Call for Paycheck Fairness Act Co-Sponsorship

The wage gap shows that women, particularly women of color are paid significantly less than white men.

The Wage Gap: Lack of Equal Pay

On April 9, I did a blog on Equal Pay Day discussing the lack of equity in pay between men and women’s work.  In that blog, I discussed the need to pass the federal Paycheck Fairness Act.

Part of the process of obtaining passage of a bill is to get as many legislators as possible to sign on as a co-sponsor of the bill you are interested in.  In the US House of Representatives, there are currently 206 co-sponsors of the House version of the bill – H.R. 377. In the US Senate, there are currently 46 co-sponsors of the Senate version, S. 84.

The main coalition pushing for paycheck fairness and pay equity is the National Committee on Pay Equity.  This morning, I opened up an email from a listserv I’m on regarding the Paycheck Fairness Act. Michele Leber, Chair of the National Committee on Pay Equity sent out the following message, asking everyone to spread the word to their friends and colleagues in Virginia. Here’s what she said:

“We learned yesterday [April 24] from the office of Rosa DeLauro, our pay equity champion in the House of Representatives, that every Democrat in the House is now a PFA cosponsor! To reach that goal in the Senate, we need just a few more Democrats, among them Mark Warner of Virginia.

At a meeting yesterday in Warner’s office, his legislative aide said the best way to get Warner’s cosponsorship was to send the senator messages of support for the bill. So please rally any contacts, groups, or chapters that you have in Virginia, asking persons to contact Sen. Warner’s office by phone at 202-224-2023 and/or by e-mail at http://www.warner.senate.gov/public//index.cfm?p=ContactPage, asking him to cosponsor the Paycheck Fairness Act, S.84.

With the 50th anniversary of the signing of the Equal Pay Act coming up on June 10, this is particularly important now.”

So…

If you live in Virginia and are a constituent, please follow Michelle’s request and contact Senator Warner regarding co-sponsorship.

If you don’t live in Virginia, you can find out where your US legislators stand on the Paycheck Fairness Act by going to http://thomas.loc.gov/home/thomas.php. In the search box in the middle of the page, type in “Paycheck Fairness Act” and click search.  On the next page, two bills will show up—S. 84 and H.R. 377.  This page provides several links to information about both of these bills—text, bill history, co-sponsors, etc. If you click on “cosponsors” for each bill, you can determine if your representatives are publicly supporting the bill or not. If they are a sponsor, thank them and then ask them to call for a hearing and vote on the bill.  If they are not, ask them to sign on.

Thanks.

Pennsylvania General Assembly Again Attacking Women’s Reproductive Health

Keep Abortion Legal NOW Round

Keep Abortion Legal Safe, Legal and Accessible (http://www.now.org/issues/abortion/)

It’s 2013 and the Pennsylvania General Assembly continues to attack women’s access to reproductive health. According to WeveHadEnoughPA.org, the Pennsylvania legislature has launched and maintained a 2+ year attack on women’s health. There have been numerous bills introduced and in some cases passed that restrict women’s vital access to reproductive health.  Since January 2011, there have been at least 55 votes in the Pennsylvania General Assembly to restrict access from birth control to safe, legal abortions.

The most recent attack is happening this month.  On April 10, the Pennsylvania Senate Insurance and Banking Committee heard and passed out SB 3 by an 8-5 vote; a floor vote could occur any time this month.  This coming Monday, April 15th, the Pennsylvania House Health Committee will be hearing and voting on HB 818, the companion bill to SB 3.

The Additional Burdens on Women Seeking Abortion Care in These Bills

Both of these bills would prohibit insurance companies who provide health care coverage from including abortion coverage within the new healthcare Exchange crafted by the Affordable Care Act (aka Obamacare). The only exceptions to this proposed ban are for women who become pregnant because of rape or incest if they personally report the sexual assault to law enforcement officials and for women who will die without immediate access to abortion services. If a woman doesn’t meet one of these two exceptions, she must completely pay for the abortion totally out of her own pocket, unlike any other medical care she would receive under her health insurance plan.

Currently, about 80% of private insurance companies provide coverage for abortion services. This is important because these very same plans will be offered to people purchasing insurance through the Exchange. As part of the federal law, however, all plans that offer abortion coverage in the Exchange must have a separate payment for that portion of the coverage. This bill would deny women the right to make this separate payment and deny them what is currently available to most people covered by the current private health insurance system. While women would still be able to have abortions in this circumstance, they would be forced to fully pay out-of-pocket all cost for these procedures; their insurance company would be prohibited from paying any portion of this treatment.

This proposed ban places an undue burden on victims of rape and incest and on those women whose lives are in danger health-wise by adding unnecessary barriers to receiving the critical medical attention they need. The two exceptions allowed are extremely limited. These bills require woman who are victims of rape or incest to notify the police and identify the perpetrator prior to seeking abortion treatment.  It also limits women with health issues that complicate their medical treatment to those that are in immediate danger of dying and requires additional medical certification by second, non-attending physician.

This bill places these restrictions on access to health insurance not by mentioning rape or incest or the death aversion clause, but by referring to and expanding Pennsylvania’s version of the Hyde Amendment.  This language is embedded in 18 Pa.C.S. § 3215(c) and would expand restrictions on public funds to all privately paid insurance plans purchased within the Exchange. The law (18 Pa.C.S. § 3215(c))as currently written is a prohibition of the state spending of public funds but not personal funds provided by the person herself for her own health insurance coverage.

The Rape and Incest Exception

Women and minors who are raped would be denied access to abortion services unless they formally report and identify their rapist to the police or child protective services.  Most sexual assaults are not reported to the police. This is even truer when the perpetrator is a family member or acquaintance. According to the Pennsylvania Coalition Against Rape, sexual assault occurs at a much higher rate than is actually reported.

Reasons for not reporting include an initial denial that they have been raped; fear that you won’t be believed or are ashamed for having been raped; or having an ongoing relationship (such as a spouse or parent) with the perpetrator. In order to be safe from further violence by the perpetrator, women and girls may decide not to report the attack to the authorities.  And if you are in denial you are also unlikely to report your rape or the incest of your child to authorities as required in this proposed legislation.

So that means if this bill becomes law and you become pregnant from rape or incest, you are further burdened with the additional costs of fully paying for the abortion. If this bill were not to go into effect, then following the restrictions placed on abortion care under federal law, you would have the abortion services covered based on the insurance rider you purchased in the exchange and you wouldn’t be forced to file a complaint with the police.  This is just one reason why this bill should be voted down.

The “Avert” Death Exception and Need for Expanded Health Exception

In addition, under this proposed law, women who are near death could receive an abortion.  However, say a woman develops cancer or an infection during her pregnancy that will not immediately kill her but would complicate her medical treatment should she continue with the pregnancy.

