperson for the national lobbying arm of Blue Cross Blue Shield America, said private insurers' overhead had has been exagerrated.
"Health plans’ costs to administer benefits represent an average of only 9 percent of premiums across all policies sold," said spokesperson Kelly MIller, citing a study by the Shelock Company released in October,
But Zeese said the true beneficiaries of the current bill will be insurance companies, not the uninsured.
“It should be called The Insurance Enrichment Act because it is primarily a massive giveaway to the insurance industry. It will result in hundreds of billions in annual new revenue to the industry.”
A spokesman for CareFirst Maryland said his company had nothing to do with the arrest of either doctor.
"We -- CareFirst -- did not have Dr. Naumberg or any protester arrested, no matter what they may contend. Dr. Naumberg and other representatives came into the lobby while the main body of protesters remained outside the building. I -- as a representative of CareFirst -- spoke to Naumberg and the group. I then left and CareFirst played no role in their arrests," said Michael Sullivan, spokesman for CareFirst in Maryland.
"CareFirst is merely a tenant in the building and played no role in the protesters' arrests. Any decision to have them arrested for trespassing was made either by the Baltimore City police or the building management. "
Still., Naumberg said he believes there would be wide public support for a single-payer system if people knew the facts, a notion confirmed during his eight-hour stint behind bars at Central Booking.
“Once the other inmates knew what we were doing, they were very supportive,” he said.
“The irony is in prison it is illegal to deny someone health care,” Flowers added. “Outside of jail, you’re on your own.”
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This was an act of peaceful civil disobedience. We are trying to raise awareness of the profound advantages of a single payer system. Having no health insurance is lethal for far too many people and also hazardous to your health if you have a chronic illness. Those without health insurance have a 40% greater risk of dying annually according to a recent Harvard study, that's 45,000 Americans.
The efficiencies in a single payer system go beyond administrative waste involved in billing and obtaining payment for services. The outrageous prices we pay for pharmaceuticals is another source of savings as is the cost of durable medical equipment.
Under "medicare for all" system people will have far wider choice of doctors and the delivery system remains mostly private and/or non-profit.
I think Mr. Janis portrayed our main point very well; the healthcare system is unsustainably broken and the current "reforms" build on what is wrong with the system; for profit health insurers.
The private health insurance corporations are inefficient by design. They spend huge sums on administrators who are paid to deny care in order to retain the most dollars as profit.
Medicare is an efficient way to pay for medical care. It has been around for 44 years and when it comes to accuracy in processing claims, it is better than private insurers. When it comes to allowing doctors and patients to choose their treatment without interference, Medicate functions much better than private insurance.
Economic studies have been performed by the General Accounting Office and Congressional Budget Office in the early 90's, all showing savings under a single publicly-funded health system.
Multiple economic studies have been performed looking at state single payer systems since 2000 by reputable organizations such as the Lewin Group and Mathematica. All of these have shown substantional savings with single payer.
And finally, these studies are consistent with the decades of experience with publicly funded systems around the world which provide needed health care to almost all of the people living in their countries for 1/2 to 1/3 what we spend in the US per capita and they have better health outcomes than we do (we are ranked 37th overall, 38th in infant mortality, 41st in maternal mortality and 19 out of 19 for preventable deaths).
For more information or to see these studies, go to www.pnhp.org.
PS - Thanks for nothing to our representatives. Just keep funding your favorite programs, while the little people loose their jobs. Can't wait until this health care bill is in place and all those health care employees flood the market looking for jobs. Good stimulus program
1. It is amazing how people still believe in big business capitalism as if it were efficient -- even after they caused an economic collapse. The insurance industry is very inefficient plus they overspend. The average CEO salary is $11 million. Under the Dem bill struggling working Americans will be forced to subsidize these salaries. Medicare has proven that government is more efficient than industry when it comes to administering health care. Why people are blinded by anti-government philosophy or pro-business philosophy and can't see the facts -- Medicare is highly efficient, not perfect but much better than private insurance. Stop the rhetoric and look at the facts.
2. Thank you to Delegate Jill Carter who handled the cases pro bono and who plans to introduce legislation for more transparency in insurance. California is the only state that requires reporting of issues like denial of doctor-recommended care. They found that 21% of the time insurance refuses to pay for what a doctor orders. That is another thing you do not see with Medicare.
Kevin Zeese
www.ProsperityAgenda.US