Twenty nine women, one of every six members of Women’s Voices, currently sit on the Health Care Focus Group. We’ve been meeting once a month in my kitchen for over two years, trying to identify ways we can be productively involved in health care reform in Missouri.
What a challenge! How can a group of 29 women, few of us health care professionals, hope to solve a problem that’s been stumping the experts for decades? How can we expect to wage an effective battle against the entrenched special interest lobbying of huge private insurance and drug companies and an entrenched majority in Jefferson City that continues to see health care as a privilege rather than a right?
One legitimate approach would be to advocate exclusively for a single-payer system in Missouri. After all, every one of us on the focus group believes single payer is ultimately the way to go. We’d be thrilled if, with an unexpected stroke of the pen, Governor Blunt would make Missouri the first state to enact this sensible and just system. By deciding to throw all our energy into single-payer advocacy now, we’d be joining forces with Missourians for Single Payer Healthcare, a strong, committed organization that has been leading this charge for years. We’d be strengthening an advocacy position that, as SLU’s Professor Sidney Watson told us two years ago, is absolutely essential to any statewide reform, even incremental reform.
So why have we decided to take a different approach? We’ve made this decision because we believe that the road to a single-payer system will be a series of incremental victories. We’re pragmatists, I guess. Until single payer is closer to reality, we’ve chosen to work right now to put more Missourians back on the Medicaid roles, to enroll more kids in SCHIP, to restore essential services for the elderly and those with disabilities.
Specifically, we’re working with Jobs with Justice to develop issue-related initiatives to promote reform and with Grass Roots Organizing (GRO) as they work to insure more Missourians. In addition, we continue to stand ready to respond to advocacy requests from Citizens for Missouri’s Children and the Missouri Budget Project, especially during the legislative session.
Finally, we’ve decided to put much of our effort in the coming year into helping our fellow Missourians better understand our state’s health care crisis, so that more of them will be ready to join the call for real reform. We’ve become partners with a statewide coalition, Missouri Health Care for All, and have offered to be trained as community outreach volunteers for them as they spread the word about why our current system is broken – and what is needed in its place.
All five of these organizations would be elated if a single-payer system were enacted tomorrow. But until we get there, all five of them – and we – have chosen to work on incremental reform. Does our alliance with them mean we’re timid and short-sighted? Certainly not. Does it mean we don’t appreciate the essential role that Missourians for Single Payer Healthcare plays in our state? Of course not.
What it does mean is that we have made a deliberate decision to work incrementally, recognizing the value of all legitimate approaches to reform. We hope, as members of Women’s Voices, that you’ll support our choosing this approach.
Ann Ruger
Chair, Health Care Focus Group
January 2008