Sen. Bernie Sanders: $10 Billion More for Community Health Centers will Revolutionize Care

[babylonsister]

http://www.commondreams.org/newswire/2009/12/19-0

FOR IMMEDIATE RELEASE
December 19, 2009
12:50 PM

CONTACT: US Senator Bernie Sanders
Michael Briggs cell [phone]

$10 Billion More for Community Health Centers will Revolutionize Care
Primary Health, Dental Care for 25 Million More Americans


WASHINGTON - December 19 - A $10 billion investment in community health centers, expected to go to $14 billion when Congress completes work on health care reform legislation, was included in a final series of changes to the Senate bill unveiled today.

The provision, which would provide primary care for 25 million more Americans, was requested by Sen. Bernie Sanders (I-Vt.).

He said the additional resources will help bring about a revolution in primary health care in America and create new or expanded health centers in an additional 10,000 communities. The provision would also provide loan repayments and scholarships through the National Health Service Corps to create an additional 20,000 primary care doctors, dentists, nurse practitioners, physician assistants and mental health professionals.

Very importantly, Sanders also said the provision would save Medicaid tens of billions of dollars by keeping patients out of emergency rooms and hospitals by providing primary care when then needed it.

Sanders worked with House Majority Whip James Clyburn (D-S.C.) to include $14 billion in the House version of the legislation.

Sanders is also working with Sen. Ron Wyden (D-Ore.) to improve language already in the bill to provide waivers for states that want to provide comprehensive, affordable health care and curb rapidly-rising costs for money-making private health insurance companies. The waivers could clear the way for a state-run, single-payer system.

For the health centers, the $14 billion in the bill that the House of Representatives approved on Nov. 7 would increase the number of centers from 20 million to 45 million over the next five years.

The investment would more than pay for itself by saving Medicaid $23 billion over five years on reduced emergency room use and hospital costs, according to a study conducted by George Washington University.

The system of Federally Qualified Health Centers began four decades ago under pioneering legislation by the late Sen. Edward M. Kennedy. Community health centers now provide primary health care, dental care, mental health counseling and low-cost prescription drugs for about 20 million Americans. The centers offer basic services like prenatal care, childhood immunizations and cancer screenings. Open to everyone, the centers care for patients covered by Medicaid, Medicare and private insurance as well as those who have no insurance.

Dan Hawkins, senior vice president of the National Association of Community Health Centers, testified before Congress earlier this year that the cost of care at health centers is 41 percent less than what is spent to care for patients elsewhere. The savings would grow if health centers were expanded to serve more patients, according to Hawkins.

[villager]

1. being on the board of a non-profit clinic, and seeing the soaring need

(precisely because people don't have adequate insurance) this may, in fact, be the only decent thing in the bill

Not surprising, then, it didn't come from a Democrat (nor obviously, a Republican)

[grytpype]

2. Traitor!!!!!

[napi21]

3. THANKS Bernie! You really are the only Senator looking out only for

the people!!! Are there any more like him IN ANY STATE? They'd dure have MY VOTE!

[Wardoc]

4. Small taters, precious. (nt)

[babylonsister]

5. More taters than we had yesterday, precious. nt

[patrice]

6. The bit about the waivers seems too uncertain.

[Mika]

7. Much like Cuba has done.

Keep in mind that Cuba, despite economic hardships largely caused by the US's extra territorial sanctions, has hi-end world class health stats.


Been there. Seen it.





After the 1959 revolution
http://www.hartford-hwp.com/archives/43b/185.html

“It is in some sense almost an anti-model,” according to Eric Swanson, the programme manager for the Bank’s Development Data Group, which compiled the WDI, a tome of almost 400 pages covering scores of economic, social, and environmental indicators.

Indeed, Cuba is living proof in many ways that the Bank’s dictum that economic growth is a pre-condition for improving the lives of the poor is over-stated, if not, downright wrong.

-

It has reduced its infant mortality rate from 11 per 1,000 births in 1990 to seven in 1999, which places it firmly in the ranks of the western industrialised nations. It now stands at six, according to Jo Ritzen, the Bank’s Vice President for Development Policy, who visited Cuba privately several months ago to see for himself.

By comparison, the infant mortality rate for Argentina stood at 18 in 1999;

Chile’s was down to ten; and Costa Rica, at 12. For the entire Latin American and Caribbean region as a whole, the average was 30 in 1999.

Similarly, the mortality rate for children under the age of five in Cuba has fallen from 13 to eight per thousand over the decade. That figure is 50% lower than the rate in Chile, the Latin American country closest to Cuba’s achievement. For the region as a whole, the average was 38 in 1999.

“Six for every 1,000 in infant mortality - the same level as Spain - is just unbelievable,” according to Ritzen, a former education minister in the Netherlands. “You observe it, and so you see that Cuba has done exceedingly well in the human development area.”

Indeed, in Ritzen’s own field, the figures tell much the same story. Net primary enrolment for both girls and boys reached 100% in 1997, up from 92% in 1990. That was as high as most developed nations - higher even than the US rate and well above 80-90% rates achieved by the most advanced Latin American countries.

“Even in education performance, Cuba’s is very much in tune with the developed world, and much higher than schools in, say, Argentina, Brazil, or Chile.”

It is no wonder, in some ways. Public spending on education in Cuba amounts to about 6.7% of gross national income, twice the proportion in other Latin American and Caribbean countries and even Singapore.

There were 12 primary school pupils for every Cuban teacher in 1997, a ratio that ranked with Sweden, rather than any other developing country. The Latin American and East Asian average was twice as high at 25 to one.

The average youth (age 15-24) illiteracy rate in Latin America and the Caribbean stands at 7%. In Cuba, the rate is zero. In Latin America, where the average is 7%, only Uruguay approaches that achievement, with one percent youth illiteracy.

“Cuba managed to reduce illiteracy from 40% to zero within ten years,” said Ritzen. “If Cuba shows that it is possible, it shifts the burden of proof to those who say it’s not possible.”

Similarly, Cuba devoted 9.1% of its gross domestic product (GDP) during the 1990s to health care, roughly equivalent to Canada’s rate. Its ratio of 5.3 doctors per 1,000 people was the highest in the world.

The question that these statistics pose, of course, is whether the Cuban experience can be replicated. The answer given here is probably not.

“What does it, is the incredible dedication,” according to Wayne Smith, who was head of the US Interests Section in Havana in the late 1970s and early 1980s and has travelled to the island many times since.

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"When I gave food to the poor, they called me a saint; but when I asked why people are poor, they called me a communist." --Brazilian Bishop Don Helder Camara

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[andym]

8. Reform from the bottom up, financed from the top down

very clever strategy by Bernie.

[dkf]

9. If this is the only thing worth funding we should base the entire

Hcr on this model. This would make way more sense than forcing people to buy health insurance.

[pscot]

10. This was the part that leaped out at me

while I was looking through earlier today. There are some interesting pilot programs and some serious administrative innovations,that should move thing forward. But only if a Democrat is appointing the department heads. Another W could gut this thing with administrative foot draffing.

[eridani]

11. What the FUCK does that have to do with mandatory private insurance

That could be separate legislation easily.