Speaker Nancy Pelosi
November 6, 2009
Press Release
Pelosi Statement on Congressman Anthony Weiner’s Single Payer Alternative
Washington, D.C. – Speaker Nancy Pelosi issued the following statement today on Congressman Anthony Weiner’s single payer alternative:
"Within the next few days, the House will vote on the most comprehensive health care legislation in our history. Our bill will provide affordability to the middle class, security to our seniors, and responsibility to our children by not adding a dime to the deficit. While our bill contains unprecedented reforms, including an end to discrimination for pre-existing conditions and a prohibition on raising rates or dropping coverage if you become ill, our bill cannot include provisions some strongly advocated. The single payer alternative is one of those provisions that could not be included in H.R. 3962, but which has generated support within the Congress and throughout the country.
"Congressman Anthony Weiner has been a forceful and articulate advocate for the single payer approach and our legislation. His decision not to offer a single payer amendment during consideration of H.R. 3962 is a correct one, and helps advance the passage of important health reforms by this Congress. While single payer, like other popular proposals, is not included in the consensus bill we will vote on this week, Congressman Weiner has been a tireless and effective advocate for progress on health care, and his work has been a vital part of achieving health care reform."
Committee on Energy and Commerce
Chairman Henry A. Waxman
November 6, 2009
Chairman Waxman's Statement on Rep. Weiner's Single-Payer Amendment
Today Chairman Henry A. Waxman released a statement in response to Rep. Anthony Weiner's decision not to offer a single-payer amendment to the House Democratic health care legislation.
"Rep. Anthony Weiner has been one of the most tireless and effective advocates for health care reform. His decision not to offer his amendment on the floor was a difficult one for him, and for supporters of the measure. I believe Rep. Weiner's choice will be enormously helpful in passing the health care reform package. His step is a correct and courageous one. I thank Rep. Weiner for it, and look forward to working with him closely. Rep. Weiner deserves a great deal of credit for helping to make quality, affordable health care more available to millions of Americans."
Comment by Ida Hellander, M.D., Executive Director, Physicians for a National Health Program:
Next steps and interpretation -
1) The fact that single payer got so far along in the House is a testament to the strength of our single payer movement. The huge number of calls by single payer advocates in support of single payer and the Weiner amendment in recent days have been noted by several members of Congress.
2) It appears that nobody, particularly the President, expected our single payer option to be alive in the Congress for so long. As you know, they attempted to keep it "off the table" from the very beginning.
3) The President was directly involved in the decision to not hold a vote on the Weiner single payer amendment, and Weiner will be meeting with him later today. Stay tuned.
4) We need to increase pressure on the Congress and the White House for Medicare for All through lobbying, civil disobedience, media outreach, and grassroots organizing. Sen. Sanders will call for a vote on single payer in the Senate - this could come up anytime in the next month. Encourage your Senator to support the Sanders bill and also an amendment he will offer for a state single payer option. The California Nurses Association/NNOC has already started lobbying visits in the Senate in D.C.
5) We have been asked how to tell members to vote on the House bill. Our response is that the bill is "like aspirin for breast cancer."
Note from David Swanson and Action Items below...
It was expected that the Weiner Amendment would get a vote today, but Representative Weiner has withdrawn it:
Washington, DC – Today, Representative Anthony Weiner (D - Brooklyn and Queens), a member of the House Energy and Commerce Health Subcommittee, released the following statement on his decision to withdraw his single payer amendment to H.R. 3962, the House health care reform bill:
"I have decided not to offer a single payer alternative to the health reform bill at this time. Given how fluid the negotiations are on the final push to get comprehensive health care reform that covers millions of Americans and contains costs through a public option, I became concerned that my amendment might undermine that important goal."
"I am going to continue to press the case for health care reform in every venue I can. And I also will continue to press for a smarter, less-expensive, more-comprehensive alternative to the employer-based health insurance system we have today."
"I've discussed the issue with Speaker Pelosi, Chairman Waxman, and agree with them that the health reform bill is so close it deserves every chance to gain a majority."
### Source
Last Night, Representatives Dennis Kucinich and John Conyers, Sponsors of HR-676, the Single-Payer bill that Weiner's amendment was about, posted statements on several blogs and news sites warning about this vote because they feared it would not get the votes needed in the current political landscape and could harm future reform actions by setting a low benchmark.
Tomorrow, the House of Representatives is scheduled to consider a single payer bill. As the two principal co-authors of the Conyers single payer bill, we want to offer a strong note of caution about tomorrow's vote.
The bill presented tomorrow will not be HR676. While we are happy to relinquish authorship of a single payer bill to any member who can do better, we do not want a weak bill brought forward in a hostile climate to unwittingly accomplish what would be interpreted as a defeat for single payer.