This health threat/complication is not included in the current bill’s health exception as that exception allows abortions only to “avert” the woman’s death. Any woman with a medical condition that is complicated by the pregnancy but doesn’t immediately place her in danger of death would be forced to bear the additional burden of the full cost of an abortion in addition to the increased threats to her health as well as the additional medical bills for the remaining part of her care.  The medical community, advocates and some legislators are very concerned about this limited exception and have proposed an amendment to both the House and Senate bill to expand this exception from “averting” her death to coverage of the abortion for any pregnancy that poses a substantial risk to the woman’s physical health.

But even if the health exception is expanded to include threats to women’s physical health and care, this bill continues to attack women’s health and lives and should be voted down.

Why this Bill Should be Voted Down

The question of whether abortion will be covered in federally subsidized insurance exchanges has already been settled.  In response to concerns raised by US Senator Ben Nelson, a staunch opponent of abortion, women who want to use their own money to purchase a health insurance plan that covers abortion services must send a separate payment so the funding for abortion coverage is completely separate and paid entirely by the individual. This bill denies women their right to make this separate payment.  And with an estimated 80% of private insurance plans currently covering abortion care, banning abortion coverage in the state exchange would leave women worse off than they were before health care reform began.

Abortion care is a legally authorized and fundamental component of women’s basic health care.  Women should not be denied access to safe, legal, and critical care as part of health care reform implementation.

If abortion coverage is available to some, it should be available to all.  Politicians should not discriminate against women participating in the health insurance exchange.  All women deserve the same peace of mind that they can obtain the health care they need, regardless of where their insurance comes from.

The decision to have an abortion is a private decision between a patient and her physician. It should not be denied by politicians interfering with an insurance company and the policies they offer to the consumer for this procedure.

Banning abortion coverage in transactions between a private company and an individual is governmental activism of the worst kind.  With all of the heated rhetoric over healthcare reform, one would assume that lawmakers would be sensitive about taking any action that suggests government intervention in private healthcare decisions.

Finally, instead of denying Pennsylvania women access to fundamental reproductive health care services, politicians should be working to protect and advance women’s health.

Action Needed

Contact your Pennsylvania Senator and Representative today (find their contact information here).  Tell her/him to support the expanded health exception amendment to both SB 3 and HB 818 and to oppose the entire bill regardless of the inclusion of the amendment.

What is Equal Pay Day and Why Should I Care?

For the last three years, my local NOW chapter—Ni-Ta-Nee NOW—has organized community education events surrounding Equal Pay Day and paycheck fairness.

A frequent question we have is, “What’s Equal Pay Day and why should I care?”  To help answer that question, we have done op-eds and interviews with the local press (See here and here).  We also create a flyer that we update each year.  As President of Pennsylvania NOW, I wrote another blog on this issue in 2011. And elsewhere on my blog site, I have commented on the need for fairness in pay.

Today, we will once again be distributing Equal Pay Day flyers in front of the gates of The Pennsylvania State University over the dinner hour today.

Why today? Because Equal Pay Day moves from year to year. For 2013, that day is April 9.

The following is a web-based version of this flyer.  The hard-copy version focuses on Pennsylvania.  I have kept that information here; I’ve also added commentary and links for information and contacts in other states.

TUESDAY APRIL 9TH 2013

EQUAL PAY DAY

IT’S THE DAY ON WHICH WOMEN’S WAGES CATCH UP WITH MEN’S WAGES FROM THE PREVIOUS YEAR.

Equal Pay Day symbolizes how far into the year a woman must work full-time, on average, to earn as much as a man earned the previous year.  In 2013, it took 2 days MORE than in 2011 and 8 days LESS than in 2012 for a woman to earn as much as a man earned in the entire year.

THE WAGE GAP

National Perspective

The wage gap shows that women, particularly women of color are paid significantly less than white men.

The Wage Gap: Lack of Equal Pay

The wage gap is the ratio of women’s to men’s median annual earnings for full-time, full-year workers. Based on these earnings, women earned just 82% of what men earned (US Bureau of Labor Statistics, 2013).

Nationally, Asian American women have the smallest wage gap, earning 88% of what the average white man earned in 2012. White women are next, earning approximately 81% of white men’s average income. African-American women (68%) and Hispanic women (59%) have the largest wage gaps compared to white men (Institute for Women’s Policy Research, March 2013).

A typical woman earns $431,000 less in pay over 40 years due to this wage gap. (Center for American Progress, 2012)

At the current rate of progress, the Institute for Women’s Policy Research estimates that it will be 2057 before women’s wages reach parity and Equal Pay Day will finally be on December 31 rather than somewhere in April of the following year!

Pennsylvania Perspective

The wage gap is just as bad, if not worse, in our state. When ranked among the other 50 states, the District of Columbia, and Puerto Rico, Pennsylvania’s wage gap placed it 34th (Women’s Law Center calculation based on American Community Survey Briefs, April 2013).  You can look up your state’s pay equity ranking at this site as well if you don’t live in Pennsylvania.

The median annual income for a woman working full-time, year round in Pennsylvania in 2011 was $37,089, compared to men’s $47,956. This is a wage gap of 77% (Women’s Law Center calculation based on American Community Survey Briefs, April 2013). A typical woman in PA earns $459,000 less in pay over 40 years due to this wage gap. This gap rises to $722,000 for women who have earned college degrees. (Center for American Progress, 2010)

WHAT CAN I DO??

If You are an Employer

If you are an employer, you can get help in examining pay practices by conducting an equal pay self-audit using the guidelines from the US Department of Labor (available at www.pay-equity.org/cando-audit.html).

If You Believe You Are Experiencing Wage-Based Discrimination

Tell your employer if you are being paid less than your male co-workers. Click here for some tips on negotiating for pay equity.

If there’s a union, ask for their help.

If discrimination persists: There are three places to file complaints – at the federal level, at the state level, and at the local level.

At the Federal Level

You can file under federal law with the Equal Employment Opportunity Commission (EEOC). Go to this link and follow the instructions.

At the State Level

You can find your state’s anti-discrimination agency website and contact information in a pdf file created by Legal Momentum starting on page 28.  Most of the agencies have a website address that you can copy and paste into your browser.  All of the agencies have a phone number that you can call for assistance.

If you live in Pennsylvania, you can file a complaint with the Pennsylvania Human Relations Commission in Harrisburg.  Contact information is available by region.  Just go to their website and look for your county’s name.  The phone number and address for your regional office is listed directly above the names of the counties served by each office.

At the Local Level

There are a few communities throughout the country that have created local ordinances that include the state-based anti-discrimination protections and have also expanded coverage to other areas (such as protections based on sexual orientation, family status, and/or family responsibilities across the life-span).

