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« Scare-mongers on the public option | Main | Pennsylvania Young Dem Chapters Give Me Hope on Health Care and EFCA »


The Activist's Guide to Health Care Reform

By Pamela Jean
August 1, 2009

Moral courage is a rarer commodity than bravery in battle or great intelligence. Yet it is the one essential, vital, quality for those who seek to change a world which yields most painfully to change. (Robert F. Kennedy)
Even when the economy was growing, 46 million people in America did not have any health insurance. Since the recession began, an estimated 4 million additional Americans have lost their health insurance and 2 million have become uninsured. The recent turmoil in the job market is likely increasing the number of uninsured at the rate of 14,000 a day. Another estimated 80 million to 100 million Americans are so under-insured that all of their discretionary health care dollars go towards paying the premiums to their insurance companies, leaving them no cash leftover to use to go to the doctor or to satisfy their very high deductibles or copay requirements. Consequently, as many as half of all Americans are unable to access medical services.

Public Option can change all of that. But, Public Option is under siege right now in Congress. This is no time to sit back and relax. You are very much needed - front and center in this fight. Without you, we may not make it.

Please join us. I offer this very concrete Guide to Health Care Reform to make it easy for you to jump right in, right now...

We need all hands on deck. We need you.

If you make your way all through the list below, you'll have tremendous impact. However, it's really not necessary to do everything listed below to make a difference. If your time is limited, pick two or three items and do those. I've listed the actions in order of their importance.

Which do I recommend? I recommend doing steps 1 through 3 right away. Then, as time permits, you may wish to do all eight.

The Activist's Guide to Health Care Reform

  1. Sign These Important Petitions and Lists:
  2. Donate Money Targeted Specifically for Our Public Option Heroes:

    If you can do only one thing to help this cause, this is the most important one because it helps us speak louder. See, there is a (growing) group of progressive lawmakers in Congress who has vowed to stand up to the insurance lobby and pledge not to vote for any health reform bill unless it contains a public option plan. This commitment will come at a great cost to those lawmakers since the insurance lobby will undoubtedly pull back its campaign contributions to those members. We need to be able to demonstrate to these brave proponents of health care reform that we will work hard to help them get re-elected, even though their contributions from lobbyists will diminish. The congressmembers on this list have said in no uncertain terms that they will not vote for a bill without a public option all the way through Conference. That takes courage, and we need to show them how much we appreciate them for doing so. Please make a contribution-- and thanks for everything else you're doing for the public option. Every penny of every dollar donated in this manner will go directly to the re-election campaigns of the lawmakers supporting the Public Option.
  3. Ask Others to Donate Money Targeted for Public Option:

    If you cannot afford to donate to the pledged lawmakers, or if you have already donated to the cause, then, now please encourage others to donate by sending an email to them using this tool.
  4. Learn All You Can. Get Facts; Help Dispel the Myths:
  5. Organize Your Talking Points; Keep Your Message Simple:
  6. Share the Facts With Others!
  7. Call and Write Your Legislators:
  8. Questions to Ask Your Lawmakers (by phone, in person):
    • I'm here (calling, attending) to urge you to push for passage of a health care reform plan with a real public health insurance option as soon as you head back to Washington. It's critical for controlling skyrocketing costs and guaranteeing security for all of us. Will you fight to make sure a real public health insurance option is included in health care reform this year?
    • Our health care system is broken—costs are skyrocketing and too many people can't afford coverage. The heart of President Obama's health care plan—the public health insurance option—is the key to fixing those problems. Will you fight to make sure a real public health insurance option is included in health care reform this year?
    • We need action now. The cost of inaction is too high—every day that we delay, 14,000 Americans lose their insurance and nearly 2,500 file for bankruptcy because of medical costs. And costs continue to spiral out of control: average family premiums will hit $22,000 a year in the next decade. Will you fight to make sure a real public health insurance option is included in health care reform this year?
    • With a real public option, costs will start to go down and millions of individuals, families, and small businesses will have access to high-quality, affordable health insurance. And no matter what happens to our jobs or our health, a public option will always be there for us. Will you fight to make sure a real public health insurance option is included in health care reform this year?

I'm asking you to make health care reform your highest priority, even if it's not been the issue you feel the most passionately about. Why am I asking that of you?

Perhaps you care most about climate change, helping the poor, ending war, mobilizing young voters, creating jobs or making college affordable. Why stop everything and focus on helping us pass Public Option health care reform? Think about it this way. Do you know why the flight attendants on airlines instruct you to put the oxygen mask on yourself first?

They instruct, in case of emergency, to place the oxygen mask on your own face first, before reaching out to place the mask on children, the elderly or the disabled? Why?

If you do not save yourself first, you will be unable to save anybody else. We need your help to save us all, so we can work to make life better for all.

Frankly, if our middle class and working class cannot access medical services, they will not be able to work. If our people cannot get preventative medical care, they cannot take care of their families or their communities.

If activists cannot keep themselves healthy, they will not be able to save the world!

You may also be wondering why I haven't recommended that you just work with the Organizing for America website (set up by the Obama campaign and White House). We're not waiting for President Barack Obama's lead on this. There's very good reasons for that. First, the presidential election is over. Now, we need to support our progressive legislators. Our legislators are the ones slugging away at making real change.

Plus, recently, the Obama administration seemed ready to give up on the Public Option, sending all sorts of signals that the president would sign a health care reform bill with a co-op provision, if that's what it would take to get a package through the Senate. Between the missteps by Secretary Sebelius and the crowings from Chief of Staff Rahm Emanuel, we aren't following President Obama any more, we are providing him the way forward ourselves.

If progressives had real trust in Obama’s commitment to doing the right thing, the administration would have broad leeway to do deals. But the president doesn’t command that kind of trust. Partly it’s a matter of style — as many people have noted, he has been weirdly reluctant to make the moral case for universal care, weirdly unable to show passion on the issue, weirdly diffident even about the blatant lies from the right. ...

Add in the dealmaking as part of the health care process itself, and progressives can be forgiven for having the impression that Obama (a) takes them for granted (b) is way too easily rolled by the other side. (Paul Krugman)

President Obama, for the time being, has lost some of our trust on the issue of health care reform, and now we, his voters and supporters, need to show him what he needs to do to win us back. We will show him the way to earn our trust back.
It's time to let that voice be heard. Now is time for the crowds, the independents, the young, new voters to show up by the thousands and show up for what you want; what you believe in. (Gerald Britt)
For more inspiration on influencing sitting presidents and working to move them in the morally correct directions, I recommend this excellent blog post by Gerald Britt, The Prose of Citizenship.
With all of the shouting, the fear, and now what often looks like hatred -- we are in danger of losing the moral “core” of this health-care debate. That core, quite simply, is that many people are hurting from a broken health-care system. They include the 46 million who have no health insurance, but also the many who do but don’t get what they need and simply can’t afford good health...

People of faith need to be the steady, moral drumbeat driving the debate and keeping our politicians accountable. This is a critical and long-overdue opportunity to fix a broken and inequitable system, which must not be derailed either by powerful special interests or by those, on any side, who just want to score political points. It is up to all of us to make sure that doesn’t happen. (Jim Wallis)


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The blog post previous to it is titled "Scare-mongers on the public option"

The post that follows this one is titled "Pennsylvania Young Dem Chapters Give Me Hope on Health Care and EFCA"

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