Health Care Reform 2010 Seek a by niusheng

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									Faithful Reform in Health Care



 Health Care Reform 2010:
  Seeking a moral vision

    Faithful Reform in Health Care
           February 2010
    http://www.faithfulreform.org
A Prayer for Health Care Reform

In the presence of all that is holy within and around us, and in the sacred
bonds of our common humanity, we give thanks for the life that we share
and for our calling to care for each other. We remember our brothers and
sisters who suffer or die for lack of needed health care. We confess that
we have fallen short in caring for every member of our human family, and
that in spite of our abundant resources we have failed to ensure that all
may receive the health care they need for the life that is intended for
every person.

So we pray for forgiveness… for hearts that have been slow to feel
another’s pain… for hands that have been still when a healing touch was
needed… and for voices that have remained silent while millions suffer
for lack of needed health care. May the valleys and the burdens of
sickness and disease be conquered as we raise our voices of faith to the
simple, moral, and merciful imperative of meeting one another’s health
care needs. Amen.
A tale of 2 sons




 A healthy insured teen who   A healthy uninsured teen who
 developed life-threatening   left a football field during a
 complications from mono.     game because he didn’t feel
                              well.

             Faithful Reform in Health Care                    3
A tale of 2 sons




After successful surgery to      Xavier died on the school track
remove a tennis-ball abscess     while waiting for the wash to
from his neck, Ryan is           finish at a nearby laundromat.
healthy, happy, and getting      He was dropped from Medicaid,
ready for a band trip to Italy   and couldn’t get the testing he
and Germany.                     needed for a heart condition.
               Faithful Reform in Health Care                  4
Health care reform 2010

If all other industrialized democracies
can make health care available to all
their people, why can’t we?
Why can some mothers in the
U.S. get the health care they
need for their families while
others cannot?

         Faithful Reform in Health Care   5
The imperatives for reform
                         Medical Imperative: We’ve known for
                         years that many people live sicker & die
                         younger in the U.S. health system.

                         Economic Imperative: The escalating
       MORAL
                         cost of health care and the resulting
                         bankruptcies and burdens on businesses
                         and governments seem to have been the
                         catalyst for the current reform efforts.
ECONOMIC       MEDICAL
                         Moral Imperative: The simple, moral,
                         and merciful imperative for meeting one
                         another’s needs – including needed
                         health care – gives us the foundation for
                         the choices that need to be made in
                         moving health care reform forward.
               Faithful Reform in Health Care                        6
The challenges to reform
The difficulties in passing health care
reform have mirrored the historic
challenges around this issue.
While they have played out as polarizing
extremes, the truth is that the path
forward is best found in dialogue around
the diverse views… beginning with
values-based moral consideration.
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The issues: Challenge #1

      The moral dilemma


 Am I my brother’s
 or sister’s keeper?
         Or…



         Faithful Reform in Health Care   8
The issues: Challenge #1

Moral commitment
We have to answer this question once
and for all:
  Do we want everyone to have
  needed health care – or not?
How we answer this question will
determine how we answer all others.
        Faithful Reform in Health Care   9
The issues: Challenge #2

Agreement on the goal

           Do we want to…
      improve/guarantee access
                   or…
     restrain the growth of costs?


        Faithful Reform in Health Care   10
The issues: Challenge #2

All other industrialized democracies
have found ways to maintain quality
while addressing both access and costs...
and so must we!
                   ACCESS          COST
                         QUALITY




          Faithful Reform in Health Care   11
The issues: Challenge #3

Marketplace or the government?

Are human needs better served by
markets, individual ownership,
competition and profits, or by
governments and laws that guarantee
access and the fair distribution of costs?


         Faithful Reform in Health Care   12
The issues: Challenge #3

  The marketplace + the government
    We must find a solution with a
           creative mix of

        effective        fair
        government   +   market
        regulation       incentives




        Faithful Reform in Health Care   13
The issues: Challenge #4

Political partisanship
The diverse perspectives on the first 3
challenges tend to align with the
ideologies of the two political parties,
and feed the partisanship that has
limited the ability of parties to seek
common ground for the common good.

         Faithful Reform in Health Care    14
The issues: Challenge #4

Overcoming political partisanship will
depend upon all of us demanding
              dialogue
over “my-way-or-no-way” thinking…
AND upon cultural transformation
around shared moral values.
THE KEY? PEOPLE OF FAITH!!!

