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Ralph Nader on Health Care
2008 Independent for for President; 2004 Reform nominee; 2000 Green nominee
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For single-payer; all major candidates oppose it
All the candidates--McCain, Obama and Clinton--are against single payer health insurance, full Medicare for all.
I'm for it, as well as millions of Americans and 59% of physicians in a forthcoming poll this April.
Source: Meet the Press: 2008 "Meet the Candidates" series
Feb 24, 2008
Billing fraud and abuse costs $200B
Corporations are ripping into the health-care dollar, over $200 billion of computerized billing fraud and abuse, according to the GAO. You have over $300 billion that can be saved by a full Medicare system in administrative expenses.
You have too many operations. You have over-medication. These are the things that corporations are profiting from. In addition to medical malpractice and infectious hospital-induced infections.
Source: CNN Late Edition: 2008 presidential series with Wolf Blitzer
Feb 3, 2008
Single-payer health care plan over for-profit care
Q: Briefly describe Nader's position on Universal Health Care. A: Ralph Nader "supports a single-payer health care plan that replaces for-profit, investor-owned health care and removes the private health insurance industry. He favors replacing our
fragmented, market-based system with a single-payer health plan--where the government finances health care, but keeps the delivery of health care to private nonprofits, and allows free choice of doctors and hospitals for patients."
Source: Green Party 2008 Presidential Candidate Questionnaire
Feb 3, 2008
3.5% payroll tax to fund universal healthcare
[During the 2000 election, Nader] regularly recited a plan for funding universal healthcare--
aiding 45 million uninsured Americans--by means of a 3.5% payroll levy on employers combined with a tax on stock transactions that would generate $120 billion annually.
Source: Nader: Crusader, Spoiler, Icon, by Justin Martin, p.252
Sep 1, 2002
Enforce fair drug prices if sponsored by govt research
Since the early 1980s, the government has routinely given away the fruits of the research it sponsors, granting private companies exclusive, royalty-free rights to commercialize government-financed inventions while failing to include reasonable pricing
requirements in the licenses.In the critical area of pharmaceuticals, this research giveaway policy leads to superprofiteering by drug manufacturers, who charge unconscionably high prices for important medicines-costing consumers, and often resulting
in the denial of treatment to consumers who are unable to pay high prices.
Where the government hands an annual billion-dollar revenue earner [like exclusive licenses to distribute government-researched medicines] to a private company for a pittance,
is it too much to ask the relevant federal agency to enforce reasonable pricing requirements? This has resulted in a failure to avert preventable cancer deaths. Shame clearly will not work as a disciplinary force to limit corporate welfare abuses.
Source: Cutting Corporate Welfare, p. 57-58 & 62
Oct 9, 2000
Medicare prescriptions covered under universal health care
Q: Would elderly people with low incomes get all the prescription drugs they need at no cost to them under your proposals?A: Yes, under a system of universal health care. Price restraints should be placed on all drugs especially developed with
taxpayer money, and multiple licenses should be issued for those drugs in order to stimulate competition and bring prices down. The Medicare authorities should negotiate lower drug prices, as the V.A. and the Pentagon are already doing.
Source: Associated Press
Sep 8, 2000
Price restraints on drugs; limit profiteering
The pharmaceutical industry is suffering from a malaise where corporate profits are more highly valued than people’s health. Price restraints should be placed on all drugs especially developed with taxpayer money,
and multiple licenses should be issued for those drugs in order to stimulate competition and bring prices down. In addition, the government should react to corporate profiteering by developing needed drugs itself.
Source: Associated Press
Sep 8, 2000
Opposes assisted suicide laws for terminally ill
Ralph Nader strongly condemned Oregon’s first-in-the-nation assisted suicide law. He told reporters he thinks Oregon voters made a mistake by twice endorsing a law that allows doctors to prescribe lethal doses of drugs to the terminally ill. “It’s cruel
to people who would otherwise not want to die if they had adequate pain relief.” Nader said he was worried that the law targets terminally ill patients who suffer from depression or who worry about being an undue financial burden to their relatives.