You should therefore check to see if your local county, city, or community has an ordinance providing similar protections for wage-based discrimination. If so, you can more conveniently file a wage-based complaint at the local level.  Check with your state’s anti-discrimination agency (see info above under “At the State Level”) to see if there is a local ordinance in your community.

In Pennsylvania, there are about 30 communities with such an ordinance. Your regional office of the Pennsylvania Human Relations Commission can give you this information, along with whom to contact.

One of these 30 communities in Pennsylvania is State College, PA, where the main campus of The Pennsylvania State University is located. Their ordinance covers wage-based discrimination based on sex as well as color (race), religion, ancestry, national origin, sexual orientation, gender identity or expression, familial status, marital status, age, mental or physical disability, use of guide or support animals and/or mechanical aids.  If you work within the State College, PA borough, you can file a complaint with them under their Employment Anti-Discrimination Ordinance at 814.234.7110 (Side note: I was one of the people instrumental in crafting this ordinance).

Supporting and Advocating for Paycheck Fairness

Ask your Congressional representatives to co-sponsor the Paycheck Fairness Act – HR 377 in the US House of Representatives and S 84 in the US Senate).  The Paycheck Fairness Act updates and strengthens the Equal Pay Act of 1963. It gives women the tools they need to challenge the wage gap itself.

You can find out where your representatives stand on the Paycheck Fairness Act by going to http://thomas.loc.gov/home/thomas.php. In the search box in the middle of the page, type in “Paycheck Fairness Act” and click search.  On the next page, two bills will show up—SR 84 and HR 377.  This page provides several links to information about both of these bills—text, bill history, co-sponsors, etc. If you click on “cosponsors” for each bill, you can determine if your representatives are publicly supporting the bill or not. If they are a sponsor, thank them and then ask them to call for a hearing on vote on the bill.  If they are not, ask them to sign on.

And For More Information

Visit http://www.pay-equity.org – the website created by the National Committee on Pay Equity (NCPE).  NCPE is a coalition of women’s and civil rights organizations; labor unions; religious, professional, legal, and educational associations, commissions on women, state and local pay equity coalitions and individuals.”  They are dedicated to ending wage-based discrimination and achieving pay equity. If you like what they are doing, you can join and become a member.

Loving and Marriage Equality

Logo of Freedomt to Marry, Inc.

“working to win the freedom to marry in more states, grow the national majority for marriage, and end federal marriage discrimination. ” http://www.freedomtomarry.org/pages/about-us

Today at noon, the US Supreme Court wrapped up a hearing on the right of same-sex couples to marry.  The case is called Hollingsworth v. Perry. If broadly held in favor of the plaintiffs, it will prohibit states from denying lesbian and gay people the right to marry each other. If narrowly held, it would not affect cases outside California; it would only overturn Proposition 8 and allow gay and lesbian people within California to marry each other.

Tomorrow, the US Supreme Court will hear a case called Windsor v. United States. This case appeals the constitutionality of the federal Defense Of Marriage Act (DOMA). DOMA denies any benefit, such as tax deductions, for married couples who are not of the opposite sex.

Jointly, these cases are, IMO, about  fairness, equality, and family. What constitutes a family?  Is it right to deny a couple the rights, privileges, and responsibilities of marriage granted all other loving adults?  Does prejudice trump the protections of due process and equal protection clauses of the 14th amendment to the US Constitution?

These questions have come up before. There are a total of 14 previous marriage-equality cases that have reached the US Supreme Court. All of these cases have declared that marriage is a fundamental right for all.  The most famous case—and one that will be part of the argument for same-sex marriage in today’s case—is Loving v. Commonwealth of Virginia.

In 1967, Chief Justice Earl Warren, in an unanimous decision, overturned Virginia’s miscegenation law that bans marriage “solely on the basis of racial classifications [because it violates] the Equal Protection and Due Process Clauses of the Fourteenth Amendment.”

When you read further into the opinion you can see that it was prejudice that was the sole basis for Virginia’s (and 15 other states) laws banning interracial marriage. The argument that the state made for keeping the miscegenation law on the books was highlighted in the Court’s opinion. Chief Justice Warren quoted the judge who had sentenced Mildred and Richard Loving to either 1 year in jail or 25 years of exile from Virginia:

“Almighty God created the races white, black, yellow, malay and red, and he placed them on separate continents. And but for the interference with his arrangement there would be no cause for such marriages. The fact that he separated the races shows that he did not intend for the races to mix.”

Then Warren overturned the statute stating that there is no legal, “rational” basis to deny someone the constitutional right of marriage equally granted to all other heterosexual couples. And in one simple statement, he basically said that marriage is an issue of equality for all. He said,

“The freedom to marry has long been recognized as one of the vital personal rights [emphasis added] essential to the orderly pursuit of happiness by free men.” 

What happened after this decision?

Interracial Marriages

The result of this opinion was that all anti-miscegenation laws throughout the country became unenforceable. And in the case of Virginia, the state was ordered, among other things, to remove this law from their books. They did it kicking and screaming. It took them until 1971–four years after the Court’s decision–to finally comply.

And I was in the room when it happened. And as far as I can find, they made as sure as they could that the legislators’ prejudicial behavior wouldn’t appear in the history books.

I grew up in Virginia. During my senior year in high school, our Government Class took a trip to the Capitol in Richmond. It just happened to be the day that the legislature rescinded the law banning intermarriage between people of color and Caucasians. There were six of us in the class who wanted to see the vote occur. The guards at the entrance to the visitors’ gallery shut the doors and wouldn’t let anyone in. The six of us decided to question this action and held a sit-in in front of the doors. After much consternation on the part of the guards as to what to do with us, they finally opened the doors and let us in.

We then watched an all-white, male legislature grudgingly vote to rescind this law. In Virginia, the House voted using a board of red and green lights – red for a no vote and green for a yes vote. The question on the floor was basically, “Should we remove the two statutes in our code that prohibit and punish interracial marriages?” 

The speaker put the question to a vote. The board started lighting up. All but a couple of lights were red, meaning that they almost all wanted to keep this prejudiced law on the books. About 30 seconds prior to recording the vote, the speaker again said that he would be closing the vote and asked everyone once again to vote. Just before he closed the vote for the record, all but a couple of the red lights turned green. What got recorded was a grudging acknowledgement that loving someone and getting married is a right that could no longer be denied because of animus towards the couple.

Same-Sex Marriages

In the case of gay and lesbian couples, we once again have an issue of animus towards the freedom to marry in some but not all states. Thirty-nine states limit marriage to heterosexual couples only via statute or state constitutional amendment.

