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Healthcare is a Human Right! Maryland Campaign 2012. Eric Naumburg, M.D., M.P.H PNHP Maryland Healtcare-Now! Maryland. Maryland Demographics. Population 5.8 Million Median Income 3rd highest Blue State Government Workers (Federal, State) Diverse Population
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Healthcare is a Human Right!Maryland Campaign2012 Eric Naumburg, M.D., M.P.H PNHP Maryland Healtcare-Now! Maryland
Maryland Demographics • Population 5.8 Million • Median Income 3rd highest • Blue State • Government Workers (Federal, State) • Diverse Population • Wide variation in medical outcomes
Current Population Survey (Census Bureau), data supplied by Physicians for a National Health Program
Maryland Uninsured 2011 • 802,000 (Current Population Survey) • 13.8% of total population • Estimated deaths 800 (9th leading cause) • 2007 Reforms fail lower uninsured
Maryland Private Health Insurance MarketPercent of Total Premiums in 2008 • Carefirst - 54% • Aetna - 15.6% • Cigna - 13.7% • Kaiser - 8.1%
Maryland Health Security Act Canadian Style Single-Payer System Introduced 4 years Number of co-sponsors stable 2010 closest to getting out of committee Reached a plateau of support
“Financing the Maryland Health Secuity Act”Gerald Friedman, Ph.D.February 2012 Ideal System incorporate all government programs folded in 24% Savings Possible Current System Insures Everyone; Save 15% ($7 Billion) 1st year Excellent Benefits Package -dental, Rx, vision, mental health/addiction, home health, etc.; no expansion of long-term care.
Time for a Change • Lobbying by itself is not working • Human Rights Approach (Vermont) • Save our money and hire a full-time community organizer • Strategic Alliance Formed of 3 Groups
The United Workers is a human rights organization led by low-wage workers. • Founded 2002 Eutaw Street Shelter • Living Wage Stadium Workers 2007 • Declared Human Rights Zone Baltimore Inner Harbor 2008 • Fair Development and GGP • 501[c]3 corporation
Revitalized 2008 • Maryland Health Security Act • Lobbying State Legislature • Economic Impact Study • Fundraising
Healthcare-Now! Maryland 1992 United Healthcare Action Network (UHCAN) formed loose alliance, national focus. Citizens group. 1994 Wellpoint attempts to buy non-profit Carefirst BC/BS of Maryland and fails; UHCAN opposes buyout. Name changed to HCN result of split (SP vs. Incremental), RWJ Grant State Mandated Audit Reveals Carefirst databases deny 20% to 29% clean claims (2007); a result of the buyout opposition. 2010 Becomes chapter of Healthcare-Now!, a 501.c.4 Works closely with Maryland Chapter PNHP
Guidance/Learning • NESRI - National Economic & Social Rights Initiative; partnership approach to local groups; 4 areas of emphasis education, health,housing, work with dignity • Vermont Workers Center
Memorandum of Understanding “HCN, PNHP and UW share a vision for health care as a human right, provided as a public good by a publicly funded and administered single payer health care system. HCN, PNHP and UW are coming together to create a broad-based grassroots movement as the foundation for achieving this vision in Maryland.”
MOU: Structure of Document • Parties to the MOU • Purpose • Statement of Mutual Benefit • Interim Governance Structure • Responsibilities of Parties • Information and Data Sharing • Funding and Cost Allocation • Dispute Resolution
Human Rights Principles • Universality: Public policies must ensure that everyone’s human rights are protected and their fundamental needs met. Everyone is included. • Equity: Public policies must enable equality of opportunity and outcome with regard to protecting human rights and meeting human needs. Everyone contributes what they can and gets what they need. • Public Goods: The services, goods and infrastructure necessary to realize human rights and meet human needs must be treated as public goods, not as commodities. Public goods belong to everyone. • Participation (Power/Accountability): Policies must be accountable and ensure the participation and power of the people. Everyone is empowered to participate and to hold public and private sectors accountable.
Objectives for Campaign • Independent HCHR Movement • Statewide Grassroots Organizing Campaign • One or more Regional Committees in all 23 counties and Baltimore City • Hire Full Time Community Organizer - Done • Report based on surveys (NESRI) in 2013 • Leadership Training Curriculum • De-emphasize Legislative Lobbying 1st yr.
Campaign Activities • Canvassing: survey and photo petition • One-on-one conversations • Building Regional Committees • Story Telling Tools • Outreach events - Kickoff Dec. 15th • Local Human Rights Forums • Speakers’ Bureau
Committees to be Formed • Policy • Media • Organizing and Education • Fund Raising • Permanent Governance Structure