Tuesday, October 21, 2008

R08-3 A Resolution Concerning Health Care


Resolved, this 134th Convention of the Diocese of Southern Ohio supports health care reform that incorporates the following principles:

~ Health care including mental health care should be available to all persons in the United States;
~ Access to health care should be continuous;
~ Health care should be affordable for individuals, families, and businesses;
~ National and state health care policy should be affordable and sustainable for society;
~ Health care should enhance health and well-being by promoting access to high-quality care that is effective, efficient, safe, timely, patient-centered and equitable;
~ Health care providers should not be expected to assume a disproportionate share of the cost of providing health care; and be it further

Resolved, that this Convention will support:

~ Reforms consistent with the Principles, including measures that promote fairness and affordability, and improve efficiency;
~ Measures that provide financial support for insurance coverage and health care;
~ Funding and policies that reflect shared responsibilities among public and private interests, including individuals, families, business, health care providers, insurers, and government;
~ Measures that improve access and quality and promote efficient and effective use of the health care dollar;
~ Accountability and transparency in health spending; and be it further

Resolved, that this Convention refer this Resolution to the Social Justice and Public Policy Network Committee to advise the Diocesan Council – as the convention between convention – and the bishops on the status of health care legislation and to advise whether particular legislation should be considered for endorsement.

Presented by:
Frederick J. McGavran
Contact: fmcgavran@fbtlaw.com
Ascension & Holy Trinity, Wyoming
Christ Church Cathedral, Cincinnati
Church of the Good Shepherd, Athens
The Rev. Roger Greene, St. Timothy, Anderson Township
Paul Rank – St. Timothy, Anderson Township
The Rev. Paula Jackson, Church of Our Saviour, Mount Auburn

Explanation
Americans pay more for health care than people in any other Western country, but private and public sources do not provide health care including mental health care for all persons in the United States. We are unique in funding health care in large part through employer provided insurance. At the same time, health care for government employees, including members of the United States Congress, is funded directly by the federal government.
The Ohio Hospital Association reports that according to federal government estimates, about 45.7 million Americans lack health insurance and 1.2 million Ohioans are uninsured. Many businesses cannot economically provide health insurance to employees, and persons outside the labor force may not have access to employer policies. As a result, tens of millions of people do not have regular access to health care. In far too many instances, people can only obtain health care at ruinous expense. Many providers are not adequately compensated for their services for uncovered persons, thereby placing an unfair burden on providers and increasing the cost to persons who do have health care coverage.
Despite the enormous expense of the current health care system, quality of care for many persons is declining. One recent study shows that children are at risk of losing health care when their parents lose or change jobs. Another study shows that children without continuous health care coverage have unmet health care needs similar to the chronically uninsured. In Ohio the infant mortality rate for African American children approaches that of third world countries. Nearly everyone can tell some horror story about health care from the perspective of patients, family or friends, or from the perspective of physicians, nurses, hospitals, staff, and other providers.

Impact on God’s Vision in the Diocese of Southern Ohio

Our Lord and Savior Jesus Christ healed the sick, and commanded us to do likewise. Our Church and our Diocese have long been aware of the health care issue, and have taken action to promote reform. The Episcopal Church has asserted the right of all individuals to health care (1991-A010), called for a system of universal access to health care (1991-A099), adopted Church Principles on Access to Health Care (1994-A057), created an Association of Episcopal Health Care Groups and Individuals (2000-A079) and reestablished a Standing Committee on Health Legislative Action Taken ((2003-A124).

The Episcopal Diocese of Southern Ohio has expressed its support for comprehensive medical benefits for all workers (R01-01).

Most Americans and Ohioans are aware that there is a health care crisis that, if unresolved, will continue in a downward spiral as access to health care and quality of care decline, and cost dramatically increases. A number of proposals are being made to address the health care crisis. We believe that it is necessary to state our support for the principles and types of reforms stated above as guidelines for legislators and policy makers.

We are also aware that reform of health care in Ohio and the United States is enormously complex, and that meaningful proposals will not probably be made until after the national elections in November 2008. We therefore believe that this Convention should refer this Resolution to the Social Justice and Public Policy Network Committee to follow proposed legislation and advise Diocesan Council, the bishop and the diocese on the status of health care legislation, and advise whether particular legislation should be considered for endorsement. If meaningful legislation is not introduced at the state or federal level, the Committee should advise Diocese Council, the bishops and Convention so that it may take appropriate action.

Financial and Program Impact Summary

Budgetary Impact: Negligible. Members of the Committee attend meetings at their own expense. Most communications will be electronic.

Program Impact: Short-term implementation is letter writing by the Secretary of the Convention to convey the Resolutions to Southern Ohio’s Congressional Delegation, Ohio state legislators that represent the geographic boundaries of Southern Ohio, the President and the Governor. Longer-range impact will be through the Committee, the Diocese and the next Convention, and by congregations informing themselves on these Resolutions and health care reform. These Resolutions are within the spirit of the Millennium Development Goals, which seek health care for all people.

6 comments:

Richelle Thompson said...

From the Scioto River Deanery meeting: Nancy Alway from Christ Church Dayton, introduced Brad Cotton (Circleville Quaker, emergency room doctor in Chillicothe) to speak to Resolution R08-2 (he also spoke to R08-3)- - Medicine for Everyone - - he spoke passionately about his belief in this resolution and his beliefs on how to manage a better health care. He distributed a handout “Privatizing health care is not the answer: lessons from the United States” by Marcia Angell MD – pub 10/6/08.