Ten states and three Native American tribes believe otherwise. The states supporting marriage equality are Connecticut, Iowa, Maine, Maryland, Massachusetts, New Hampshire, New York, Vermont, Washington, and the District of Columbia. The tribes supporting marriage equality are the Coquille Tribe in Oregon, the Suquamish tribe in Washington, and the Little Traverse Bay Bands of Odawa Indians in Michigan.

New Mexico and Rhode Island recognize marriages that occur in other states and countries, but don’t allow them to be performed within the state.  And California, unless Proposition 8 is overturned, currently and will continue to recognize only the same-sex marriages that occurred between the May 2008 CA State Supreme Court’s decision legalizing same-sex marriage and the November 4, 2008 passage of Proposition 8.

Polls also tell a story as does Mildred Loving

At the time of the Loving decision, 80% of the country felt that it was wrong for interracial couple to marry. In 2011 (the most recent poll I could find), a record 86% of the public supported interracial marriage.

According to FreedomToMarry.org, popular opinion on gay marriage has also dramatically shifted in the last nine years. A poll addressing the issues being argued in the Proposition 8 case was released on March 18, 2013; it indicates that 58% of respondents support same-sex marriage; only 36% say they are opposed. A poll addressing the issues being argued in the DOMA case was released on March 7, 2013; it shows that 59% of respondents oppose the “denial of equal benefits and protections for legally married same-sex couples.”  And regardless of support for same-sex marriage in either federal or state law, even more people—83 percent—believe that there is a constitutional right to marriage (poll released on February 19, 2013).

I agree. And so did Mildred Loving in one of her few public statements on marriage equality. On the 40th anniversary of the Loving v. Commonwealth of Virginia decision (June 12, 2007), she linked the freedom to marry for same-sex couples to the freedom to marry for interracial couples:

I believe all Americans, no matter their race, no matter their sex, no matter their sexual orientation, should have that same freedom to marry.

I am still not a political person, but I am proud that Richard’s and my name is on a court case that can help reinforce the love, the commitment, the fairness and the family that so many people, black or white, young or old, gay or straight, seek in life. I support the freedom to marry for all. That’s what Loving, and loving, are all about.

Let’s listen to Mildred. Let’s listen to the public. Let’s stand up to the animus similar to that expressed by those all-white legislators in the 1971 Virginia General Assembly.

Like Chief Justice Warren and all of his colleagues did back in 1967, the current US Supreme court needs to stand for freedom, fairness, and the family.  They should  broadly rule for marriage equality as suggested by People for the American Way Foundation by supporting the freedom to marry for all. Overturn Prop 8, DOMA, and all the restrictive marriage laws across the country.

As Mildred said,

That’s what Loving, and loving, are all about.

Voting Rights for Felons and Ex-Cons

vote button

Voting Rights for Felons and Ex-Cons

Yesterday, a friend of mine called me.  She said that she had been talking to a woman whose partner had a felony record who had served his time for the crime.  Among the several issues they discussed was his frustration that he was no longer able to vote.  Like many people, my friend and the couple she was talking to me about all believe that once someone has been found guilty of a felony, they face a lifetime ban on their constitutional right to vote.

Since primary season is coming up in many places around the country and since most states have voter registration deadlines before their primary election day, I thought I’d provide some background information on this issue.

What is the myth?

Simply stated, the myth is that ex-cons cannot vote – once convicted and forever afterwards. There are at least two errors in this myth:

  • Except for a narrow category of crimes in Mississippi, disenfranchisement does not occur in any state if you are found guilty of a misdemeanor crime.  Even if you spend time in jail for that misdemeanor.
  • Voter disenfranchisement for people with a felony conviction differs by state.  Eleven states permanently disenfranchise some or all current and former felons from voting, but most don’t.

So it all depends on where you live. Here’s what I found out about state laws on this issue from the Brennan Center for Justice

Permanent Disenfranchisement for All Felons

Only four states – Iowa, Florida, Kentucky, and Virginia – permanently disenfranchise current and former felons from voting.  The only way for a person to have their voting rights reinstated is through an “individual rights restoration” process set up by each state.

Permanent Disenfranchisement for Some but Not All Felons

Seven states permanently disenfranchise some, but not all current and former felons from voting.

In Arizona, if someone is convicted of two or more felonies, the right to vote is permanently denied.

In the other six states in this category, you need to check your state law to determine which felony convictions permanently deny you the right to vote. Here’s a quick summary of these laws.

  • In Alabama, you can be permanently barred from voting if your crime is listed in their disenfranchisement list. If the conviction is a “moral turpitude” type of conviction, you can have your voting rights restored upon completion of your sentence and payment of fines and fees.
  • In Delaware, voting after incarceration can be reinstated five years post-incarceration unless the crime you committed is one among a list of crimes that permanently disenfranchises your right to vote.
  • In Mississippi, you permanently lose your right to vote if you are convicted of any of ten categories of crime, whether that crime is a felony or misdemeanor.  If your crime isn’t on this list, you can vote even while incarcerated.  Note, this is the only state that has a law that permanently bans voting for someone who has created a misdemeanor.
  • In Nevada, if someone is convicted of two or more felonies, the right to vote is permanently denied.  People convicted of violent crimes at any time are permanently barred from voting. Nevada will restore those rights if a pardon is granted or if the court where the conviction originally occurred restores those rights.
  • In Tennessee, if your crime is on the list of crimes that permanently bar you from voting, then you can only have these rights reinstated if you are pardoned.  For all other crimes, you can have your voting rights restored upon completion of your sentence, payment of fines and fees, and show that you are up to date on all child support payments.
  • In Wyoming, you can have your voting rights restored five years post-incarceration for first-time non-violent crimes.  All others are permanently disenfranchised unless pardoned by the Governor.

Voting Rights Restored Upon Completion of Incarceration, Probation, and Parole

Nineteen states – Alaska, Arkansas, Georgia, Idaho, Kansas, Louisiana, Maryland, Minnesota, Missouri, Nebraska, New Jersey, New Mexico, North Carolina, Oklahoma, South Carolina, Texas, Washington, West Virginia, and Wisconsin – restore your rights to vote upon completion of your sentence, which includes incarceration, probation, and parole.

In Nebraska, one additionally has to wait two years after completing the sentence before being allowed to vote.

In Washington state, you can lose your right to vote again if you haven’t paid your financial obligations after completing your sentence.

Voting Rights Restored After Incarceration and/or Probation

Five states – California, Colorado, Connecticut, New York, and South Dakota – allow you to vote once you have completed your sentence and/or probation.

In New York, those on probation can have their voting rights restored if they receive either a “Certificate of Relief from Disabilities or a Certificate of Good Conduct.”

