Cindy Young, the Special Projects Coordinator for the California Nurses Association, continues her 30-year quest for workplace fairness and universal access to quality health care. (More)
(By Joanne Boyer, cross-posted at Wisdom Voices)
Any social movement in American 20th century history has been helped or led by organized labor. It’s a simple imperative fact. Yet today, the general public more often vilifies union organizers and activist than thanking them. Admiration for those who do the day-in and day-out work of protecting the “common man” is often overlooked.
The thing about union activists and organizers is – they really do that; they just don’t talk about it. Our March Progressive Profile features the wisdom and works of one of those “in the trenches” union activists who continues the daily work of “fighting the good fight” for all of us. Cindy Young, who is the Special Projects Coordinator for the California Nurses Association. She also serves as the campaign coordinator for Campaign for A Healthy California. This role is just the next step in a more than 30-year journey in her quest to bring justice and fairness into the workplace.
“What gets me up and motivated?” Young pondered. “Because we can’t give up. This fight for single payer is a worthy fight – and it’s the right thing to do. [Single payer] may be obvious to many of us, but it’s not to the average person who for so long has been filled with this notion that we should be on our own or that health care should be tied to employment.
“People think ‘I’m going to work and I get health insurance. If you’d just go to work, you’d have health insurance.’ Well there’s no way anyone’s health care can be tied to a job. Everybody deserves a decent level of health care, whether they’re working or not. We have a silly health care delivery system here. We need a better way to deliver something that we all need — that when we’re sick we need medical care or when we’re hurt we need medical care whether that’s at work, in an auto accident or we’re out boating with our family and you cut your finger and need stitches. All of us need health care; even if you’re healthy today, you step out the door and in an instant the world can be very different.
“The right wing in our country has created a frame that keeps lowering our standards. We need to change the public’s thinking from ‘I don’t have health insurance when I retire, why should you?’ Or worse yet, ‘why should I pay taxes for yours?’ Until we get everyone insured under one health insurance plan (single payer), we need to continue to provide examples of things that we pay for that most believe are for a public good. For example, there is no question that every neighborhood should have a fire station because the fire fighters protect us all from the danger of a fire. There is a strong fiscal argument for single payer, and this should attract a more conservative audience.
“The right wants people to think that if everyone has it, there won’t be enough of it. They tell people that it’s socialized medicine, when in fact we already have socialized medicine in this country. It’s called the Veterans Administration and their costs are cheaper than the private market. It’s really the one-on-one conversations that you have with people that bring them to a different place. And that’s what we all have to do – is have more one-on-one conversations to help educate people about single payer.”
2013 may seem like odd timing to continue to push for single payer as most everyone has turned their attention to implementation of the Affordable Health Care Act (ACA). Yet Young says now, more than ever, is the time to push the conversation on single payer. She’s quick to point out the elements of the ACA that benefit people, especially those who will be on MediCal in her own state. She believes it’s when the full implementation of the ACA is accomplished that people will see just how the ACA falls short of the health care currently enjoyed by every other modern industrialized nation on earth – universal health care for its citizens.
Vermont became the first state to pass legislation for implementation of single payer. Hopes are that a state with the size and strength of California will be next. And Midwestern states such as Minnesota also have legislation introduced to put single payer in place. Many other states have organized single payer efforts as well.
“There are advances in the ACA that are worthy of supporting. Anything that builds the infrastructure of our public health system, especially here in California, is certainly worth supporting,” Young said. “The problem is that there are going to be millions who will still be uninsured, even when the ACA is fully implemented. In California, the estimate is still 4 million by 2019.
“The other component is that all the health care delivery system hopes that are part of the ACA have been tried before and failed. You can’t really reform the delivery system as long as the insurance companies control the market and then refuse to release information about it because they claim it’s proprietary. Insurance companies tell us that their provider networks offer superior cost containment. The fact is insurance companies can’t control the cost of health insurance – or they would have done it.
“For years they came up with some kind of scheme that they sell to us – PPOs, HMOs, AC0, etc.,” Young said. “The threat of health care reform has been the only time rates went down. Every study that’s ever been done on single payer has told us the same thing: It insures everyone; it improves quality and it saves lives. And it saves money. You could do a bazillion more studies and another study would tell you the same four things.
“So that’s where my hope is – that once all of the ACA is fully implemented that people will see that there is still a need for a universal health care plan. And as was shown in Massachusetts, their individual mandate does not prevent medical bankruptcies or really solve all the other financial needs that aren’t even patient care issues. I am hopeful because when something like this (the ACA) happens, there’s a shift. And, I think the shift will be that more folks will realize that we tried with the ACA and we got only so far and that we have more work to do.”