Questions – Who is going to run this and how? Has a similar Massachusetts model been successful? Referring to the Budget Impact, re: Christ Church Dayton health insurance savings – people said it was not clear enough.

Richelle Thompson said...

From the Cincinnati meeting at Christ Church, Glendale: This is in response to resolutions 2 and 3:
Question: Will Ohio have to change its law if a national health care law is implemented?
Question: How does this proposed system compare to that in Massachusetts or other states?
Question: If resolution #3 encompasses the same issues as #2, why do we need both?
Question: Is it our intent not to endorse any particular system at this time?

Richelle Thompson said...

From the Columbus Deanery:
• Addresses principles of universal healthcare for consideration in any legislation other than covered in Resolution 3

Richelle Thompson said...

From the Dayton Deanery:
• This resolution provides a means of supporting expansion of health care coverage without regard to specific legislation.
• Dr. Conard contended that the objectives listed in this resolution can best be achieved by promoting the legislation endorsed in Resolution 2.

Unknown said...

Scioto River Deanery Questions
Who is going to run Ohio’s doctor/patient-run health care system? The Plan eliminates the role of the insurance industry in Ohioans health care, currently responsible for the deaths of two Ohioans per day, who, according to the Institute of Medicine, died from the lack of treatment for a treatable disease denied by the insurance industry. Currently in America, annual deaths attributable to denial of treatment by the insurance industry amounts to a number equal to six 9/11 attacks, or 18,000 deaths per year.
Ohio’s State Board of Health will administer the Health Care for All Ohioans Act and the Ohio Health Care Fund the Plan creates. There are seven regions in the state with two representatives from each region for a total of 14 representatives. The Ohio Health Director is appointed by the Governor and is the 15th member. Each region has an Ohio Health Care Advisory Board which has two functions: (1) Choose two representatives to sit on the Board of Health, one of which must come from the largest county in the region; and (2) resolve problems arising from patients or doctors. Regional Advisory Board members are chosen by county health directors in the region. Advisory Board members are volunteers who receive travel reimbursement.
There are two competing worldviews of governance in America today: public governance versus corporate governance. Currently, many in America believe public governance of the town hall is to be despised and corporate governance of the boardroom is to be preferred. This resolution affirms that health care like fire protection or police protection is only appropriate for public governance; human life as commodity should be banned.
Has a similar Massachusetts model been successful? No state in the Union currently has a doctor/patient-run health care system. Other countries have tried this model. The US currently ranks 45th in life expectancy, behind Canada with a doctor/patient-run health care system and ranking 13th in life expectancy.
Referring to the Budget Impact, re: Christ Church Dayton health care savings – people said it was not clear enough. Parishes can determine their health care savings by identifying two numbers: (1) The parish’s health care costs and (2) the parish payroll? Multiply the parish payroll by .0385, the parish’s cost of a doctor/patient-run health care system in a moral economy under the Plan. Then subtract that number from what your parish pays for insurance-run health care. That’s the parish health care savings to provide Health Care for All Ohioans.

Cincinnati & Ohio River Deaneries Meeting Questions
Will Ohio have to change its law if a national health care law is implemented? Yes. However, history tells us that the Fed typically does not step in and enact law that states have not first tried. States are the laboratory of Federal law, so to speak.
How does this proposed system compare to that in Massachusetts or other states? No state in the Union currently has a doctor/patient-run health care system. California recently enacted a doctor/patient-run health care system that was vetoed by the governor. Other countries have tried this model. The US currently ranks 45th in life expectancy, behind Canada with a doctor/patient-run health care system and ranking 13th in life expectancy.
If resolution #3 encompasses the same issues as #2, why do we need both? The Health Care for All Ohioans Act resolution supports specific legislation.
Is it our intent not to endorse any particular system at this time? Delegates to convention may endorse the Health Care for All Ohioans Act.

Columbus Deanery Questions
A request has been made to have a list of sponsoring legislators: From http://www.legislature.state.oh.us/bills.cfm?ID=127_HB_186 H.B. #186 was sponsored by Representative Skindell and cosponsored by Representatives Hagen, R., Foley, Domenick, Ujvagi, Williams, S., Koziura, Yuko, Luckie, Letson, Mallory, Stewart, D., DeBose, Miller, Brady, Brown, Fende. From http://www.legislature.state.oh.us/bills.cfm?ID=127_SB_168 S.B. # 168 was sponsored by Senator Miller, D., and cosponsored by Senators Smith, Morano, Roberts, Fedor.
Concern that the defined payment structure (requiring less from the poor and more from wealthy) will guarantee it will be stuck in committee forever. The resolution asks the convention to support the Health Care for All Ohioans Act by asking all Episcopalians in Southern Ohio to lobby their state lawmakers for its passage, which could include lobbying for an amended funding mechanism for a doctor/patient-run health care system.

Dayton & Northwest Deaneries Questions
Hawaii recently discontinued its universal coverage for children, which raises questions about its viability. No state in the Union currently has a doctor/patient-run health care system, or ever had one. Hawaii’s plan was insurance based.

Richelle Thompson said...

Nov. 8, 2008: Convention delegates pass this resolution.