Voting Rights Immediately Restored After Incarceration

Fifteen states – the District of Columbia, Hawaii, Illinois, Indiana, Massachusetts, Michigan, Montana, New Hampshire, North Dakota, Ohio, Oregon, Pennsylvania, Rhode Island, and Utah – immediately restore voting rights upon one’s release from jail or prison. There are no voting restrictions for people on parole or serving probation time.

No Restrictions on Voting for People with a Criminal Record

And just two states – Maine and Vermont – allow anyone otherwise eligible to vote regardless of criminal conviction to vote. Even while incarcerated, on probation, or parole.

Who is most likely to be impacted by this disenfranchisement?

According to the ACLU, people and communities of color are most often disparately impacted by felony disenfranchisement laws. There are over 5.3 million people in the United States that are barred from voting due to a criminal conviction.  The majority of these crimes are non-violent.

Of the 5.3 million disenfranchised, 1.4 million or 26 percent of people with a criminal conviction are African-American citizens.  Considering that black persons make up just 13 percent of the national population, one can immediately see that if you are Black, you are twice as likely to have your voting rights denied.  This means that one in 13 African-Americans across the country are being denied their right to vote.

The myth of an ex-con never being allowed to vote compounds this issue. As previously stated, many believe that once convicted, they can never vote again.

With a widespread belief in this myth as well as a lack of public education to refute it, more and more ex-cons are at risk of not regaining their right to vote. Since actual disenfranchisement disparately impacts people of color, this assumption exacerbates this form of discrimination.

In my opinion, little is done by the government, courts, and communities to educate people and communities about their voting rights when one has been sentenced for a crime.  Exceptions to this come from only a few, non-profit advocacy sources, including the ACLU, the Brennan Center for Justice, the Prison Policy Initiative, and the Sentencing Project.   There are others, but I believe that these four contain the best resources.

What do you need to do to get registered?

If your state is one of the states that do not permanently disenfranchise people who have completed their sentence (or if you live in Maine or Vermont which has no felony restrictions on voting), you should check out what your state law is regarding registering to vote.  The federal government has a website that has basic information on how to register and what the registration deadlines are by state.  It also has links to every state’s election office website where you can get details about state-specific requirements for voter eligibility.

If you know or believe that you have the right to vote in your state despite having a criminal history and receive a denial to vote when you attempt to register, you should check with an organization that provides legal services to people who have been incarcerated.  You can find a listing of these organizations by state here.  If your state isn’t listed, then the Prison Policy Initiative suggests that you contact one of the national groups that provide voter disenfranchisement assistance.

Once you get registered, GO VOTE!  It’s your right.

Powerful UN CSW57 Document on Ending Gender-Based Violence Created

On March 14, I wrote a blog entitled “The “Unholy Alliance” that May Defeat Comprehensive UN Call to End Gender-Based Violence.” I talked about an alliance between the Vatican, Iran, Russia and a couple of other countries that were attempting to eviscerate the comprehensive plan being created at the 57th session of the United Nations Commission on the Status of Women (CSW57) to end gender-based violence and fully comply with all of the universally agreed-upon agreements (treaties, resolutions, and statements). These previous agreements include the Women’s Rights Treaty (commonly known as CEDAW or the Convention on the Elimination of Discrimination Against Women (1993)) as well as the Beijing Platform for Action (1995), and UN Security Council Resolution 1325 (2000).

I am happy to say that this didn’t happen.  Thanks to the bloggers, news media, Tweeters, NGO’s attending CSW57, and several official Member States, the amendments to the document were voted down on Friday during the final day of the 2-week convention.

Iran was the only country that voted against the final, comprehensive document. The Vatican did not get to vote because of its status as a “Permanent Observer State” rather than as a voting “Member State”. And Russia backed down and voted for the final document along with all of the remaining UN Member States.

People around the world heard about these attempts to deny women and girls safety from all forms of violence.  We spoke out and acted.

As a result, unlike last year, we FINALLY have a strong document that

“condemns in the strongest terms the pervasive violence against women and girls, and calls for increased attention and accelerated action for prevention and response.” (Source)

This document has a strong prevention focus since the best way to end violence against women and children is to stop it BEFORE it happens.  It also addresses inequalities in the political, economic, and social spheres that engender violence. And it takes action to provide services and justice for victims of violence around the world.

Ms. Michelle Bachelet, United Nations Under-Secretary-General and Executive Director of UN Women summarized the comprehensive coverage of this powerful statement to end this type of human rights violation in her closing statement of the conference:

During the past two weeks, discussions centred on matters of urgency to people around the world — eliminating all forms of violence against women and girls, ending impunity for perpetrators, fully engaging men and boys, and advancing women’s empowerment and gender equality to prevent and end these human rights violations….

Important and timely matters were addressed — ending child and early forced marriage, protecting the rights of persons with disabilities, and providing justice and critical services for survivors of violence.

There were debates on ending sexual violence in conflict, tackling human trafficking, protecting sexual and reproductive rights, and on the role of culture, religion and the family.

You had many intense late-night negotiations, going over every single word and paragraph, debating long and hard in order to come to [this] strong agreement.

UN Secretary-General Ban Ki-moon, immediately after CSW57, released a statement showing the commitment of the United Nations to fully implement this new document. It says, in part:

Violence against women is a heinous human rights violation, global menace, a public health threat and a moral outrage.  No matter where she lives, no matter what her culture, no matter what her society, every woman and girl is entitled to live free of fear.  She has the universal human right to be free from all forms of violence so as to fulfill her full potential and dreams for the future.

States have a corresponding responsibility to turn that right into reality.  The Secretary-General hopes that all the partners who came together at this historic session and others around the world will now translate this agreement into concrete action to prevent and end violence against women and girls.  The United Nations system is fully committed to leading this global effort.

So now I say, THANK YOU! Thank you for creating this statement. It is one more step  towards realizing the rights, dignity, and humanity of girls and women throughout the world.

Picture of Joanne Tosti-Vasey standing with sign that says "I AM Ending Violence"

Joanne Tosti-Vasey “Refusing to be Silent” and calling for an end to gender-based violence

The “Unholy Alliance” that May Defeat Comprehensive UN Call to End Gender-Based Violence

Last week, on International Women’s Day (March 8), I participated in the 24-hour Global Tweet-a-Thon to end gender-based violence.  This event was held in conjunction with the 57th session of the United Nations Commission on the Status of Women (CSW57) that is being held in New York City.  The theme of this year’s session is the “Elimination and prevention of all forms of violence against women and girls.”

I participated as a host for one hour of this event to facilitate the global conversation between people around the world and those attending the unofficial Non-Governmental Organization (NGO) programs at the UN as well as to send a message to the official UN delegation. Our message was that advocates around the world are looking for a strong draft statement calling for the full elimination and prevention of all forms of violence against women and girls as directed by the theme of this two-week conference.

