Universal health care advocates called on President Obama and progressives in Congress the scrap both reform bills on Capitol Hill and "start from scratch" on a bill that creates single payer coverage for all Americans at at press conference today. They specifically aimed fire at Sen. Bernie Sanders (I-VT), who they called too weak to vote no on the Senate health care reform package they say doesn't go far enough.
Russell Mokhiber, the president of Single Payer Action, said he had "low expectations" that Sanders would vote to stop the bill his group says is nothing more than a "bailout for health insurance companies."
"We have had a history of fighters in the Senate," Mokhiber said today. "Bernie Sanders is apparently not that."
Sanders has been a vocal single payer advocate who has hinted he'll vote no on a bill that doesn't meet criteria, including a stronger public option, the single payer advocates say they support. But in the end, the single payer advocates at the press conference today said they expected he and other "Congressional progressives" will be unable or unwilling to stop the bills and call for the process to start again with the goal of creating a universal coverage system.
The press conference was held by four of the self-described "Baucus Eight." The group was arrested back in May at the start of the Senate Finance Committee's debate on a health care bill with they disrupted the hearing over what they called chairman Sen. Max Baucus' (D-MT) to hear testimony from single payer advocates.
The four said they still hoped Congress would scrap the progress it has made on reform so far and start over with a universal coverage bill, but they all agreed it wasn't likely that Democratic leaders would heed the call.
Dr. Margaret Flowers of Physicians For A National Health Program said the current bills in Congress are "designed to fail" and will ensure that lawmakers will have to come back to the health care reform debate "in a matter of years."
"Our concern is that if something is passed this year, people will think 'this is done, we've taken care of this,''" she said.

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ericf
November 25, 2009 12:36 PM
As a single-payer advocate it pains me to say this, but some single-payer advocates are idiots. If Sanders all of people isn't good enough, up theirs. If reform doesn't pass this time, no one will try for maybe decades. And the fight will be just as hard then.
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richard f
November 25, 2009 12:43 PM in reply to ericf
Amen. These people are idiots. They are actually saying that if health care reform doesn't pass this year, Congress can just take it up next year and adopt single payer (because, presumably, the drug companies, Republicans, insurance industry, etc., will just go away or, in a moment of inspiration, realize that they've been wrong all these years and that single payer is the way). Just like the defeat of the Clinton plan in 1992 led to adoption of a better health care plan the next year.
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lousgirl84
November 25, 2009 1:10 PM in reply to richard f
In a perfect world, single payer would be most people's choice; However, bashing Senator Sanders is the epitome of ignorance. Talk about shooting themselves in the foot.
This is nothing new for progressives, they are notorious
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FreeRider
November 25, 2009 1:57 PM in reply to lousgirl84
I agree. These nutcases are great at turning their best advocates against them.
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gharlane
November 25, 2009 1:26 PM in reply to ericf
Seconded. You are in serious need of a clue when you start attacking Sanders.
I'm not so sure, however, that if nothing passes this year, it's over for years or decades. Continued double-digit increases in health care costs will make the problem continually more urgent and increasingly impossible to ignore. Just as far more people and institutions (read: businesses) were on board with HCR now than they were in 1992, the coalition and the urgency will only continue to increase. Obama has cited this as one of the reasons why now is a good time to act on HCR, and I agree with his reasoning. That coalition and confluence of interests is not going to disappear if nothing passes this year.
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FreeRider
November 25, 2009 1:55 PM in reply to ericf
Agree. But who is that any different from the "all or nothing" attitude many here express?
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Dorn76
November 25, 2009 12:45 PM
Progressive purity tests?!
The guy is an avowed Socialist for crying out loud...but yeah, he's not liberal enough.
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agio
November 25, 2009 12:51 PM
Idiots, perhaps. But it is generally useful to have some idiots to the left of the most leftward Senator, if only to make said Senator seem more in the mainstream. IMO.
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rbeats
November 25, 2009 12:56 PM
They are targeting Sanders? Really?
Do they even watch the guy give interviews, or his weekly address he posts on youtube?
Wow.
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FreeRider
November 25, 2009 1:58 PM in reply to rbeats
Doesn't matter. Unless he's willing to torpedo this healthcare bill, they still consider him a sell out.
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terje
November 25, 2009 12:57 PM
What is this, our equivalent of the RNC "purity test"? Attacking Bernie Sanders? Talk about missing the target.