Source: AP Story, NY Times
Aug 25, 2000
Cradle-to-grave health care better than Clinton’s plan
Q: What did you think of Clinton’s health care proposal? A: It’s a jury-rigged health care proposal that makes the health care industry half happy and everyone else half happy. Why can’t the richest country have cradle-to-grave health care like
Europe and Asia? We need universal health care which is accessible, affordable, with quality care, and relying on preventive health. We have waited long enough -- we don’t need a plan like Bush’s or itty-bitty steps like Gore’s.
Source: National Public Radio, “The Connection”
Jul 11, 2000
Use Canadian system as a model for US
North of the border, the Canadians said:- Universal health from cradle through nursing home;
- You don’t have to see a bill;
- We’re going to do it on 10% of the economy;
- We’re going to spend 11 cents per dollar on administrative costs;
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We’re going to give you the freedom to choose your own doctor and hospital;
- We’re going to relieve the anxiety of losing a lifetime of savings to an illness.
Down South of the border:- We’re spending 15% of our economy and we’re not even
covering everybody, almost 50 million uninsured and millions grossly under-covered;
- Worrying about pre-existing conditions, co-payments, and other fine print, to take away your right to bring these HMOs to justice after they deny you health care;
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24 cents on every dollar on administration, not to mention $100 billion in billing fraud every year;
- And more and more we can’t choose our own doctors and hospitals, so were losing our choice.
And they’re telling us the Canadian system is no good.
Source: Horace Mann Middle School, San Francisco
May 3, 2000
Health care is a universal human right
These people up in Canada stumbled upon something 30 years ago. It’s called a universal human right: health care, and preventive health as well. If they can do it 30 years ago we can do it now.
Source: Horace Mann Middle School, San Francisco
May 3, 2000
Recast health care in a non-profit mode
I think we are in a real transitory period, which gives us a real opportunity to recast our health cares system in a nonprofit mode and implement universal health care.
Source: American Health Line, Campaign 2000
Mar 21, 2000
Keep commercialism out of maternity wards
Noting that “these days, the business of birth starts early with the cutting of the umbilical cord,” consumer advocate Ralph Nader has asked the American Hospital Association to urge member hospitals to keep
commercialism out of the maternity wards. Nader writes, “In hospitals across the country, mothers giving birth are likely to receive a gift bag overflowing with brand name goodies and promotions from businesses eager
to have their companies’ names follow a child from birth to their own first purchases. Often unaware of exactly what they are distributing, hospital staff have become unwitting promoters of T-shirts, baby detergents, nursing pads,
soup, commercial guides to infant growth, children’s medications and, most prominently, infant formula.“
Source: Press Release
Aug 27, 1999
Make medicines affordable in Third World
For years, consumer activists have asked Gore to reverse the US policy of punishing developing country governments that tried to make essential medicines more affordable for sick people. And Gore ignored the calls. Matters suddenly changed on
June 16 when a AIDS activists began demonstrating. In late June, with pressure building, Gore told the Congressional Black Caucus that he supported South Africa’s right to use the controversial policies of compulsory licensing and parallel imports.
Source: In the Public Interest: “Gore: Do the Right Thing”
Jul 22, 1999
Challenge the monetization of HMOs
Unless reform addresses the imbalances of power & the business-as- usual, profits-before-patients approach of HMO corporations, the public will neither be safe nor satisfied. Patients, doctors, & nurses demand that reform genuinely challenge a monetized
HMO establishment intent on undermining the health of patients and the professionalism of physicians and nurses. If civil society does not reassert itself over the arrogance of giant HMOs, the quality of our health care will continue to be compromised.
Source: Letter to the House of Representatives
Jul 15, 1999
HMO review procedures must be independent of HMOs
Independent review procedures only work well in conjunction with civil liability and when reviews are truly independent of the HMOs. Privatized third party review systems, such as those established by the GOP plan, permit bureaucratic maneuvers by HMOs
that an ill patient has neither the time nor capability to defend against. The possibility of damages against an HMO, should that patient not get appropriate care, will compel the time-sensitive urgent treatment approval that can save a life.
Source: Letter to the House of Representatives
Jul 15, 1999
HMO plan: accountability, doctor-driven, independent review
A worthwhile HMO reform plan necessitates the following changes in civic control over HMO corporations.- HMOs must be legally accountable for damages when they delay and deny medically necessary treatment.
- Only doctors should determine medical
necessity, not corporate bureaucrats.
