Healthcare is a Human Right! Maryland Campaign 2012 Eric Naumburg, M.D., M.P.H PNHP Maryland Healtcare-Now! Maryland

Maryland Demographics  Population 5.8 Million  Median Income 3rd highest  Blue State  Government Workers (Federal, State)  Diverse Population  Wide variation in medical outcomes

Current Population Survey (Census Bureau), data supplied by Physicians for a National Health Program

Maryland Uninsured ,000 ( Current Population Survey) 13.8% of total population Estimated deaths 800 (9th leading cause) 2007 Reforms fail lower uninsured

Maryland Private Health Insurance Market Percent of Total Premiums in 2008 Carefirst - 54% Aetna % Cigna % Kaiser - 8.1%

Maryland Health Security Act  Canadian Style Single-Payer System  Introduced 4 years  Number of co-sponsors stable  2010 closest to getting out of committee  Reached a plateau of support

“Financing the Maryland Health Secuity Act” Gerald Friedman, Ph.D. February 2012  Ideal System incorporate all government programs folded in  24% Savings Possible Current System  Insures Everyone; Save 15% ($7 Billion) 1st year  Excellent Benefits Package -dental, Rx, vision, mental health/addiction, home health, etc.; no expansion of long-term care.

Time for a Change Lobbying by itself is not working Human Rights Approach (Vermont) Save our money and hire a full-time community organizer Strategic Alliance Formed of 3 Groups

The United Workers is a human rights organization led by low-wage workers. Founded 2002 Eutaw Street Shelter Living Wage Stadium Workers 2007 Declared Human Rights Zone Baltimore Inner Harbor 2008 Fair Development and GGP 501[c]3 corporation

Revitalized 2008 Maryland Health Security Act Lobbying State Legislature Economic Impact Study Fundraising

Healthcare-Now! Maryland 1992 United Healthcare Action Network (UHCAN) formed loose alliance, national focus. Citizens group Wellpoint attempts to buy non-profit Carefirst BC/BS of Maryland and fails; UHCAN opposes buyout. Name changed to HCN result of split (SP vs. Incremental), RWJ Grant State Mandated Audit Reveals Carefirst databases deny 20% to 29% clean claims (2007); a result of the buyout opposition Becomes chapter of Healthcare-Now!, a 501.c.4 Works closely with Maryland Chapter PNHP

Guidance/Learning NESRI - National Economic & Social Rights Initiative; partnership approach to local groups; 4 areas of emphasis education, health,housing, work with dignity Vermont Workers Center

Memorandum of Understanding “HCN, PNHP and UW share a vision for health care as a human right, provided as a public good by a publicly funded and administered single payer health care system. HCN, PNHP and UW are coming together to create a broad- based grassroots movement as the foundation for achieving this vision in Maryland.”

MOU: Structure of Document Parties to the MOU Purpose Statement of Mutual Benefit Interim Governance Structure Responsibilities of Parties Information and Data Sharing Funding and Cost Allocation Dispute Resolution

Human Rights Principles Universality: Public policies must ensure that everyone’s human rights are protected and their fundamental needs met. Everyone is included. Equity: Public policies must enable equality of opportunity and outcome with regard to protecting human rights and meeting human needs. Everyone contributes what they can and gets what they need. Public Goods: The services, goods and infrastructure necessary to realize human rights and meet human needs must be treated as public goods, not as commodities. Public goods belong to everyone. Participation (Power/Accountability): Policies must be accountable and ensure the participation and power of the people. Everyone is empowered to participate and to hold public and private sectors accountable.

Objectives for Campaign Independent HCHR Movement Statewide Grassroots Organizing Campaign One or more Regional Committees in all 23 counties and Baltimore City Hire Full Time Community Organizer - Done Report based on surveys (NESRI) in 2013 Leadership Training Curriculum De-emphasize Legislative Lobbying 1st yr.

Campaign Activities Canvassing: survey and photo petition One-on-one conversations Building Regional Committees Story Telling Tools Outreach events - Kickoff Dec. 15th Local Human Rights Forums Speakers’ Bureau

Committees to be Formed Policy Media Organizing and Education Fund Raising Permanent Governance Structure