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2003 AB229/SB90
By Katie Wenban (4/04)

Health care problems are not new. A voter referendum in Madison of 1986 showed that 73% would like a government health care plan to cover everybody. In last October's ABC poll, 80% of those respondents want the same thing. In another recent poll, health care costs edged out the economy as the Number One concern of voters.

The Wisconsin Office of the Commissioner of Insurance tells us that there are 700 companies selling health insurance in Wisconsin, each company with different levels of coverage and multiple insurance plans. Today hospitals and clinics require a phalanx of clerks to sort through the maze of forms, billing addresses, co-pays, deductibles, etc.

Even if the patient has an insurance card, the first question is not about care, but whether the needed care is covered. Has it been authorized? (Not by a doctor, but by a clerk looking at billing codes on a computer screen!)

Is it so hard to understand that if we had one payer instead of 700 it would save money? Isn't it clear that if Wisconsin residents were all in one huge insurance pool that there would be "economies of scale" and true group protection? If paperwork were greatly reduced, if advertising costs were unnecessary, if shareholders' profits and the obscene salaries and bonuses given to insurance executives were eliminated, we could spend all that existing money on the uninsured and on preventive care.

There IS a plan that would activate the above and retrain many billing clerks to be nurses, doctors, LPNS, physical and occupational therapists and social workers. It was introduced into the Legislature this year as AB229 (SB90) and it will be re- introduced next fall as the Wisconsin Universal Health Plan (WUHP). Wayne Corey, CEO of Wisconsin Independent Businesses has stated, "Only a dramatic overhaul of the current system will bring quality health care coverage and stable costs. AB229 certainly proposes a dramatic overhaul in the system".

Administrative costs for Social Security are 2%, and it is considered an accounting miracle that every month millions of checks go out on time, to the right person, and in the right amount! Administration for Medicare is about 5%, for private health insurers it is 20 to 25% (GAO estimate). This means that about twenty-five cents of every health care dollar now is NOT spent on health care.

In 1987 the Coalition for Wisconsin Health was formed to promote health care for all. Our bill (AB229) would provide health insurance coverage to every Wisconsin resident regardless of age, race, creed, gender, sexual orientation, geographic location, employment status, or any pre-existing condition. It is a common-sense bill because able economists have shown that it would also save our state money.

Under the WUHP you would have a "Medical Security Card". Government would be involved only in the two things it does best, collecting the money and distributing it (the way it does for Social Security). There would be only one coverage plan, no dictating which procedures or medicines are allowed, and no dictating which group or doctor you see, in the manner it is done now. Treatment would be between you and your physician.

We are the only industrialized country in the world that treats health care as a commodity to be bought and sold on the market. All those other governments provide health care for all citizens. We pay twice as much per capita as they pay, because we leave over 44 million people unprotected. They wait too long to see a doctor and then access the most expensive care from emergency rooms. Providers shift the cost of this care to well-insured patients and insurance premiums go up. Taxpayers foot the bill for the sickest and most disabled. You and I pay a high cost for having uninsured neighbors!

When choosing health care for the future of Wisconsin, knowledgeable consumers will select the "Wisconsin Universal Health Plan".

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