I'm a strong believer in single-payer, but I also know that no matter how hard Bernie were to fight for it, there would be no more than 25 votes for single payer in the Senate at this point. Rather than whining about perceived shortcomings of friends like Sanders, the solution is to put more energy into electing Senators who will support single payer.
These folks want any health care reform to fail this year -- evidently so things get bad enough that several years from now policy makers will suddenly see the light and pass single payer. Yeah, right.
In the meantime they ignore that whatever comes out of Congress this year, the legislation will expand Medicaid access for millions of low income Americans, provide subsidies for millions of others to help afford insurance, restrain some of the most damaging insurance practices (pre-existing conditions, benefit caps, gender discrimination, bogus excuses for terminating benefits), and allow significant state experimentation with models of health care financing and delivery (possibly including state single payer programs).
As a disabled person whose access to health care depends in part on the success of health care reform, I'd like to remind the self-righteous folks trying to kill this bill from the left that, imperfect as it is, it is the only realistic possibility right now -- and many of us can't afford to wait forever for the passage of perfect single payer.
For all of the many many shortcomings of the legislation, millions and millions of Americans will benefit from passing it. If they want to put ideological purity above the lives of those people, they are missing this point.
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lousgirl84
November 25, 2009 1:10 PM in reply to terje
Thank you - that was a great post.
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FreeRider
November 25, 2009 2:04 PM in reply to terje
Thank you! The people who are saying we should kill this bill and wait for the perfect bill probably already have employer-based health insurance.
I'm self-employed and scared of having my staggeringly expensive insurance rescinded if I get sick. A friend's daughter exhausts her benefits by May because she's a diabetic and has to pay out of pocket for the rest of the year. Another can't get insurance after his COBRA ran out because he had a heart attack six years ago.
We CAN'T wait. But we don't matter to the purists who insist on a perfect bill.
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johnmccsf
November 25, 2009 1:01 PM
They eat their own.....our very own teabaggers w/ their Purity test
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numediaman
November 25, 2009 1:07 PM
OK, maybe it's just me being a contrarian, but I think it is very useful to have a group to the left of the public option advocates. If the P.O. were the farthest left element of this bill it would be stripped in a heartbeat. But there is something else: single payer.
Let them rail against Sanders. I bet he just laughs it off and goes back to work.
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Icon
November 25, 2009 1:11 PM
Do these morons seriously think that there's even 51 (let alone 60) votes in the Senate for a single payer system? I doubt there's even 40.
I think a single payer system is a good idea, but anyone who thinks there's even majorities in either chamber of Congress to adopt a single payer system is either an idiot, insane or has been living under a proverbial rock for about 20 years.
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Indie Pro
November 25, 2009 1:30 PM
single issue group fights for single issue
the horror!
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fbacon2
November 25, 2009 2:07 PM in reply to Indie Pro
More accurate to say, "Single issue group undermines political allies who were otherwise advancing a positive agenda, creating controversy and noise that drown out a larger message."
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Indie Pro
November 25, 2009 2:09 PM in reply to fbacon2
No. It wouldn't.
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fbacon2
November 25, 2009 2:11 PM in reply to Indie Pro
'Nuff said?
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Indie Pro
November 25, 2009 2:15 PM in reply to fbacon2
what do you mean? Fighting for a single issue is what a single issue group does.
That's why parties and candidates are often wary of single issue groups for help, because they are only fighting for a single issue, and if you step out of line, they will not only stop working for you, but will work against you. It's an ongoing issue as to the effectiveness and worthiness of single issue groups.
But whatever. Just run them through your own purity test: Vote for whatever bill comes out of conference or your not a good democrat.
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fbacon2
November 25, 2009 2:23 PM in reply to Indie Pro
Ok, there's the argument. Fighting for single issues is what the single-issue group does, yes. Politicians are often wary of them for that reason, yes.
My point is that the single-issue group in question, at this particular time, at this stage of the debate, is engaging in a tactic that isn't productive. In some contexts, a single-issue group is valuable because of its focus and intent on pushing an idea into the mainstream of discussion. In other contexts, such as times when coalitions need to be maintained, the stakes are high, the opposition is out for blood, and there are a range of options in front of us, a single-issue group can do something that's not in their or our long-term interests.
I wouldn't call that 'horror,' but it does explain why 'single-issue' is often used as a pejorative.