Here are the facts: There has been no debate in Congress over HR676. There has not been a single mark-up of the bill. Single payer was "taken off the table" for the entire year by the White House and by congressional leaders. There has been no reasonable period of time to gather support in the Congress for single payer. Many members accepted a "robust public option" as the alternative to single payer and now that has disappeared. The Congressional Budget Office (CBO) has scored the bill scheduled for a vote tomorrow in a manner which is at odds with many credible assumptions, meaning that it will appear to cost way too much even though we know that true single payer saves money since one of every three dollars in the health care system goes to administrative costs caused by the insurance companies. Is this really the climate in which we want a test vote?
While state single payer movements are already strong, the national single payer movement is still growing. Many progressives in Congress, ourselves included, feel that calling for a vote tomorrow for single payer would be tantamount to driving the movement over a cliff. The thrill of the vote would disappear quickly when the result would be characterized not as a new beginning for single payer but as an end. Such a result would be seen as proof that Congress need not pay attention to efforts to restore in Conference Committee the right of states to pursue single payer without fear of legal attacks by insurance companies.
We are always grateful for your support. We are now asking you to join us in suggesting to congressional leaders that this is not the right time to call the roll on a stand-alone single payer bill. That time will come. And when it does there will not be any doubt of the outcome. This system of health care injustice will not be able to endure forever. We are pledged to make sure of that.
Sincerely,
Congressmen John Conyers and Dennis Kucinich
So... we live to fight another day.
Congressman Weiner's office is saying that because of our phone calls, faxes, and demonstrations, Speaker Pelosi is keeping her promise to allow the Weiner single-payer amendment a vote on the floor of the House. I am getting conflicting opinions about whether or not a full floor debate is going to be allowed.
After nearly being shut out of the discussion completely, single-payer Medicare for All will get a vote for the very first time in history - probably tomorrow - Friday, Nov. 6th.
This is the one opportunity for your elected officials to go on record as supporting the only universal, comprehensive, cost-effective solution to the health care crisis. There are currently 87 cosponsors of HR 676, but this vote will make it clear to the movement which elected officials are truly with single-payer, Medicare for All.
 We need you to call today!
Ask your Representative to vote YES for the plan that most American people, nurses, and physicians want and so desperately need: Medicare for All - Rep. Weiner's single-payer amendment.
If you know who your Rep. is, the Congressional Switchboard number is (202) 224-3121. If not, go here to use the tool provided by Healthcare-NOW!--it's easy and toll free.
NEXT: After you have called your representative, please call Speaker Pelosi and thank her for allowing this promised vote and ask her to make sure it is allowed a full debate. Ask her to release CBO scoring for this amendment. The public deserves to see how much money Single-Payer would save while providing all citizens with affordable, accessible and sustainable access to health care.
Speaker Nancy Pelosi: - Washington, DC, office (202) 225-4965;
- San Francisco office (415) 556-4862
If you have more time, it would not hurt to call Waxman and Miller to also thank them and also make sure they know you expect a full floor debate. As Floor managers, they have influence. You can find their numbers here.
Now, pat yourself on the back - then get back to calling!
From: CQ Politics:
The House is moving toward a floor vote Saturday on its big health care overhaul, after Democratic leaders worked to nail down votes from some of their members who want stronger anti-abortion language in the bill. The House vote is expected at 6 p.m. Saturday. The Rules Committee would have to meet 24 hours before the debate to prepare the bill for floor action, but Slaughter declined to say exactly when Rules would meet. I had CSpan on in the background and at one point, when reporting this, they said that CQ also said that Rep. Slaughter also said the Weiner Amendment would get a vote then. That is not in this CQ article, so I don't know right now if that is true.
ACTION NEEDED TODAY: Democratic House leaders can insert what is called a "Manager’s Amendment" into legislation, even when it is closed to any other amendments. The managers are the majority and minority members who "manage" debate for the bill on each side.
Today, tomorrow, and beyond, we need to call these "managers" and insist that the Kucinich Amendment is restored into the healthcare bill.
The "gang" that holds our future in their hands - the people you need to call NOW - are:
* Speaker Nancy Pelosi:
- Washington, DC, office (202) 225-4965;
- San Francisco office (415) 556-4862
* Majority Leader Steny Hoyer:
- Washington, DC, office Phone - (202) 225-4131 - Fax - (202) 225-4300
- Greenbelt office (301) 474-0119;
- Waldorf office (301) 843-1577
* Rep. Henry Waxman:
- Washington, DC, office (202) 225-3976;
- Los Angeles office (323) 651-1040
* Rep. Charles Rangel:
- Washington, DC, office (202) 225-4365;
- New York office (212) 663-3900
* Rep. George Miller:
- Washington, DC, office (202) 225-2095;
- Concord office (925) 602-1880;
- Richmond office (510) 262-6500;
- Vallejo office (707) 645-1888
NOTE: When talking to Waxman and Pelosi's offices be sure to also tell them you want the vote on the Weiner Amendment she and Waxman promised on July 31st - We also need and have a right to see the CBO scoring on the Weiner Amendment.
