-by Dainne Ferrell, Mid Valley Health Care Advocates
I'm afraid that Peter Gay's Oct. 21st letter opposing the Affordable Care Act is right: it is a boon for the insurance companies and there will be people who find it difficult to pay for a policy that covers perhaps only 60% - 70% of their medical bills. (It will be worse in the states that did not opt to expand Medicaid. There some 5.2 million adults will fall between two stools: no Medicaid, no tax subsidy in purchasing on the exchange.)
So much the better that there is a movement afoot to provide Health Care for All Oregon. Such legislation is already transforming health coverage in Vermont, while other states, like Oregon, are still in a grassroots stage. Check out the websites for Mid-Valley Health Care Advocates and Health Care for All Oregon. Join us in achieving universal health coverage in Oregon by 2016!
In order to reduce costs and improve the delivery of health care, we also need to transform health care delivery, which Oregon--with its Coordinated Care Organizations--is doing for its Medicaid population and will soon extend to other sectors.
We do have to get private insurance companies out of the business. As for Obamacare, it was a compromise. If politicians find that voters really do want a universal and publicly-funded system, they will find it politically doable.