A May 2005 Pew Poll revealed that 65 percent agreed government should guarantee health coverage for every American "even if it means raising taxes." In a 2009 Lake Research Partners survey, nearly 7 in 10 voters expressed a desire for complete overhaul or major reform of the health care system. The April 2008 Annals of Internal Medicine reported that 59 percent of U.S. doctors supported "government legislation to establish national health insurance," an increase of 10 percent of doctors over 5 years.

The debate continues to be short-circuited, an effective blackout in some media markets since the convening of the Colorado 208 Commission on Health Care Reform. Though the CHS single-payer proposal was the only 1 of 5 proposals demonstrating state cost savings of $1.4 billion and comprehensive coverage for all, it was buried in the Commission’s final report and dismissed as ‘politically unfeasible.’

Throughout the 208 Commission process, the Denver Post and The Rocky Mountain News printed only health care reform pieces by ‘free-market’ advocates. The News business editor, Rob Reuteman backed out of his promise to give equal time to single-payer, saying that it is "pie-in-the-sky" and "I don’t want to confuse the readers." Media marginalization continues.

The Colorado Guaranteed Health Care Act (HB 1273) moved out of the Business Affairs Committee on March 18, with at least 100 supporters, many providers and small business owners testifying about the need to address the declining primary care infrastructure and the rising cost that make coverage prohibitive. It was noted that Massachusetts reform is a trainwreck, marked by taxpayer-subsidized private insurance and growing numbers on Medicaid rolls, doubliing Massachusetts health spending, from $630 million in 2007 to an estimated $1.3 billion in 2009.

HCPF director and the governor’s spokesperson, Joan Henneberry spoke against HB 1273, calling it a "a new bureaucracy." In fact, the bill intends to address the unsustainable private and public health care bureaucracies. Multi-payer insurances are paper-intensive with high overhead costs; and the Colorado Medicaid bureaucracy maintains about 20 different categories of Medicaid, each with different means testing and annual reauthorizations that erect barriers to health care access and exponentially increase administrative costs.

On March 27 Colorado State of Mind (ch 6) invited panelists to speak about Colorado health care reform, but failed to include anyone who could speak to the specious arguments raised against HB 1273. Pediatrician Larry Wolk asserted that single payer denies ‘choice,’ and that it represents ‘one-size-fits-all’ -- variations on the ‘free-market’ theme holding that people want a choice of insurances, rather than a choice of health care providers. A choice of minimum-benefit and catastrophic coverage is no choice at all - something employees are discovering as costs rise and more are moved into reduced-benefit policies with high out-of-pocket costs.

Pediatric cardiologist Dr. Reginald Washington noted that even if more people have public or private insurance, there are not enough primary care providers in Colorado to care for everybody. In fact, more primary care providers are leaving private practice, overwhelmed by the burden of dealing with multi-payer networks, copious paperwork, preauthorizations and claims denials that take away valuable time from patients, and require them to hire extra staff.

The Colorado Guaranteed Health Care Act (HB1273) provides the structure for a long-term, systemic solution – simplified billing, quality-centered health care, and full choice of providers and hospitals. It addresses our degraded primary care system with investment in education to address provider shortages; and requires transparency for determining best practices, and incentives for improved health outcomes and costs containment.

The bill passed out of Appropriatiions April 3 and will probably be heard in the full House the week of April 6. All of our legislators and the governor need to hear that there is grassroots support for HB1273. Appropriations members are below. Identify your legislators at www.vote-smart.org . Write an email to the governor at http://www.chcpf.state.co.us/governor/contact.html.

To those who ask why we do this at the state level, there have been federal bills (which may be re-introduced this session) to fund state pilot projects for health care reform. At least one of our congressional delegation is willing to help us at the federal level, and we need to be ready. If you think comprehensive health care reform will happen quickly at the federal level, please read the following piece I wrote for Huffington Post:  Dems & Repubs on Health Care: 'Love a Lobbyist' - we need to urge our federal senators and representatives to work for meaningful reform.