Win-Win: A simple, six step process

1. Healthcare-NOW’s Win-Win Campaign• Savings for employers• Savings and better coverage for workers

2. Win-Win: A simple, six step process • Recruit your local organizing team • Pick a local target – government entity, business, institution like a hospital or university • Gather information about your target: budget; annual payroll; annual amount spent on employee health benefits; info about its budget crisis • Calculate an estimate of the savings your target will realize • Prepare a simple, one-page fact sheet to show the savings to potential allies, elected officials, business owners, etc. • Follow through and win your target’s endorsement for HR 676 and state single-payer legislation

3. When calculating savings … • Focus on savings from employee health benefits • Use a range of estimated savings based on a 4.5% to a 9.0% employer payroll contribution • This range accounts for these variables: - HR 676 doesn’t specify payroll contributions, but 4.5% is based on Healthcare-NOW’s 2008 NHE review - Other state and federal single payer bills generally fall in this range - Everyone doesn’t agree on the amount of our national health care budget that should come from payroll taxes versus other taxes and sources

4. HR 676 Will Solve Philadelphia’s Healthcare Crisis Philadelphia could save $539 million a year --the cost of health care for city workers and emergency care for Philadelphians without health insurance. This money could be used to improve our schools, create jobs, and reduce the poverty rate.

6. The Time is Right • Recession is causing a fiscal crisis for everyone – private and public employers. Opportunity to reach new audiences. • 48 states face budget shortfalls totaling $192 billion in 2010, 29% of their combined state budgets (CBPP, 7/09) • Significant savings from HR 676 can save jobs, prevent cuts in critical city services, avoid tax increases. • $530 billion total unfunded post retirement health benefits in 50 states and 39 largest municipalities (GAO, 11/09) • Health reform Congress passed will not help state and local governments; may make things worse because of increased Medicaid obligations. • Workers benefit from less out-of-pocket costs and more comprehensive benefits, instead of the opposite that is occurring now

7. The Impact HR 676 Can Have(millions of $)

8. The Impact HR 676 Can Have(billions of $)

9. Use Win-Win to Build Political Will for HR 676 • Make HR 676 and its savings an issue in labor negotiations • With public employers, ask for a governing body resolution endorsing HR 676 • Get employers to be HR 676 advocates. Options include press events, serving on delegations that meet with Congressional officials, and support via business coalitions.

10. NJ Local Governments that have endorsed HR 676 • Camden • Englewood • Hoboken • Bergen County • Hudson County • NJ State Senate Health, Human Services and Senior Citizens Committee

11. NJ Win-Win Impact: Local Government Savings(in $ millions/year) CITIES AND TOWNS • Jersey City $ 49.1 • Trenton $ 18.2 • Camden $ 17.0 • Brick Township $ 3.3-8.0 • Plainfield $ 7.3 • Collingswood $ 1.4 • Ocean City $ 4.2-5.5

12. NJ Win-Win Impact:County Savings($ millions/year in FY 2009) COUNTIES • Burlington County $ 15 - 19 • Camden County $ 11 - 17 • Cape May County $ 15 - 18 • Middlesex County $ 30 - 36 • Ocean County $ 18 - 24 • Passaic County $ 32 - 39 • Union County $ 27 - 36 • Warren County $ 9 - 12

13. Big US City Single-Payer Endorsements • Baltimore, MD • Indianapolis, IN • Chicago, IL • Detroit, MI • Portland, OR • Austin, TX • Seattle, WA • Boston, MA • San Francisco, CA • Louisville, KY • Philadelphia, PA

14. Ways to attract press coverage • Pick a target with a fiscal crisis that has already been in the local news • If local government calls a budget hearing, or town meeting about the budget crisis, show up with your folks and your message • Consider calling your own “state of the city” public meeting to air citizens views on saving money

15. Attracting press (continued) • Use a big check (1.5 ft. by 3 ft.) with the amount of savings on it. Take it to meetings; use it in press events • Use an enlarged bar chart graphic that compares the budget shortfall to savings under single payer

16. NJ State Industrial Union Council • NOW-NJ • PNHP – NJ Chapter • DFA/PDA New Jersey • Garden State Equality • Central Jersey Healthcare-NOW • Northern NJ Healthcare-NOW • South Jersey Health Care for All • People’s Organization for Progress (POP) • NJ Black Issues Convention • Progressive Democracy South Jersey

18. LOCAL BENEFIT CALCULATION WORKSHEET A. Local government benefits 1.      Health benefits savings for employees (a) Total 2007-2008 payroll (all salaries and wages) 1(a) ______________ (b) Total amount spent on health benefits 1(b) ______________ 2007-2008 (from budget) Does this amount include 1.45% for Medicare? If yes or you aren’t sure, continue to (c) below. If no, take 1(a) above X 0.0145 and add it to 1(b) above. Put the new total here. 1(b) ______________ (c) Total cost of health benefits under HR 676 Take 1(a) X 0.0595 1(c) ______________ (d) Calculate annual savings on employee health benefits Deduct 1(c) above from the applicable total in 1(b). 1(d) _____________ SAVINGS