Here are a few of the many tweets I sent out that either addresses the situation of violence in countries around the world OR that calls on governments, including the UN, to create best practices to end gender-based violence:

@JoeBiden “40% of all mass shootings started with the murderer targeting their girlfriend, or their wife, or their ex-wife.” #EndVAW #CSW57 #IWD2013

The first sexual experience for 24% of women in rural Peru was forced. #EndVAW #CSW57 #IWD2013

In Latin America & the Caribbean, abused women reported higher incidents of miscarriage and induced abortion. #EndVAW #CSW57 #IWD2013 (Source)

In South Africa, women who were abused by their partners are 48% more likely to be infected with HIV than those who were not. #EndVAW #CSW57 #IWD2013

To #EndVAW, governments must enact legislation that addresses violence based on sexual orientation and gender identity. #CSW57 #IWD2013

To #EndVAW governments must fully fund health services for survivors of violence, including #HIV screening & emergency contraception. #CSW57 #IWD2013

To #EndVAW, governments must ensure girls and women have access to abortion in cases of rape and incest. #CSW57 #IWD2013

Providing young people with human rights-based, comprehensive sexual and reproductive health services and information helps #EndVAW. #CSW57 #IWD2013

Respecting, protecting, and fulfilling girls’ and women’s sexual rights can minimize the violence they face. #EndVAW #CSW57 #IWD2013

Promoting girls’ and women’s sexual rights is a key tool to #EndVAW, address women’s inequality, and achieve sustainable development. #CSW57 #IWD2013

Domestic laws to #EndVAW should align with international best practice and reinforce the protections found in #humanrights treaties. #CSW57 #IWD2013

And

There is no country where women and men are equal in all spheres of life. You have the power to can change that! #EndVAW #CSW57 #IWD2013

That last tweet is a call for individuals, organizations, countries, and the United Nations to pull together to create and execute a comprehensive plan to end gender-based violence and fully comply with all of the universally agreed-upon agreements (treaties, resolutions, and statements), including the Women’s Rights Treaty (commonly known as CEDAW or the Convention on the Elimination of Discrimination Against Women (1993)) as well as the Beijing Platform for Action (1995), and UN Security Council Resolution 1325 (2000)

I had hoped the draft document that is supposed to be finalized and signed on March 15 – the final day of the two-week deliberation – would help strengthen these treaties.  Instead on Tuesday, March 12, 2013, I received an email from two NGOs – the Center for Women’s Global Leadership (CWGL) at Rutger’s University and International Women’s Rights Action Watch Asia Pacific (IWRAW Asia Pacific)—indicating that

“the United Nations Commission on the Status of Women (CSW) is wavering in its commitment to advance women’s human rights as demonstrated in the constant negotiation of the language in the outcome document.”

The next morning, I saw a New York Times editorial called “Unholy Alliance.”  This article clearly lays out what was going on in the official deliberations.  Apparently, the Vatican (which, btw, is a “Permanent Observer,” not a “Member State”), Iran, Russia, and a few other Member States have spent the their entire time at CSW57 trying to eliminate language in the draft communiqué to “duck” their obligations – and thus the obligations agreed to by most of the world – to eliminate all gender-based violence.

Their excuses?  Religion. Custom. Tradition.

What are they objecting to specifically?  Any reference to abortions or contraception.  Any mention of reproductive or sexual health. Any reference to forced sex as rape by either a spouse or other intimate partner.  And even any reference to women’s rights in general from the aforementioned international agreements; in this case, they claim that either religious or cultural traditions must take precedence over ending any form of gender-based violence.

These “reservations,” by the way, are the same reservations raised by essentially the same countries at the 56th session of the CSW conference in 2012.  As a result, that session ended without any agreement and women, once again, were left without a comprehensive UN plan to help improve their lives.

I am appalled. Gender-based violence is a crime against humanity.  Whether that crime is perpetrated by a government (for example, when military units carry out gang rapes and other gender-based war crimes for ethnic intimidation, ethnic cleansing and terrorizing a community).  Or when that crime of violence is perpetrated by individuals.

After learning all of this, I contacted the National Organization for Women (NOW) chapters in Pennsylvania.  Within 24 hours, Pennsylvania NOW along with South Hills NOW (Pittsburgh area), East End NOW (part of Allegheny County just east of Pittsburgh), Northeast Williamsport NOW, Ni-Ta-Nee NOW (my chapter here in Centre County), and Montgomery County NOW all co-signed the letter created by CWGL and IWRAW Asia Pacific.

This letter was signed by 281 organizations from 57 countries and 129 people from around the world and delivered to the conference on March 14.  FYI, since some of the organizations do not include the country of origin in their names, there may be — and probably are — more than 57 countries represented on this letter.

Here’s the letter that we signed.

IWD Statement on Concerns of Women’s Organizations Over Negotiations on CSW 57 Outcome Document 3-14-13

I along with all of these organizations and individuals want to see a comprehensive UN program to end violence against women and girls.  We want to strong enforcement of all international agreements.

Patriarchy has no right to quash human rights.  Let’s hope that the official delegates hear our voice and stop this “unholy alliance.” If allowed, the result will be more, not less gender-based violence.

If not, then I believe that like last year there should be no UN document signed by the United States or any other Member State participating in the 57th CSW conference.  Going forward with a strong plan to end all forms of violence is the best plan.  Going backwards is appalling and should not be condoned.  Better nothing than something that moves us backwards.

Let’s just hope they hear our voice and “do the right thing.”

Universal, Single-Payer Health Care Can Save Billions of Dollars

I recently posted a blog about why I support universal single-payer healthcare.  I told you about my personal trials with insurance companies in order to obtain my life-saving bone marrow transplant.  I have been telling that story in my advocacy ever since the early 1990’s when I became a single-payer healthcare advocate.

In 2008, I ran for the Pennsylvania House of Representatives.  Another candidate in another district that year was Cindy Purvis.  Both of us ran for public office with the message that affordable, universal health care was necessary for individuals, families, businesses, and our communities in general.

The following year, Cindy helped found Health Care for All PA, a statewide non-profit organization that educates the public and government officials regarding the scope and seriousness of the health care crisis.  She was their first President.  A year later, she asked me to join their Board of Directors.

In our advocacy for a universal health care plan for Pennsylvania, we have received push-back from the legislature. They told us that the General Assembly would not move the bill unless we had an Economic Impact Study (EIS) that shows that universal, single-payer health care is cost-effective. So a couple of years ago, the legislature considered an EIS bill to find out this answer. Unfortunately it died in committee.

