Dear colleague, We invite you to add your name to the list of endorsers of “Beyond the Affordable Care Act: A Physicians’ Proposal for Single-Payer Health Care Reform,” which is displayed below. (To view a PDF of the proposal and other, supplemental materials,. To read and view media coverage of the proposal,. To access content from the May 5, 2016 news conference,.) This proposal was drafted by the 39 member Working Group on Single-Payer Program Design.

It was published in the June 2016 issue of the American Journal of Public Health, and has been endorsed by 2,525 other physicians and 186 medical students to date. (See below for a complete list of endorsers.) Thank you for partnering with us in this effort. Sincerely, The Working Group on Single-Payer Program Design Co-chairs:* Adam Gaffney, M.D., Pulmonary & Critical Care Fellowship Program, Massachusetts General Hospital David U. Himmelstein, M.D., Professor of Public Health, City University of New York; Lecturer in Medicine, Harvard Medical School Steffie Woolhandler, M.D., M.P.H., Professor of Public Health, City University of New York; Lecturer in Medicine, Harvard Medical School Marcia Angell, M.D., Former Editor-in-Chief, New England Journal of Medicine; Senior Lecturer, Department of Global Health and Social Medicine, Harvard Medical School * Affiliations listed for identification purposes only and do not imply institutional endorsement.

Endorsement Options The Hookup Game The N Download Game. .... Abstract Even after full implementation of the Affordable Care Act (ACA), tens of millions of Americans will remain uninsured or only partially insured, and costs will continue to rise faster than the background inflation rate. We propose to replace the ACA with a publicly financed National Health Program (NHP) that would fully cover medical care for all Americans, while lowering costs by eliminating the profit-driven private insurance industry with its massive overhead. Hospitals, nursing homes, and other provider facilities would be nonprofit, and paid global operating budgets rather than fees for each service. Office For Mac 2011 Keygen Download Torrent. Physicians could opt to be paid on a fee-for-service basis, but with fees adjusted to better reward primary care providers, or by salaries in facilities paid by global budgets. The initial increase in government costs would be offset by savings in premiums and out-of-pocket costs, and the rate of medical inflation would slow, freeing up resources for unmet medical and public health needs. Click on each section to see text.

List of Additional Working Group Members. David Ansell, M.D., Chief Medical Officer, Rush University Medical Center, Chicago Thomas Bodenheimer, M.D., Professor Emeritus of Family and Community Medicine. University of California, San Francisco David Harkavy Bor, M.D., Chief of Medicine, Cambridge Health Alliance/Harvard Medical School, Cambridge, MA Allan Brett, M.D., Professor and Vice Chair of Medicine, University of South Carolina School of Medicine, Columbia, SC Olveen Carrasquillo, M.D., M.P.H., Professor of Medicine and Public Health Sciences; Chief, Division of General Internal Medicine; Director, Health Services Research & Policy, University of Miami Miller School of Medicine Andrew D. Coates, M.D., Chief of Hospital Medicine, Samaritan Hospital, Troy, New York; immediate past President, Physicians for a National Health Program James Dalen M.D., Executive Director, Weil Foundation; Dean Emeritus, University of Arizona College of Medicine Claudia Fegan, M.D., Executive Medical Director, Cook County Health and Hospitals System, Chicago Oliver Fein, M.D., Professor of Clinical Medicine and Clinical Healthcare Policy and Research, and Associate Dean, Weill Cornell Medical College Richard N. Gottfried, J.D., Chair, New York State Assembly Committee on Health Kevin Grumbach, M.D., Professor and Chair, Department of Family and Community Medicine, University of California San Francisco Charlene Harrington, Ph.D., RN, Professor Emerita, University of California San Francisco Richard B. In the United States the right to medical care remains a dream deferred, despite passage of the Affordable Care Act (ACA). The U.S continues to spend strikingly more on health care than other industrialized nations, 1 while our health outcomes lag behind.

Even with the ACA fully implemented, an estimated twenty-seven million will remain uninsured, 2 while many more face rising copayments and deductibles that compromise access to care and leave them vulnerable to ruinous medical bills. 3-9 We propose a single-payer National Health Program (NHP) covering all Americans for all needed medical care. The design of such a program has been previously described, 10,11 but intervening developments – notably the proliferation of large integrated delivery systems – require revisions. The NHP can be conceptualized as an expansion of Medicare to the entire population, with correction of that system’s deficiencies – most glaringly, high cost sharing, limitations on coverage, and subcontracting to wasteful private plans.