The American Medical Student Association (AMSA) urges Speaker Nancy Pelosi to keep her promise and allow a vote on a single payer substitution amendment to the House health care reform bill, to be introduced by Representative Anthony Weiner [D-NY]. Rep. Weiner plans to submit an amendment that would replace much of the House health care reform bill with single payer language modeled upon Representative John Conyers [D-Mich.] HR 676. He withdrew this amendment from committee proceedings in July in response to a promise by Congressional leaders, including the Speaker, that legislators would be given an opportunity to vote on the amendment in a full session of the House.
Now, Speaker Pelosi indicated she may restrict any House floor amendments - a backpedal on her promise. In addition, the merged House bill, unveiled yesterday, removed language from an earlier approved amendment in committee by Rep. Dennis Kucinich (D-Ohio), that would facilitate states' ability to enact single-payer within their borders. The Speakers' restriction on amendments removes any chance to reinsert this language that has already seen bipartisan support. Read it all.
Reid says he’s moving forward with a Senate bill that has a public option with an opt-out in it "with the support of the White House, and Senators Dodd and Baucus." He says that the Senate bill will also have co-ops included - which confuses me a bit. My hope is that he is not considering the co-ops a public option. And of course, just who will be allowed to participate in the Public Option is still fuzzy. So while we don't know just what the Public Option will look like, the best news is that we don't have the "trigger" deeply disappointing Olympia Snowe.
From the Los Angeles Times:
Fueling the push for a new government insurance plan, Senate Majority Leader Harry Reid (D-Nev.) said today that his chamber's healthcare bill would include a compromise that would create a nationwide public option but give states the right to opt out.
"The public option is not a silver bullet, [but] I believe it's an important way to ensure competition and to level the playing field for patients with the insurance industry," Reid said. "Under this concept, states will be able to decide what works for them."
Reid sent the proposal to the nonpartisan Congressional Budget Office to be analyzed today, a key step before he can bring a bill to the floor for debate.
His decision does not settle the debate roiling Democratic ranks over how to create a government plan that would give consumers who don't get coverage through their employers an alternative to plans offered by commercial insurers.
The "opt-out" compromise is still two votes shy of the 60 Reid needs to overcome a Republican filibuster, according to a senior Democratic aide on Capitol Hill who requested anonymity when discussing the plan.
Reid and House Speaker Nancy Pelosi (D- San Francisco) are advancing separate healthcare bills in the Senate and House, which would have to be reconciled later this year before they are sent to the White House for President Obama's signature.
But Pelosi indicated Friday that the opt-out alternative could be included in a reconciled bill.
For now, House Democrats are poised to pass a bill that would create a nationwide government plan, although there is still disagreement about how much such a plan should pay doctors, hospitals and other medical providers.
Liberals, including Pelosi, favor a proposal that would link those payments to the existing Medicare program, which often pays providers less than commercial insurers. Proponents believe such an arrangement would save money and help drive down costs.
But many conservative Democrats, particularly from rural areas where Medicare typically pays less, want the government plan to negotiate its rates with providers, as commercial insurers do.
Pelosi hopes to settle those differences in time to unveil a bill later this week, according to her office.
Medicare for All--
- The Weiner amendment [PDF] --will be submitted for a floor vote in the House, in the coming days, - This will be a historic vote - the fist time ever Single-Payer has gotten a floor vote.
- The Kucinich amendment, [PDF] which will more easily allow states to implement single-payer plans, is already within the bill and must be retained.
Please contact your member of Congress (and members of the Congressional Progressive Caucus (CPC)) to ask them to vote in support of both amendments.
Passing these amendments will be difficult, but the votes on them will help set the benchmarks for the next debates on health care so they really do matter. Win or lose, we’ll know who our friends in Congress are...
- Sen. Bernie Sanders is sponsoring a Medicare for All bill in the Senate, S. 703. Tell your Senators to support it; find contact info here. He has said that he will be introducing amendments to the Senate Health Care bill, so keep your eyes and ears open for them.
Why it is important to keep fighting for real Health Care Reform:
As Kip Sullivan points out in "Public option" bait-and-switch campaign fools pollsters"
The New York Times reported on Saturday, October 17, that Sen. Ron Wyden (D-OR) is warning his constituents that the “public option” is not going to be available to the great majority of Americans. No one who has actually read the Senate health committee’s “reform” bill or the House “reform” bill (HR 3200) disputes this. According to the Congressional Budget Office, the “option” will be available only to about 30 million people, or about one American in ten. As the Times put it (slightly inaccurately), the “option” in the Democrats’ legislation “would be out of bounds to the approximately 160 million people already covered through employers.”