But this question still needed to be answered.  So the Health Care for All PA Education Fund raised monies from individuals and small businesses to fund just such a study to compare the proposed state-based single-payer health care plan to the Affordable Care Act (aka Obamacare) and other health care programs within Pennsylvania.  And we now have the results.

STUDY PROVES PENNSYLVANIA CAN EXPAND HEALTH CARE TO ALL WHILE SAVING BILLIONS OF DOLLARS

ECONOMIC IMPACT STUDY COMMISSIONED BY HEALTHCARE4ALLPA PAVES THE WAY FOR AFFORDABLE UNIVERSAL HEALTH CARE IN PENNSYLVANIA

Health Care for All PA released the results of this economic impact study last week based on and in conjunction with the anticipated introduction of the Pennsylvania Health Care Plan bill by Senator Jim Ferlo on Tuesday, March 19 at 2:00 pm in the Capitol Media Center, Harrisburg.

The results prove that a single-payer health care plan will save families, businesses and tax payers $17 billion annually while at the same time providing comprehensive health care to all.

This study was done by University of Massachusetts – Amherst professor of economics Gerald Friedman, Ph.D.   It compares the cost of the current for-profit health insurance model in Pennsylvania whereby provider choice is limited and health services are rationed by health insurance companies to that of a consumer-driven health care system which lets people have the freedom to choose their own doctors, hospitals and health care providers.

Some of the important advantages of a single-payer system are:

  • Provides comprehensive coverage for every resident of Pennsylvania, including dental, vision and mental health services;
  • Eliminates the need for hospitals to absorb the cost of care for the uninsured;
  • Reduces bureaucracy for private physicians resulting in reduced administrative costs and improved compensation for private physicians;
  • Reduces or eliminates health insurance over-costs for small business, allowing for more job creation, greater reinvestment of profits, and reduced workers’ compensation costs.
  • Radically reduces the total cost of health care to levels more consistent with costs in the rest of the industrialized world.
  • Reduces healthcare spending in Pennsylvania by an estimated $16 Billion +
    (from $144 billion to $128 billion). This includes savings of $7 Billion + for businesses that currently provide health care benefits and over $6 Billion for state and local governments and school boards. It also reduces the cost to the average individual who pays well over the 3% of personal income for health care coverage that is called for in the Pennsylvania Health Care Plan.

Here’s some highlights from the EIS:
EIS SUMMARY AND HIGHLIGHTS OF PENNSYLVANIA HEALTH CARE PLAN

Friedman’s Executive Summary can be read here.

The entire Economic Impact Study can be read here.

Institutional Corruption and the Influence of Money and Politics on People’s Lives

Fountain Pen and SignThis morning, I was scanning Tweets that came into my Twitter account. One of the Tweets said,

“Why the phrase ‘Supreme Court to hear campaign-finance case’ should scare you.”

It contained a link to an article in the Daily Beast. This article said that the US Supreme Court has decided to take another look at campaign financing in a case from the United States District Court in DC called McCutcheon v. Federal Election Commission. I read the article.

And yes this case scares me. McCutcheon argues that there should be no limits at all on campaign financing.  It scares me because I believe that if the Supreme Court rules in favor of McCutchen, there will be more influence and therefore more institutional corruption on our public policy.  This will then allow the creation of more holes in the safety net for people’s lives due to the corrupting influence of big money. For clarification, institutional corruption is defined as:

[T]he consequence of an influence within an economy of influence that illegitimately weakens the effectiveness of an institution especially by weakening the public trust of the institution.

Why? Because I do not trust the members of the current Supreme Court to openly and fairly take into account that elected officials need to answer to their constituents and not to the people and companies and lobbyists that influence them by throwing lots of money and offering consulting jobs to these elected officials (a form of “money”) once they leave office.

My mistrust results from their decision in the 2009 Citizens’ United case.  They held that the First Amendment to the US Constitution prohibits the government from restricting independent political campaign expenditures from corporations and unions.  The aftermath of this decision has been devastating. Immediately after this decision, the DC Circuit Court (which handles cases involving federal regulations) ruled that

“individuals could make unlimited contributions to so-called Super PACs, which supported individual candidates.”

And what did we see?  In the 2010 elections, Super PACs—mostly funded by the mega-rich—assisted conservative Tea Party candidates at all levels of government to win seats that they would not have otherwise been able to win.  This resulted in a lot of gerrymandering around the country for the incumbents’ self-interest.  And in 2012, $6.2 billion was spent on elections; over $10 million of these funds were given to a small number of Super Pacs by a very small number of mega-wealthy individuals—including the Koch brothers—to influence the outcome of the elections.

If this case overturns what few limits on campaign financing are left, the doors for institutional corruption will be thrown wide open.  Candidates will spend even more time chasing money, mostly soliciting funds from large, non-constituent individuals and corporations.  Most of these individuals are heads of corporations whose special interest is their bottom-line profits and not the interests of the “47%.”

Fred Wertheimer is President of Democracy 21. It is a non-partisan group that works to eliminate the undue influence of big money in the public arena.  He agrees with me that big money corrupts our public institutions. In a press statement on February 19, he said that the

“[A]ggregate limit on contributions by individuals is necessary to prevent circumvention of the limits on contributions to candidates and political parties and the prohibition on federal officeholders soliciting huge corrupting contributions.”

And further, if the Supreme Court either completely guts or weakens campaign financing, this decision

“…would open the door to $1 million and $2 million dollar contributions from an individual buying corrupting influence with a powerful officeholder soliciting these contributions, and with the political party and federal candidates benefiting from these seven figure contributions.”

I believe that it is the local constituent who should be influencing their representatives.  Not corporations. Not big money. And not the 1% at the top of the income ladder who do not live or experience the lives of the people who live in each of our communities.

I am one of the 85% of Americans who view Congress unfavorably because of what they have NOT been doing for people’s lives. Like allowing funds for critical domestic programs to be cut due to the budgetary stalling and delays of the Fiscal Cliff and Hurricane Sandy debates and resulting Sequestration that now looks like it will become reality this coming Friday. Like delaying passage of the Violence Against Women Act (VAWA) from being reauthorized for over two years (which, may change tomorrow when and if the House FINALLY votes on the Senate-passed VAWA Act of 2013).  Like talking about but not taking any comprehensive action, so far, to deal with violence and gun safety (for more information on this gun safety issue, read my blogs here and here).

No, I don’t trust the US Supreme Court.  And no, I do not trust Congress. All because of the influence of money on the decisions the do and do not make.

Institutional Corruption is a problem.  We need to reduce that corruption.  We need to empower the small donors.  New York City, as well as Los Angeles and San Francisco have done this.  And in a plan put together by Brennan Center for Justice at New York University School of Law and Democracy 21, we could do the same thing as well across the country. Look at the plan and then lobby your legislator, even if you don’t trust him or her. Vote for candidates in the future who pledge to listen to their constituents and not to big money.

