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OPINION

Pricey Harrison: N.C. has much to gain from health care reform

Sunday, August 30, 2009
(Updated 3:00 am)

BY REP. PRICEY HARRISON

As we head toward September, a few Washington lawmakers are standing in the way of health care reform that America desperately needs. Industry lobbyists are using the August recess to undermine health care reform and bolster the costly status quo. Yet, as a state legislator who has worked on this problem for years, I know that fundamental reforms are needed

The need for reform is all too obvious to the American public. Here in North Carolina, we've suffered long enough under the burden of a broken health care system -- insurers denying care, frustrating paperwork, families facing bankruptcy from medical bills, and employers struggling to cover their workers. Although Washington insiders may be able to afford to wait, we can't.

As a North Carolina legislator, I've seen firsthand the costs of failing to act. From 2000 to 2007, North Carolina families saw their premiums skyrocket by 75 percent, almost five times faster than their earnings.

The economic recession has hit North Carolina families hard, and we now have a double-digit unemployment rate. That translates into lost jobs and lost health insurance. From 2007 to 2009 the number of uninsured in our state has increased by 22.5 percent. That's the largest increase in the nation.

And North Carolinians are losing employer-sponsored insurance at double the national rate.

In the N.C. General Assembly, we've been doing the best we can to staunch the bleeding. We've passed legislation to expand coverage to more children, created programs to provide options for low-income families and small businesses, created centers for preventative treatment, and saved taxpayers money by paying for medications in bulk. But at the end of the day, there's only so much we can do without the help of the federal government.

Legislation currently pending in Congress would give Americans the choice of a public insurance option to choose from the best care available. For people who already have insurance, a public option would give them the peace of mind of knowing they won't lose their coverage when they change jobs.

All Americans would know that they will never again be denied care they need because they are captive to an insurance company that doesn't have to compete on the open market. By increasing competitiveness and incentives for increased efficiency, a public option would help reduce costs for all American families and businesses.

This would bring competition to the North Carolina insurance market. In North Carolina, Blue Cross Blue Shield and United Healthcare dominate 85 percent of the overall insurance market.

BCBS owns 96.8 percent of the individual health care market in the state, which means if you lose your job, you have almost no choice in buying insurance coverage.

Reform would require everyone to pay at a price they can afford. Large employers that don't cover their employees would pay a fee to ensure their employees can access health care elsewhere. The uninsured would pay what they can afford for their care, too.

North Carolinians who like the coverage they have would be able to keep it. Those who want to try something else would be able to, and for the first time in our country, the uninsured who can't afford health care right now would be able to.

President Obama has told us that health care reform would not be easy, and that he could not do it alone. We hope that Sens. Hagan and Burr will listen and choose to be on the right side of health care reform history.

 Pricey Harrison represents Guilford County in the legislature. E-mail: Pricey.Harrison@ncleg.net

Comments

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wstutts

August 30, 2009 - 7:34 am EDT

I would like to ask Ms Harrison where the money 's coming from to pay for all of this? Doesn' t she realize we are in the worst depression of our lifetime? My son and I have run a business here in Greensboro for over forty years. We have about ten employes and have covered them with unsurance for many , many years. We've had to lay them off.

End the damn depression before you take on such a monumental problem like health care.

Sawdust

August 30, 2009 - 7:49 am EDT

That's the thing about Democrats and an increasing number of Republicans--it doesn't matter how much something costs as long as you're spending someone else's money. They're not buying medical care anyway, they're buying votes.

Mialamasoul

August 31, 2009 - 4:16 pm EDT

I'm sorry, excuse me, but do YOU have a notion of how much money REPUBLICANS have GIVEN away in the market free for all, privatization of the Iraq war? Go to the Office of Management and Budget Website, and see if you can figure out the dizzying number of private contractors (ie businesses out to make a buck from disaster) that the federal government, under the Bush administration has handed away with NO oversight whatsoever. Puh-leez...
And you mean money spent in that way is more palatable because it was wrapped up in the shiny wrapper of national security, than money spent to save lives through health care reform? What are you thinking?

JGALT

August 30, 2009 - 7:49 am EDT

"There's only so much we can do without the help of the federal government" Pricey here are some things you can do while we have the national debate regarding healthcare reform. Please introduce legislation in North Carolina to immediately open our state for Health Insurance competition. There are 1300 Health Insurance companies in the country and I'd like to shop them. There is no reason for BCBS to have the dominance it does. It should have to compete on price, on maintaining coverage and the other issues mentioned. You're a lawyer -- get on with tort reform. Eliminate the defensive medicine and high malpractice insurance premiums it causes. Even Howard Dean knows this would bring down health care costs. Provide a tax credit for the digitization of medical test results and medical records. Put a deadline on it.

Allow North Carolinians to buy their prescriptions in Canada. Let the Feds moan about it. These steps would bring costs down quickly but would require courage. Study the Massachusetts system and see that their "compassionate" cover everyone model does not cover everyone and has its costs spiraling out of control. It won't work scaled up to the federal level either.

At the end of the day, maybe we don't need Congress to play political games with our healthcare.

Sawdust

August 30, 2009 - 7:51 am EDT

All those things are well and good, but they don't address the primary goal of Obamacare--increasing the power of the government.

Mialamasoul

August 31, 2009 - 4:18 pm EDT

You wouldn't say anything about the "power of the government" if it decided not to pay your social security. Notice the name? It isn't competetive security, or security for who can afford it, but SOCIAL security. Read a book already.