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Indie Pro
November 25, 2009 2:34 PM in reply to fbacon2
I understand your point.
Do you understand theirs?
"Our concern is that if something is passed this year, people will think 'this is done, we've taken care of this,''" she said.
then what, decades until more reform? How is that in their best interests?
The idea that this will lead to more, well why didn't medicare/medicaid lead to universal healthcare? If we just need a foot in the door, why can't those bills be amended?
How do they continue to gain support or members once they acquiesce for something that is against their agenda? Why would people, who want to support a single issue, believe their support is well placed in a group that does that?
Depending on the actions of groups like moveon, hispanic groups, women's rights groups, actblue etc, and what they support in HCR, they are likely to lose membership too.
Single issue groups support single issues.
Politics is hard.
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FreeRider
November 25, 2009 2:59 PM in reply to Indie Pro
SUCCESSFUL single issue groups don't behave like this.
SUCCESSFUL single issue groups don't torch their allies.
SUCCESSFUL single issue groups realize that a war is won in a series of battles.
These are the same kind of nuts who wanted FDR to abandon SS because it didn't go far enough. Fortunately, he ignored them and got a weak-kneed entry bill that has gotten progressively better and covered more people. Same thing with LBJ & Medicare.
If LBJ & FDR had listened to these kinds of twits, there would be NO SS or Medicare/Medicaid.
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Indie Pro
November 25, 2009 3:01 PM in reply to FreeRider
you are a nutcase
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FreeRider
November 25, 2009 4:40 PM in reply to Indie Pro
Coming from a droopy-eyed wanker who believes we should kill healthcare reform because we could get single payer next year . . . I take that as a compliment!
Obama will ignore turds like you, just like FDR and LBJ ignored turds like you!!
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fbacon2
November 25, 2009 3:23 PM in reply to Indie Pro
Since you asked me a question, I'll extend the long thread. Yes, I believe I understand their point, and I think they're wrong. Ezra Klein's frequent argument is that failed efforts at reform don't lead to more ambitious efforts down the road; failure leads to more modest efforts and with less frequency. Medicare could have led to universal health care had Ted Kennedy and later Clinton succeeded. They didn't. As a result, we started this round with the Hillary/Obama/Edwards plans during the campaign which have been pared down during the legislative process. People may think that health care is 'done' if this current bill passes (I doubt it), but failure of the bill more likely means people will be more reluctant to try again in the future, and in the meantime, we get nothing.
Medicare and Social Security were passed and strenghtened in subsequent years. That was a good thing. Passing reforms such as these shouldn't require acquiescence from single-issue groups, but how such groups hope to advance their cause by blasting the single socialist in the Senate or taking steps that risk the passage of the bill currently on the table doesn't make sense. If these groups are acting for the sake of ginning up members, that's their business, but they should receive their due criticism.
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Indie Pro
November 25, 2009 3:44 PM in reply to fbacon2
I asked you a question, but then you didn't answer it.
This bill isn't single payer. Why should they advocate for it?
Because you say it is in their best interests? I don't see how it is. If this bill is strengthened in subsequent decades, it still won't be single payer. There are no parts of it that even hint at single payer.
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Indie Pro
November 25, 2009 3:47 PM in reply to Indie Pro
wait, yes you did. I missed it in there. My bad.
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fbacon2
November 25, 2009 3:56 PM in reply to Indie Pro
Happy Thanksgiving
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Indie Pro
November 25, 2009 4:12 PM in reply to fbacon2
to you and your family as well!
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terje
November 25, 2009 4:45 PM in reply to Indie Pro
I wouldn't argue for a second that they should advocate for this bill - they are a single issue group and they should work for their issue. We need loud and effective voices out there continuing to push the issue of single payer - educating and convincing the public, challenging the political sense that it is unrealistic.
But they are making what I believe are two extremely serious errors.
First, the idea of attacking their strongest supporter in the Senate, somehow blaming the lack of single payer moving forward on Bernie Sanders, is just plain politically stupid. They lose credibility with lawmakers, staff, media, and other advocates if they are seen as lashing out in anger and frustration at a reliable ally. No one will want to work with them in the future if they are seen as the kind of group that attacks friends and allies.
