NEW YORK – Doctors, nurses and lawmakers are rallying in Albany today, urging the state Senate to pass a statewide single-payer health-care bill. The New York Health Act already has passed in the Assembly twice and is co-sponsored by almost half of all state senators.

If it becomes law, it would replace private insurance premiums, deductibles and co-pays for all New Yorkers, regardless of employment, health, or immigration status, with a publicly funded system based on ability to pay.

Doctor Oliver Fein, chair of the New York Metro Chapter of Physicians for a National Health Plan, says it would benefit not only the two million New Yorkers who are still uninsured, but also those who are working and paying insurance premiums.

"We think for most people with incomes below $100,000, they will actually save money," he said.

A 2015 study estimated that the New York Health Act would save almost $45 billion in the first year alone.

Fein adds that the bill also would eliminate the local share of the cost of Medicaid. He points out that currently, counties are paying about 25 percent of the cost of Medicaid for their residents.

"That would be absorbed into the New York Health Act and would be eliminated from a cost to taxpayers in rural counties in upstate New York," he added.

That would lower property tax bills.

At last count, the bill had 30 co-sponsors in the state Senate, just two votes short of a majority, and a special election next month is expected to raise that total to 31. Fein says the rally in Albany could put the bill over the top.

"We're optimistic that we'll be able to persuade somebody in the majority to come over and vote on this act," Fein said.

Fein notes that efforts in Washington to repeal the Affordable Care Act make action at the state level to preserve and expand health coverage critical.


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CONCORD, N.H. - New Hampshire advocates for affordable healthcare access want Congress to lower prescription costs by allowing Medicare to negotiate with drug companies.

Drug prices have risen faster than any other facet of medicine, and Laura Lynch - a 62-year-old New Hampshire resident who's covered by Medicare and Social Security Disability Insurance - said she spends $300 to $350 a month just on co-pays for medications for herself and her husband.

They're also receiving collection notices, because Lynch said they can't afford the ambulance bills from a heart attack her husband had in February.

"This is ridiculously hard," said Lynch. "Sometimes I just want to cry, because I don't know where it's going to come from, the next penny or dollar to pay these bills. I am so for 'Medicare for All.' But I'm also so for them fixing Medicare, so that situations like this don't come up and we lose everything."

President Joe Biden's budget plan includes improvements to Medicare, such as allowing negotiations with drug companies. Lynch adds for her and many others, it's urgent that Congress take action.

Today is the 56th anniversary of Medicare and Medicaid, which together provide health coverage to more than 120 million people.

Zandra Rice Hawkins, executive director of the group Granite State Progress, said drug companies have a monopoly to set their own prices. She noted other government programs already negotiate with drug companies, and sometimes pay half of what Medicare pays for medicines.

She said allowing Medicare to negotiate would make prescriptions much for affordable for all consumers.

"Lawmakers have not taken meaningful action over the last decade to rein in drug corporations power to price gouge," she said, "despite strong support for policies like Medicare negotiations among all voters of all political persuasions."

The White House plan also would close the Medicaid coverage gap - New Hampshire has expanded its Medicaid program, but in the dozen states that have not, more than two million people don't fit the eligibility requirements, but also can't afford employer-based or marketplace health insurance.

LANSING, Mich. -- Advocates for home- and community-based services in Michigan urged Congress to build off state efforts and invest in what's become known as the "care economy."

President Joe Biden's American Jobs Plan includes $400 billion to expand access to Medicaid home- and community-based services for seniors and people with disabilities, and to strengthen the care workforce.

Kelly Garrett, Michigan state director for Care in Action, said making investments will help keep people in their homes and communities for longer than they would be otherwise.

"We need to pay our essential workers, our domestic workers, our care workers a livable wage," Garrett asserted. "Also, people that need care should be able to get cared for in place in their homes, or wherever they choose to be cared for."

Michigan's paid medical-leave law went into effect in 2019, and applies to any employer with more than 50 workers, but domestic workers often do not fit the criteria.

Garrett joined a roundtable with people who rely on home-based and community services, caregiver advocates and lawmakers. She argued more progress is needed, and the White House plan would support well-paying caregiver jobs with benefits and collective bargaining rights.

Women, and especially Black, brown and Indigenous women, are more likely to leave the workforce to care for a family member, which became all the more evident during the pandemic.

Garrett added care infrastructure, such as home and community-based services as well as child care and paid family and medical leave, are so important because everyone needs care at some point in their lives.

"Everyone's gonna have this situation," Garrett explained. "Either you're going to be the caregiver, or you're going to need to be cared for. It just happens. And so passing this bill allows people to age with dignity, and to be taken care of with dignity."

Home- and community-based services can look different for different people, ranging from meal services and transportation to doctors' appointments, or having a personal aide come in to help get ready for the day and manage their medicines, or speech or occupational therapy at home or at a community facility.

Garrett urged Michiganders to contact their lawmakers and let them know how urgently needed the legislation is.

MINNEAPOLIS - As COVID cases trend upward again, public-health experts are setting the record straight on certain storylines about new infections.

Minnesota's seven-day average for new COVID cases had dipped below 100 earlier this summer. Now, it's nearing 300. Health officials blame the combination of the Delta variant spreading and a slower rate of vaccinations.

For some who elected to get the shots, there are instances of infections. But David Dowdy, an epidemiologist at the Johns Hopkins Bloomberg School of Public Health, said the vaccines still work; there are just some key things to remember.

"They give your immune system a jump-start on the virus, but every now and then, that jump-start is not quite enough to prevent an infection," he said. "Almost always, it's going to be enough to prevent you from getting really, really sick."

He said no vaccine is perfect. However, the federal Centers for Disease Control and Prevention has noted that fewer than 1% of COVID deaths and hospitalizations have been tied to fully vaccinated individuals. Despite the rarity of breakthrough cases, Dowdy said it's important to be cautious in public settings to prevent major spikes again, noting the risk for vulnerable populations, such as older adults, even if they've been vaccinated.

As for vaccination rates, groups such as AARP have raised concerns about benchmarks for staff members at places such as nursing homes.

Dowdy said there are many reasons some people are hesitant to get a shot, including in communities overlooked by public-health offices. However, he suggested that it's reasonable to take a closer look at places such as assisted-living facilities.

"That does change the calculus a little bit," he said. "You're not just thinking about yourself now; you're thinking about the people that you're having to come in contact with on a daily basis."

In its latest nursing home COVID-19 dashboard, AARP said just 17% of Minnesota nursing homes have met an industry target of having at least 75% of staff fully vaccinated. Overall, 88% of the state's nursing-home residents have completed the immunization cycle, compared with 62% of all staff.