
State of Reform
By Lauren Daley | Pittsburgh City Paper
State Sen. Jim Ferlo likens his quest for health-care reform to breaking a concrete wall with a five-pound sledgehammer: Hit the wall once, it shakes. Strike it 10 times, it cracks. Twenty times and it crumbles.
"This is like the sledgehammer against the Berlin Wall," Ferlo says of his effort to create a statewide single-payer health-care plan. Such a measure would bypass insurance companies entirely, having a government agency reimburse doctors and hospitals for medical treatment. "But it's doable."
During much of 2009, debate over the health-care system focused on Washington, D.C., but Democratic efforts at a nationwide reform stalled after a Massachusetts election placed Republican Scott Brown in the late Democrat Ted Kennedy's U.S. Senate seat. That deprived Democrats of the 60-vote majority they need to head off a Republican filibuster of the bill.
But with efforts in Congress faltering, advocates see an opportunity for change at the state level.
"The chance of anything of substance happening in Washington, D.C. ... is less than zero," says Chuck Pennacchio, executive director of Health Care for All Pennsylvania. "We've been saying that for more than three years. Now people are finally listening."
In fact, this month the Pennsylvania Democratic State Committee called for the passage of a single-payer system. Pittsburgh City Council and Allegheny County Council also previously passed resolutions supporting various single-payer initiatives.
Ferlo says he's not sure the most viable Democratic candidate ran against Brown in Massachusetts, and he believes Brown's victory was voter reaction to the Democratic Party. "We finally win power in the House, Senate and White House and we're sitting on our hands. That's why I think a lot of people are frustrated," Ferlo says. "They want decisive action.
"I hate to criticize my own party," Ferlo adds -- but "[w]hat great things have they done?"
Ferlo's own initiative is Senate Bill 400, known with a companion measure in the House [HB 1660] as the Pennsylvania Family and Business Health Care Security Act of 2009. The legislation proposes a statewide, publicly funded health-insurance system to replace what Ferlo calls "profit-driven insurers." Read more.
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