         Faithful Reform in Health Care   15
The issues: Challenge #5

Economic self-interests of key players
Campaign contributors
& lobbyists affect:
  how issues are framed
  how bills are written
  which bills get committee hearings
  what goes to the floor for votes

        Faithful Reform in Health Care   16
The issues: Challenge #5

       Strong public demands for
        change, including voices
              of faith, can:

Promote the common     Prevent special interests
good as a benefit to   from blocking progress
everyone’s self-       toward reform.
interest.

           Faithful Reform in Health Care          17
Health care reform 2010

Health care reform in our states and
in our nation is inevitable…
Are people of faith prepared to be
the change agents we are meant to
be… to ensure that systemic reform
“bends toward justice”? (ML KING, JR.)

         Faithful Reform in Health Care   18
 A Vision

In calling us to partnership in completing creation,
and creating a world of justice and peace, God has
ennobled humanity to raise above mere biological
existence and give into our lives destiny and
meaning and purpose… That call to provide that
moral witness… is a fulfillment of God’s call for us to
be partners in shaping this better more hopeful
future for all of God’s children.
                                               Rabbi David Saperstein
                             Religious Action Center of Reform Judaism
                                    Video, Vision and Voice curriculum



              Faithful Reform in Health Care                             19
A Vision


   “A Faith-Inspired Vision
       of Health Care”
    Developed as a moral witness grounded in the
     shared values from the sacred texts of our
           diverse communities of faith.

            http://www.faithfulreform.org


         Faithful Reform in Health Care            20
A Vision

As people of faith, we envision a society
where each person is afforded health,
wholeness and human dignity.

That vision embraces a system of health
care that is inclusive, accessible,
affordable, and accountable.

          Faithful Reform in Health Care    21
 A Vision: Inclusive

Health care is a shared responsibility that is
grounded in our common humanity.

The values: inclusive community… common
good… care for one another… compassion…
sharing our abundant health care resources
with everyone.



            Faithful Reform in Health Care       22
A Vision: Affordable

Health care must contribute to the common
good by being affordable for individuals,
families and society as a whole.

Values: abundant resources… meet the
needs of one another… faithful
stewardship… equity



           Faithful Reform in Health Care   23
A Vision: Accessible

All persons should have access to health
services that provide necessary care and
contribute to wellness.

Values: health and wholeness… act with
justice and love… overcome all barriers…
eliminate disparities



           Faithful Reform in Health Care   24
A Vision: Accountable

Our health care system must be accountable,
offering a quality, equitable and sustainable
means of keeping us healthy as individuals
and as a community.
Values: responsibility for the care of our
bodies… work in partnership… timely, quality
and safe care that treats body, mind & spirit.


           Faithful Reform in Health Care        25
The measure of justice

From this vision, questions of justice
arise to help us reflect upon proposals
for health care reform:
   Who’s included? Who’s excluded?
   Who pays? Who profits?
   Who profits at the expense of those
    who cannot pay?
          Faithful Reform in Health Care   26
    The measure of justice


And additional questions of justice:

     Whose voices are being heard? Whose
      voices are not being heard?

     Who’s accountable? To whom?




            Faithful Reform in Health Care   27
So… Where are we?

A favorite cartoon character reminds us
that major change is not easy!




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Where are we?




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Where are we?




                30
Where are we?

For people of faith…
        “unwarranted optimism”
          = unbridled hope.
Our faith histories have taught us what it
means to survive the wilderness. We
know what hope and vision can do!

        Faithful Reform in Health Care   31
Why be hopeful?

Success!
We passed comprehensive reform in
the 5 committees of jurisdiction:
   2 in the Senate
   3 in the House of Representatives


        Faithful Reform in Health Care   32
Why be hopeful?

Success!
2 Senate committee bills
    1 Senate bill (H.R. 3590)
     (passed with 60 votes - Dec. 24, 2009)


3 House committee bills
    1 House bill (H.R. 3962)
     (passed with 220 votes – Nov. 7, 2009)


           Faithful Reform in Health Care     33
Why be hopeful?

Success!
Both houses of Congress agreed that:
 Our goal should be to get everyone
   covered.
 A significant expansion of Medicaid is
   needed (15+ million more people in
   health insurance!).

        Faithful Reform in Health Care   34
Why be hopeful?

Success!
Both houses of Congress agreed that:
 Insurance market reforms are
   needed:
  –   No exclusions for pre-existing conditions
  –   Insurance can’t be cancelled just because you
      get an expensive illness


          Faithful Reform in Health Care         35
Why be hopeful?

