Cover everyone. Hands down, uncontested,
unequivocal. Nearly 400 Seattleites told us loud and clear that ensuring
health care coverage for everyone was their No. 1 priority for health
care reform.
They spoke up at the first of seven
health care caucuses being organized throughout the state by the Healthy
Washington Coalition. Will that be the unifying message that we send to
Olympia this fall after we've heard from the rest of the state?
The state Legislature is considering five
different options for health care reform. What style and what kind of
plan will fit the needs of our state? Between actuarial analyses,
community outreach and input from constituents, our Legislature and
governor will be asked to decide.
Will we have a single payer, an
unregulated insurance system or some other variation that gets the job
done? The message from people in the Seattle area is unified and urgent
-- the priority is to cover everyone with quality affordable health
care.
We represent two of the more than 100
organizations that are a part of the Healthy Washington Coalition --
from health care providers to children's organizations, labor to
business and from all parts of the state. We as individuals and as
representatives of our respective organizations agree wholeheartedly
with the message we heard.
We want everyone in this state covered,
regardless of employment status, age, ethnicity or health condition. We
want that access to include access to mental, dental and medical health,
preventive, specialty, pharmacy and catastrophic care.
While covering everyone was the dominant
theme, the other principles for health care reform that were identified
as top priorities were: assuring that the cost of health care is
affordable, including prescriptions; eliminating disparities in access
to health care and in health outcomes based on factors such as income,
ethnicity, job status and covering all necessary health care expenses.
Often health care "ends at the
neck," forgetting that the mouth and the brain are part of the
body. Covering everyone in Washington needs to include mental and dental
coverage as a standard set of services. Untreated oral disease can lead
to significant long-term health consequences, including adverse
pregnancy outcomes, diabetes complications, respiratory and heart
disease. Untreated mental health issues are also life threatening and
incredibly expensive to treat through the emergency room, not to mention
the unneeded loss of the quality of life for the patient.
Coverage isn't the only issue that
consumers of health care services face. We need to assure access to
people when they need it and in a way that meets their needs. Access to
a provider is critical and finding a provider who will take low income
or senior patients can often be a big problem. Throughout the state many
patients also face language barriers that may exclude them from
receiving the care they need.
Legislators will be weighing the needs of
many people from different walks of life in the goal of reforming our
health care system. It they are successful, Washington can be a leader
in the nation for health care, and the return will be obvious in
people's personal and work lives.
Nothing lays a better foundation for our
state's economic and community strength than a healthy populous.
While a comprehensive solution will not
be finalized during the next legislative session, legislators would be
wise to heed the overwhelming public support for steps in the right
direction in the meantime. They will undoubtedly be faced with tough
budget decisions, but health care cuts, which may be tempting, would be
disastrous. If the urgency heard in Seattle is representative, people
are demanding some relief.
We look forward to hearing what our
neighbors in Tacoma, Yakima, Spokane, Bellevue, Everett and Vancouver
have to say about what they value most in shaping the health care
system.
Many voices will provide an excellent
sounding board for our state's leaders to put us on a path to a healthy
Washington.