Online Program

Organizing for single payer in the Era of the ACA roll out

Monday, November 4, 2013 : 1:30 p.m. - 1:50 p.m.

Steffie Woolhandler, MD, MPH, School of Public Health, City University at Hunter College, New York, NY
The Affordable Care Act insurance exchanges open in October and soon many states will launch their Medicaid expansions for those with incomes below 138% of poverty. Sadly, tens of millions will remain uninsured. Massachusetts has more generous coverage within its exchange than the federal law requires, yet medical debt is one of its most common cause of personal bankruptcy. It is likely that coverage under the ACA will leave may of the newly insured in financial distress if severe or chronic illness strikes. HR 676, the Improved and Expanded Medicare for All Act, would cover every resident with comprehensive benefits. The administrative savings of this single payer style reform are estimated conservatively to be $500 billion yearly. This is enough to expand comprehensive coverage to all the uninsured and improve benefits for all of us. HR 676 has a public health and primary care focus that will generate even greater savings over time. Strategies and tactics for organizing the fight for truly universal comprehensive coverage for all and the public health community's role in that effort will be discussed.

Learning Areas:

Advocacy for health and health education
Provision of health care to the public
Public health or related public policy
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Compare and contrast the Affordable Care Act and HR 676 The Expanded and Improved Medicare for All Act. Discuss the prospects for enactment of single payer reform and how the public health community can help organize the movement in favor of HR 676.

Keyword(s): Health Care Reform, Public Policy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: This is my main area of research, publication and advocacy.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.