- Independent review procedures only work well in conjunction with civil liability and when reviews are truly independent of the HMOs.
- Executive salary caps should apply to any HMO that services Medicare or
otherwise receives tax money.
- A facility to encourage consumers to band together on a statewide basis, at their own volition and without any taxpayer money being used, to form consumer health action groups should be authorized.
These principles
are the bare-bones beginning of reforms. They are the minimum patients deserve to even the balance of power between themselves and HMO corporations that are turning doctors’ offices and hospitals into commercially dominated domains.
Source: Letter to the House of Representatives
Jul 15, 1999
Big Pharma blocks selling generic drugs to Third World
Earlier, in the sixties, [Clinton White House Counsel Lloyd] Cutler represented the Pharmaceutical Manufacturers of America's (PMA) drive to block selling the government of Colombia lower-priced generic drugs--from 80% to
90% cheaper than the brand-name medicines for some important antibiotics. A Senate investigator believed that the effect of the PMA's opposition to generic drug marketing would be to deny necessary medicines to large numbers of impoverished people in
South America.More than ten years later, Cutler was asked what had finally happened with respect to the proposed deal with Colombia. He replied, "I don't know; you see, I was only outside counsel to PMA."
In Cutler's long career and within his large firm of attorneys, this episode is only one of dozens that are handled in routine daily work, where a situational ethic of amorality is just part of being a "professional."
Source: No Contest, by Ralph Nader & Wesley Smith, Chapter One
Dec 1, 1998
Criticizes “sweetheart deal” for big tobacco
The multistate settlement agreement between some state attorneys general and Big Tobacco is plainly a sweetheart deal concocted by the addictive companies’ law firms for the industry. State AGs should reject it.- The deal would let the industry get
off cheap, enable the companies to keep secret many of their most incriminating documents, interfere with local enforcement actions and suits against Big Tobacco, and tie the hands of future attorneys general in addressing future misconduct by the
industry.
- It contains worrisome provisions that will enable Big Tobacco to shield its food and beverage divisions from payment obligations.
- The deal’s public health measures are very weak. There are no “look-back” penalties, which would penalize
the companies if sales to minors do not fall.
There is an alternative -- take their cases to trial, or settle them on an individual basis. States doing this would get better deals, and the opportunity to build on what came before.
Source: Press Release
Nov 16, 1998
Let FDA regulate nicotine as an addictive drug
Q: How long have the tobacco companies worked with enhancing the addictive quality of their product? A: At least as far back as the early ‘60’s. At the same time these tobacco companies were saying: tobacco doesn’t cause cancer, tobacco isn’t harmful,
and all these 300 or 400 medical studies are nonsense.
Q: And the role of the federal government?
A: The FDA laid off tobacco for years because it was never classified as a drug. Therefore it had no jurisdiction to go after tobacco. Now they’ve
held hearings in Congress, and there’s a rule in the making that classifies nicotine as drug. Pharmacologically it’s as an addictive drug as you’ll ever get. It’ll probably be about a year before the FDA issues a rule severely restricting the tobacco
industry from marketing tobacco to children. They’ll still sell to adults. But they can’t start giving out free cigarettes, having cigarette machines where kids can access, & having advertisements like Joe Camel beaming to the kids, if this rule passes.
Source: Interview by Jerry Brown on “We The People” Radio
Mar 20, 1996
Tobacco is the world’s worst air pollutant
Q: You smoked a bit once, didn’t you?A: Yes, at college and at law school. [But one day] I sat down and thought it through and I said, “Why am I smoking? This is foolish.” And I just went cold turkey. It was about 3 years before the surgeon general
report.
Q: His recent report said that the smoking companies were trying to fight back, but with little effect?
A: I think so, because they’re running up against the right of people to breathe air without someone else’s smoke, and second, the social
stigma. They cannot fight that kind of cultural tide. And I think they’re going to lose. That’s why they’re spending their time trying to hook millions of Chinese and Russian peoples with tobacco. That’s where their main expansion is. And fortunately,
there’s a growing anti-smoking consumer movement worldwide.
Q: What about other air pollutants?
A: The worst pollutant still is tobacco. It kills over 400,000 people in the US, about two and a half million worldwide, and going up fast.
Source: David Frost interview
Oct 21, 1994
Page last updated: Oct 01, 2008