JGALT

August 30, 2009 - 8:00 am EDT

"In the NC General Assembly we've been doing the best we can to staunch the bleeding" By EXPANDING COVERAGE. That increases costs. Get the insurance market competitive and then provide vouchers for low income families to shop in the newly competitive market. This would be a better alternative to the over consumption of "free healthcare" for more people who don't know and don't care what the true cost of that healthcare is.

Mialamasoul

August 31, 2009 - 4:19 pm EDT

"Low income" families can't afford to "shop" anything in a free market. That is the whole point.

jbcarper

August 30, 2009 - 9:55 am EDT

I believe that what she means is that there is only so much the NC legislature can do unless they find a way to get other states taxpayers to fork over their money to pay our bills. Or maybe she means that there is only so much the NC legislature can do unless they can find a way to hide the costs by having the Federal Government roll this expenditure into the ever increasing national debt.
Let's go back and start with the basics. Why does government have to provide health care? Why isn't it the responsibility of the individual to do so? I understand that there are people who can't afford health care. But how many who can't afford health care manage to afford cable tv, or Mc Donalds, or cigarettes, or alcohol? I believe in taking care of the poor. But I don't believe that we need government to perform the task that private charities are capable of handling.

Mialamasoul

August 31, 2009 - 4:21 pm EDT

Can you name ONE private charity that currently does what you are suggesting? And by your statement of "they can afford cable tv, alcohol, McDonald's and cigarrettes" do you mean to say that if you are poor, you must relinquish any source of entertainment that is affordable to you in order to pay for healthcare?

Panacea

August 30, 2009 - 10:57 am EDT

Massachusetts's system is in trouble precisely because it has no public option. Without competition, insurer's have no incentive to be competitive and change the status quo.

Federal law prohibits us from buying in Canada. North Carolina law cannot supersede federal law. Much as I would like to see it happen.

The private insurer's have to have a reason to move into North Carolina. I'm not aware of any state law giving them an monopoly, so the reason there is no competition has to be there's no money to be made here or an antitrust violation.

Tort reform will help but not make a big enough dent. However, ending defensive medicine will save $210 billion a year. But that is not enough to keep our system from crumbling.

Electronic health care records is part of the reform bill. A lot of things you mention are.

JGALT

August 30, 2009 - 12:16 pm EDT

Massachusetts system is in trouble because it has too much government involvement, not for a lack of a public option. The Commonwealth Connector decides the appropriate "high value good quality choice" among what 5 choices. They need more companies competing with more than 5 plans. You think that limited group of annointed plans might be prone to insurance and pharm influence?

They expanded Medicaid and coverage with subsidies and below market premiums with no deductibles. Instead of it reducing the burden of emergency room care, they have many more people than expected showing up now "with coverage".

Pricey could have the NC General Assembly pass a resolution in support of our citizens buying drugs from Canada and have our congressional delegation introduce legislation for the allowance of importation of prescribed drugs in Congress, as Rahm Emanuel did when he was a congressman in 2006!

DaveMcLean

August 30, 2009 - 2:47 pm EDT

Bravo, Representative Harrison!

As a Greensboro business owner for 15 years, I can attest to the fact that healthcare coverage has consistently been my second highest overhead line item and it continues to climb. We need a public option and I'm continually amazed at the resistance to competition that we see. I urge you to continue supporting President Obama's plan. Please do what you can to help our senators Hagan and Burr see the light.

swerdna

August 30, 2009 - 4:35 pm EDT

Your post is laughable. You honestly THINK obama's plan will be better for you as a business owner? Where do you think the money is going to come from to pay for your god obama's health care?

It's become clear that your god can't even manage a simple "Cash for Clunkers" program. What makes you think he can manage something of the magnitude of health care reform? But I understand. You worship him and therefore believe all he spews out because after all, he's promised you his "change" will be better.

Your mention of Richard Burr makes me ask, are you aware of the plan he and Senator Coburn have introduced? It's called the "Patients' Choice Act" and calls for rewriting the tax code to give credits to those who purchase insurance of their choosing. It isn't government-run but, instead, gives us the F-R-E-E-D-O-M to choose our health care plan.

Ahhh, but you probably wouldn't be interested because, after all, it's not a plan formulated by your god obama who you see as knowing all.

Mialamasoul

August 31, 2009 - 4:27 pm EDT

How much F-R-E-E-D-O-M do people who currently have NO healthcare have? Do you personally know of ANYONE who makes too much for medicaide/medicare/schip, but not enough to afford the $300-$1,000 or more required to cover themselves or family members? If everyone you know is insured through their jobs, I suggest you expand your circle of friends.

Mialamasoul

August 31, 2009 - 4:23 pm EDT

Thank you for at least listening to and listing a why...

RSull

August 30, 2009 - 10:38 pm EDT

Nowhere have I seen anyone address the issue of the current Federal Employees Health Plan in the debate/discussions about Obama's Healthcare options. This Plan is considered to be la creme de la creme in terms of healthcare for our elected officials. Will the terms of this program rival or equal the terms and policies of the proposed Healthcare legislation for the populace? Will our elected officials show their mettle and select the plan (-s) available to the rest of us? Food for thought, eh?

Mialamasoul

August 31, 2009 - 4:27 pm EDT

Absolutely.

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