Does the public understand this? According to Wyden, they don’t. Wyden says his constituents are shocked when they are told the "option" will not be available to the vast majority of Americans. When he began informing his constituents about this truth last summer, "They nearly fell out of the bleachers," he said.
Once a bill is passed and signed by President Obama, voters will start to learn just how little help the current reform policies will provide. While it is probable that the reforms will continue to funnel money to the Health Insurance companies to fund their lobbying machines, the relief for citizens maybe too little and/or too complicated and I don't believe anything currently being offered will be sustainable in the long term. So we will come back to this table. And that is why good support for the current Single Payer amendments to H.R. 3200 in the House are critically important.
More Info About How To Help, Here
On Monday October 5th, Drs. Margaret Flowers and Paul Hochfeld led a delegation of 15 physicians and nurses to the White House gate. The occasion was a Rose Garden ceremony with over 100 physicians in white coats invited, a photo-op to showcase support among doctors for the President’s effort at health reform.
Dr. Margaret Flowers, Congressional Fellow of Physicians for a National Health Program, was later contacted by one of the doctors allowed in the gates. The following is her response:
Don’t let the good be the enemy of the perfect
Thank you for inviting me to this conversation. I understand your concern to get some type of reform now. I hear your desperation. I have felt it myself. There is so much suffering that it is tempting to say – we must get something even if we know it is not the solution.
At some point we have to look at the facts that incremental change and compromise when it comes to health reform in this nation have not gotten us anywhere. While SCHIP is great, it has merely held the level of uninsured children at bay, not decreased it. Medicaid expansions have similarly not been able to keep up with the rising uninsured or been able to provide a financially sustainable and high quality solution. Why is this?
It is because the greatest impediment to health reform in this country is that the for profit (and not for profit in some cases, such as BCBS) health industries control the political process. No amount of incremental reform will change that. Regulation of the industry is expensive and has been ineffective. The industry can do an end-run around regulation so fast that it would make your head spin. With the proposed legislation, we will be throwing more money into an already overpriced and dysfunctional situation. We will delay enactment of better reform while we wait to see if this reform works, all the time knowing that it won’t. In the meantime, thousands of people will die unnecessarily, thousands of people will suffer, families will continue to go bankrupt and lose their homes, physicians will continue to leave practice.
Single payer was not supposed to be on the table this year, yet despite having little in the way of funding and no paid organizers (like HCAN has), we were able to move it forward and break through some of the media blackout through perseverance and dedication.
We must ask ourselves, how long are we willing to play the incremental game (knowing that while a few more get access to healthcare, many more continue to be left out)? When will we decide that we’ve reached the tipping point, and like other social justice movements, dig in and do the necessary work to enact change?
I am tired of hearing that we can’t have single payer or that it is not on the table. It will never be on the table and we will never get it until we do the work to put it there. We, as physicians (and the other health professionals), hold a unique position in society. For the most part we are seen as advocates for our patients and acting in the best interest of our patients (although sadly this vision is truer for nurses than for doctors). We are seen as "experts." Thus, I believe that it is our professional responsibility to educate and advocate for effective reform. If we work together we can create real change. But it is harder than showing up for a photo shoot. It takes a lot of time and travel and writing and speaking and money and a willingness to put our bodies on the line.
Until more of us are willng to do this, we will have to continue to settle for crumbs. I am not willing to settle for crumbs. My part in this drama is to be a strong voice for single payer. And I won’t give in until we get there. The stories that I hear from patients and docs keep me going. Nobody should be left out. Everybody should have the same level of care. It is our responsibility to fight for this. Anything less is unacceptable.
My two cents, for what it’s worth.
Respectfully,
Margaret
Additional comments from Dr. Andrew Coates:
Single-payer advocates should take note. Dr. Hochfeld was allowed to attend the ceremony, uninvited and at the last minute, because single payer cannot be ignored. Our persistence has proven effective. The goal of the mainstream discussion, orderly consensus for incremental change, with nary a ripple of discord, as remained elusive. Yet experience proves again and again that single payer swims just below the surface.
All year long it has become more and more clear – to more and more people – that single payer national health insurance is in fact the very least we need when it comes to health care reform that will work to improve our lives. As Dr. Flowers explains, "Anything less is unacceptable."
This just-below-the-surface dynamic, combined with clear and persistent advocacy, that has taken single payer from "off the table" to "on the floor" this year. We now learn that the vote on HR 3200 – and with it, the Weiner amendment that would substitute single payer legislation for the text of the bill – may be imminent. Activists around the nation are pulling out all the stops.
So the single payer presence within the beltway continues, even now, to increase, not diminish. We also recognize that soon we will begin a new chapter in our efforts to educate and advocate for a single-payer national health program.
Source: PNHP's Blog
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