Success!
Both houses of Congress agreed that:
 Insurance market reforms are
   needed:
  –   Insurers must spend a set % of premiums on
      health care, not paperwork & perks
  –   Young adults may remain on parents health
      care through their mid-20s

          Faithful Reform in Health Care       36
Why be hopeful?

Success!
Both houses of Congress agreed that:
 Seniors must be protected from the
   doughnut hole in Rx drug coverage
 The # of community health centers
   will be increased to better serve
   under-served populations.

        Faithful Reform in Health Care   37
So... Where are we?

The two bills should have gone to a
Conference Committee of Senate &
House leadership to produce a
reconciled bill that would have to be
passed in both chambers of
Congress in exactly the same form.

         Faithful Reform in Health Care   38
Where are we?

   A “pseudo” conference process was
    underway when supporters of health
    care reform lost their filibuster proof
    majority in the Senate.
   The process continues in an effort to
    resolve differences in both content
    AND political strategy.

           Faithful Reform in Health Care     39
Where are we?

THE RESULT? BOTH houses now
lack the votes to pass the Senate bill.

   The House is not likely to pass the
    Senate bill as is.
   The Senate won’t pass anything
    that comes out of the conference.

         Faithful Reform in Health Care   40
Options ahead?

The suggestions we are hearing:
Unlikely:
 Start over

 Scale back
   (From a justice perspective, we know
   what these options mean – people out!)


         Faithful Reform in Health Care     41
Options ahead?

The suggestions we are hearing:
More likely #1:
Split the bills into at least two bills, one
with the provisions that have broad
agreement (such as insurance reforms,
anti-trust laws, etc.)

          Faithful Reform in Health Care       42
Options ahead?

The suggestions we are hearing:
More likely #2:
House passes the Senate bill along
with a budget reconciliation bill that
“amends” some of the financial issues
in the Senate bill.

         Faithful Reform in Health Care   43
Options ahead?

Stumbling blocks:
 The only “fixes” permitted in budget
   reconciliation are those that relate
   to the federal budget, taxation, etc.
 The Senate parliamentarian makes
   the decision about what qualifies.


          Faithful Reform in Health Care   44
Options ahead?

More stumbling blocks:
 Federal funding for abortion

 Whether there will be a national
  exchange (House) or 50 state
  exchanges (Senate).
 The public option

 Reconciliation option expires

         Faithful Reform in Health Care   45
The legislative process


Once an identical bill is passed in both
Houses of Congress, the bill goes to
the President for his signature….

HEALTH CARE REFORM IS PASSED!


          Faithful Reform in Health Care   46
The issues & our faith values


   “Moral Vision in the
 Health Care Reform Bills”
The task of the faith community is to consider how
    the legislation does/does not move us toward
      our “Faith-Inspired Vision of Health Care”
             Such an analysis is available at
              http://www.faithfulreform.org

           Faithful Reform in Health Care            47
The issues & our faith values

Where is the focus for people of faith?
 Affordability for low-middle income
  individuals and families
 Immigrant inclusion
 Public option (or comparable
  alternative)
 Insurance industry accountability
         Faithful Reform in Health Care   48
Actions around our faith values

What to do… what to do…
   Continue outreach to Congress…
    calls, letters, vigils, prayers, etc.
   Be a part of the “truth squad”
   Commit to staying engaged for the
    extended short-term & the long term

          Faithful Reform in Health Care    49
Actions around our faith values

                  Immediate:
•   Sign up for “Interfaith Virtual Vigil of
    Prayer, Hope, and Action”

•   Sign “A Call to Political Courage,
    Vision, Leadership, and Faith”
                  Both available at
           http://www.faithfulreform.org


           Faithful Reform in Health Care      50
Actions around our faith values

                 Long-term:
   Participate in education, dialogue, &
    advocacy around implementation,
    improvements, & state-based
    reforms
   Help resist repeal and other
    opposition efforts

          Faithful Reform in Health Care    51
Resources

 Vision and Voice: Faithful Citizens and Health Care
4 session interfaith dialogue and education series
Free downloads, including a video of faith leaders
speaking
http://www.visionandvoice.org

The Thoughtful Christian
Ecumenical health care adult study resources
Small fee for downloads
http://www.TheThoughtfulChristian.com

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Faithful Reform in Health Care


    Faithful Reform in Health Care
     http://www.faithfulreform.org
             216-685-0796
         2800 Euclid Avenue #520
           Cleveland, OH 44115
         Rev. Linda Hanna Walling
           EXECUTIVE DIRECTOR
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