Young’s 30-year drive to bargain and negotiate health and welfare benefits for unions came out of her own first-hand experience of watching the for-profit health insurers in action.
“My epiphany came in 1980. I was the first woman to be hired in a French Service dining room in San Francisco,” the native Californian remembered. “I didn’t really have much of a union consciousness, but my union voted to go out on strike and that’s what catapulted me into activism. I became active in the union and got on the Industry Wide bargaining committee in 1983. I became good friends with Ramon Castelblanch who did the health care negotiations for our union. He took me under his wing and helped me understand how a health insurance renewal is developed. The large San Francisco hotels didn’t want to pay for retiree health and welfare benefits. Ramon and I sat in the back room and he taught me how to tear apart the numbers that the insurance companies had proposed, and that there are mistakes, and holes in their arguments for increases. After Ramon and I were done with them, there was enough money to keep the retirees covered for the term of the collective bargaining agreement.
“I was only 25, but I realized that what these employers were saying is that after working for 20 years they were going to cut you off from health care coverage. And I thought, ‘why should health insurance be tied to job?’ That was my epiphany. Can you imagine a banquet server, carrying those trays for 20 years and then you’re going to tell them they can’t have health insurance.”
Young knows the advantages of single payer from every side of the argument – be it financial or from a social justice viewpoint that health care is a basic human right. “Every union in every community is different in terms of how the push for single payer gets promoted,” Young said. “For some, cost is more of an issue, but other unions are completely sold on everyone deserves healthcare and it’s not about the money. I’ve come to a place where it doesn’t matter what it costs, everyone needs to be treated with the care they need. Single payer addresses cost, quality, outcomes and everyone is insured. It’s a simple argument whether we’re talking financial outcomes or a human right.
“Is your health a commodity? Some things are meant to be market driven. My phone? Yes. My clothes? Yes. But not my health or the health of my family. What insurance company competes for cancer patients? All they do is manage risk.
“As an organizer, I have to look strategically at where we are today with the ACA,” Young continued. “And I have to calibrate my campaign based on that reality. For example, in California right now, our statehouse is consumed with implementing the ACA. So in light of that, I look to what can advocates do.
“What I believe we should do is concentrate on working on the 30 percent of our state assembly who are new members. Not all are on record for supporting single payer. We need to go into those districts with our advocates and ask those assembly people to sign on for a town hall forum and work with our advocates to bring in people who aren’t going to be helped by the ACA or who are purchasing expensive health insurance with high deductibles so that that an assembly person understands that there are still people in their districts being harmed. And we let those legislators know that we have their back on single payer during the next campaign. Politicians know that it’s labor who does the phone banking and the door knocking.
“Our job is to say everybody deserves health care – the right to go to the doctor when they’re sick. And no one should profit off of sick people. I keep doing this work because I know there are millions of people out there that aren’t going to be able to get the health care they need and that I believe that is absolutely wrong and our country is kinder than that. The country I want to live in is kinder than that.”
Campaign for a Healthy California
Single Payer. Medicare For All. Guaranteed Healthcare. Everybody In-Nobody Out. However you call it, the goal remains the same. Even with full implementation of the ACA, millions will remain uninsured or without truly affordable health care (plans with high deductibles, etc.). The only real solution to our health care crisis is through single payer.
The Campaign for a Healthy California is a coalition of over a million Californians committed to winning single payer healthcare in California. Passage of single payer in the Golden State would be a huge step forward toward the goal of universal coverage for all.
To learn more about the organization and their continued advocacy and educational efforts click here. If you live outside of California, tap into your local labor organizations and ask them what are they doing to promote single payer within their membership. As the Campaign for a Health California notes: “Today, a union’s biggest struggle at the bargaining table is to win and maintain healthcare benefits…the only solution is to establish a Single Payer/Improved Medicare for All system that would eliminate this fight and provide workers with quality, guaranteed healthcare – allowing unions to focus their efforts and resources on the many other struggles that build power and strengthen unions.”
And for those who prefer a national approach to single payer, work with your Congressional representative to sign on to Michigan Representative John Conyers HR 676.
We at Wisdom Voices have always trumpeted the efforts of those in the labor movement who advance the betterment of all. Our book, Wisdom of Progressive Voices, featured the lives and quotes of Eugene V. Debs and Caesar Chavez. One of our first Progressive Profiles was Stewart Acuff, Utility Workers Union of America, AFL-CIO, who proudly told us during the interview: “Ultimately, we have a responsibility to stand up for human values and justice in every part of our lives.”