This will take a long time.  But it is necessary. Then and only then do I believe that we can and will be able to trust our elected officials to truly represent us and our concerns.

For More Information on Institutional Corruption

For more information, watch the video below. In this 2009 presentation, Lawrence Lessig defines institutional corruption.  He then discusses the probable effects of this undue influence of money (broadly defined) not only on elected officials but its effect on other institutions, such as the EPA and medical research.

Why I Support Universal Health Care: A Right, Not a Privilege

Congressman John Conyers Jr. (D-MI) has reintroduced his National Health Care plan bill HR 676, “The Expanded and Improved Medicare for All Act.” I strongly support a universal national health care program such as HR 676. I also support any effort by any state to implement a state-based single-payer health care plan. Why?  For many reasons.

My life was threatened by the multi-company, private health insurance system we currently have.

I received a bone marrow transplant in 1989 from my identical twin sister. Although I had no problem finding a match, I had to jump through many hoops and barriers put up by the two health insurance companies covering my sister and myself. In the case of my insurance provider, I was refused coverage of the donor portion of the transplant because my twin sister wasn’t on my health insurance plan. In the case of my twin sister’s insurance provider, they refused to cover her portion of the transplant because she “wasn’t sick.” Then the hospital administration said that they would not perform the transplant until this conflict between the two insurance agencies was resolved with a guarantee of payment by either or both companies. And my doctors said that if the resolution did not occur rapidly, I would be dead within the year due to the seriousness of the form of leukemia that I had.

According to Health Care for America, health insurance companies profit by denying–not by providing–healthcare. Health insurance CEOs of the top 10 health insurance companies today typically enjoy an average of $10,000,000 in annual compensation–salary, bonuses, stock options, etc.

Back to my story. I went into battle mode against the insurance companies when I was told that they would let me die because of their bottom line and attempts to deny coverage. Because of the support and advocacy I had through the organization where I self-purchased my health insurance (the National Organization for Women), we were finally able to get me the life-saving transplant that I needed. And I am here today.

This experience is why I became an advocate for a single-payer health care system rather than the current system that allows private companies the ability to deny critical health care to “save” their bottom line for profit only.

Other Reasons why I support a Universal Health Care Plan at Either the National or State Level.

It is the ethical and moral to treat all people, regardless of economics or status when they are sick.

A 2009 article in the Journal of Public Health reports that approximately 45,000 people on average die each year due to lack of health insurance. One of the goals of The Affordable Care Act (ACA) is to reduce the number of people without health insurance, so that premature deaths from lack of coverage would also be reduced.

People will continue to struggle to receive health care coverage and treatment with both passage of the ACA and the Supreme Court’s decision declaring the ACA as constitutional while allowing states to opt out of the expanded Medicaid program for low-income people.

The Centers for Disease Control acknowledges that access to coverage will improve under the ACA. But that acknowledgement holds a caveat; they state, “Even after ACA is implemented fully, some persons eligible for coverage might go uninsured.” The ACA will not fully resolve this ethical and moral threat to peoples’ lives. 

Some states are threatening people’s health care and lives based on decisions either by their legislature and/or their governors.

These states place people who could have been covered under the Expanded Medicaid program in continued jeopardy since they will neither be able to sign up for Medicaid nor be able to afford private health insurance through the ACA’s health care exchanges. The 13 states that have already threatened the healthcare of their citizens are Alabama, Georgia, Idaho, Louisiana, Maine, Mississippi, North Carolina, South Carolina, South Dakota, Oklahoma, Pennsylvania, Texas, and Wisconsin. Five states – Iowa, Nebraska, New Jersey, Virginia, and Wyoming—are leaning towards opting out of coverage. Kentucky, New York and Oregon haven’t yet made their decision, but do appear to be leaning towards opting into full ACA with the expanded Medicaid coverage. All remaining 22 states plus the District of Columbia have opted into full ACA with the expanded Medicaid coverage.


Where the States Stand

Via: The Advisory Board Company

For the low-income people living in the 18 states that have either opted out of or are considering opting out of the expanded Medicaid coverage, nothing changes for them since most of these individuals will not be able to afford private health insurance in the new health care exchanges under the ACA.

A Single Payer, Universal Healthcare program would cover everyone.

According to predictions by the Congressional Budget Office and the Joint Commission on Taxation, we will we still have 30 million uninsured in 2023 under Obamacare. At the same time, health care costs for our nation, states, and families will continue to increase. A single-payer, universal healthcare program could cover everyone at lower cost. Everyone in and no one out regardless of income or health status.

The BETTER Alternatives: National and State-Based Single-Payer Plans

The plan introduced by Representative Conyers is basically an expansion of the efficient and cost-effective Medicare system currently used by the elderly and people with disabilities. Its overhead (all costs other than for healthcare) is much lower–and patient satisfaction is much higher–than under for-profit healthcare. And it would cover everyone regardless of their economic or health status without fear of an insurance company denying coverage to save their bottom line.

Similarly, legislation is being considered in about half of the states to create state-based single-payer healthcare programs. Some of these states’  legislatures have held hearings and/or had votes on universal healthcare. Vermont has already passed a law that sets in place the possibility of a single-payer healthcare program by 2017. 2017 is the year that the ACA—aka “Obamacare”—allows states to try other healthcare plans IF they cover at least the same number of people with at least the minimum coverage under the ACA.

Obamacare is now the law of the land. It is an improvement over what we had before 2009. It is also the basis from which we can work towards a comprehensive healthcare program. We could do it nationally, such as with HR 676. Or, like Canada, we can start at the state level.

So check out HR 676. See if your Representative is one of the 40 current co-sponsors. If not, meet with him/her, tell your personal story about why you support an expanded and improved Medicare for All, and ask them to co-sponsor the bill. If he/she is already a co-sponsor, ask your Representative to take the next step. They can hold a town-hall meeting on universal healthcare to hear from their constituents. They can also call on the chairs of the three committees reviewing HR 676 to hold Congressional hearings on HR 676. These three committees are the House Energy and Commerce Committee, the House Ways and Means Committee, and the House Natural Resources Committee.

Also get active with your state-based single-payer organization. These local and state-based single-payer health care groups will let you know how can help with your state-based legislation. Healthcare NOW has a full listing of state- and local-based organizations. If your state does not have a single-payer chapter yet, contact Healthcare NOW at their national office in Philadelphia, PA; they can help you to organize a plan for your state.

All other “advanced” nations have already adopted comprehensive healthcare systems. All deliver better health outcomes at a lower per capita cost than the USA. Let’s get cracking. Let’s do it here in the US of A as well.