Second, I believe their judgment that defeating the current legislation is the best way to advance single payer is fundamentally wrong. As others have noted, failure on health care this time around makes it less likely, not more likely, that any kind of comprehensive reform (including single payer) will be on the political agenda for another generation. Failure to pass this reform will result in an severe electoral drubbing for the Democrats next year, making passage of any progressive legislation less likely, and give all politicians an allergic reaction to even talking about health care any time soon.
By arguing that it is better to do nothing this year than making incremental but important changes, they remind me of some of my old Maoist friends who used to argue that it was important for things to get as bad as possible in capitalist economies to create a "revolutionary situation".
Actively opposing any limited reforms and attacking your allies for not opposing them strongly enough doesn't do anything to advance single payer. But if they want to defeat the bill, they need to take responsibility for the 34 million who would have been insured but now won't be.
As for the argument that people don't "know how a single issue group works" -- I've run a national single issue organization in DC, and won no small number of victories with Congress and the Clinton and Bush administrations. Being focused on a single issue doesn't mean you can't be smart and strategic when dealing with policy makers and legislation.
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agio
November 25, 2009 4:09 PM in reply to fbacon2
More succinctly: If they pass some kind of HCR this year, it will no longer be quite the third rail it currently is. One would hope, at least.
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Indie Pro
November 25, 2009 4:12 PM in reply to agio
I don't see how that is true.
e.g. if they pass a watered down PO, or 2 exchanges in every state, like in the Senate bill, those opposed to such programs can point to their failure and argue they are pointless.
Medicare hasn't made it not a third rail.
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agio
November 25, 2009 4:31 PM in reply to Indie Pro
Medicare *has* made it a third rail to propose getting rid of medicare, though.
If reforms are implemented and are found to be too weak, it will be easier to make the case that they need strengthening. Which is exactly what happened with Social Security and Medicare.
If nothing gets passed, aside from the fact that it will be a political disaster for the Democrats, it also means that basic regulation of the insurance industry will be postponed for another long while.
Personally, I still think single-payer is a more rational and effective way of achieving universal coverage, so to that extent I am in sympathy with these guys. But realistically I'll take half a loaf over nothing at all, and hope that I live long enough to see today's anemic reforms expanded into something better.
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gharlane
November 25, 2009 4:24 PM in reply to fbacon2
Fair argument, oft repeated, but not sure I buy it, at this moment in history and in this political-economic context, for reasons I discuss upthread. As they say in the mutual fund biz, "Past performance is no indicator of future success [or failure]." And boy, in the fund biz, hasn't that been the truth over the last couple of years.
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Jeff
November 25, 2009 1:32 PM
I'm with numediar. Without more fighting spirit, we're going to get more DLC corporate nonsense like Slick Willie and our current President.
You want real change? It's gonna take a lot more fight than we've seen so far. If you're going to mock people who are really fighting for the change you're whining you want, then you deserve what you get--NOTHING.
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mcc
November 25, 2009 1:42 PM in reply to Jeff
You want real change? It's gonna take a lot more fight than we've seen so far. If you're going to mock people who are really fighting for the change you're whining you want, then you deserve what you get--NOTHING.,/i>
So when you say this you're talking about Single Payer Action, right?
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Indie Pro
November 25, 2009 1:49 PM in reply to Jeff
Some people don't seem to know how a single issue group works.
If the Whitehouse sold an official pacifier knob, many around here would riot in the line for the first chance to suck it.
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Odel Roo
November 25, 2009 4:36 PM in reply to Indie Pro
LMAO! Too Funny...
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VivaAmerica!
November 25, 2009 3:31 PM
So we can't get 60 votes for a watered PO, so let's scrap the whole thing and go for single payer? yeah, I'm sure the conservadems are opposing the PO because it's not single payer.
I don't get the logic of people who think like this. Can't get part of the pie, so they then demand the whole thing.
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Zoey
November 25, 2009 9:41 PM
I saw nothing disparaging against Sen. Sanders in Dr. Flowers Speech. I got the text of it from United Progressives and posted it on my blog: http://ellenofthetenth.blogspot.com/2009/11/dr-margaret-flowers-of-pnhp-we-call-on.html
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leftover
December 7, 2009 12:04 PM
I just created an account here, and the second thing I read is this piece of crap.
Is this the type of shoddy, irresposible and inaccurate reporting typical of TPM?
I created an account because I see and hear TPM being used as a resource in the media and on the internet as if it was responsible reporting. If this is what I can look forward to, I'll need to know how I can cancel my account.
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