Afterward Jesus returned to Jerusalem for one of the Jewish holy days. Inside the city, near the Sheep Gate, was the pool of Bethesda, with five covered porches. Crowds of sick people—blind, lame, or paralyzed—lay on the porches. One of the men lying there had been sick for thirty-eight years. When Jesus saw him and knew he had been ill for a long time, he asked him, “Would you like to get well?” “I can’t, sir,” the sick man said, “for I have no one to put me into the pool when the water bubbles up. Someone else always gets there ahead of me.” Jesus told him, “Stand up, pick up your mat, and walk!”
Instantly, the man was healed! John 5:1-9 (New Living Translation)
As we celebrate the second year anniversary of health care reform in our Commonwealth, I often think about the Christian story noted above. Oh, how it summarizes the “Wonder” of Chapter 58! In this narrative, a man suffering from a 38 year illness lay near a pool among crowds of sick people. Once a year the waters of this pool would bubble (stirred by an angel) and the first one to step in would be healed. The crowds of sick people who did not get into the pool would have to keep waiting for years to come. Not so long ago, this was the case for hundreds of thousands of Massachusetts’ residents. They lived in a city comprised of some of the greatest hospitals and medical schools in the world, but their access to affordable, quality care was severely limited. For years they waited, prayed and hoped for a miracle. Today, two years after the miracle of Chapter 58, the wait is over for 340,000 people—and they are celebrating.
It is now time for all of us to shift our attention to the next phase of health reform – controlling cost, without capping enrollment or cutting benefits. This will mean that all of the stakeholders, the angels if you will, who made Chapter 58 a reality – will now have to do their part to make Healthcare Reform Part 2 a reality. But as we do, we must be sure to finish the first phase well, by insuring the continuation of strong outreach and enrollment until no one is left lying close to a pool of quality care without access. To this end, I applaud the House for level-funding the MassHealth outreach and enrollment grants at 3.5 million dollars for the FY09 budget. Outreach and enrollment work ensures that residents across the state are informed, enrolled, and STAY enrolled in the new health insurance programs now offered through Chapter 58. With 340,000 residents enrolled in health insurance and thousands more to go, the counseling, guidance and support provided through outreach and enrollment is essential. How tragic it would be for any residents of our Commonwealth, when asked during this year or the next, “Would you like to get health care coverage?”to respond like the man in the story above, “I can’t…for I have no one to put me into the pool when the water bubbles up. Someone else always gets there ahead of me.” It is the task of well-funded state wide outreach and enrollment efforts to inform all; regardless of language, economic, or other barriers, “this is a new day….affordable healthcare is available and accessible right now!”
Next week, the house will vote on amendments to the budget and while outreach and enrollment grants were adequately funded, some technical language changes are needed to ensure the greatest success possible. Therefore, we strongly urge House leaders to vote YES to amendment number 457 sponsored by Rep. Kulik, with sign-ons from 32 legislators, in support of technical language changes to ensure greater stability and continuity in funding vital outreach and enrollment work across the state. The technical changes would institutionalize the grant program and set up a regular expectation for the annual grants. This would allow the agency to plan for the grants well in advance of the fiscal year and not leave a hiatus every summer and fall when the groups receiving the grants, particularly the traditional grants, are unfunded. This is smart policy and it makes sense.
As we celebrate the 2nd year of health reform with much pride, we rejoice that there will be a well-funded system in place that will enable thousands more to hear what the man in the story heard, “your long wait is over! The miracle of quality, affordable healthcare is not just for others, but it is for you! Get up, enroll, and, prayerfully, be healed. And Oh by the way, ‘we are here to help you’! Happy two year anniversary everybody!
Reverend Hurmon Hamilton
President, Greater Boston Interfaith Organization
Thank you Reverend Hamilton: Not to be lost here is that we have a terrific opportunity with Chapter 58 to decrease the unconscionable situation of health insurance disparities in the Commonwealth. According DHCFP’s survey released July 07, while whites have an uninsurance rate of 4.6%, the uninsurance rates for Blacks was 7.9% and for Latino’s 10.2%.
In January I interviewed a 43-year old laborer who told me, after applying for Commonwealth Care, that he has not had health insurance since he was in high school, over 25 years ago! A few years back he thought he had asthma, and he self medicated with over the counter medication and hoped he got it right. He also noted that he is very aware that as an African-American he has a disproportionately higher risk of high blood pressure. He has understandable concerns, but when he left the office, he also shared his relief of having health insurance for the first time in his adult life.
Shame on us if we don’t put as much effort into outreach and enrollment to turn the health insurance disparities trend around.
Thank you to everyone who embraces health care reform as an urgent moral issue. Heartfelt gratitude is extended to those of you who are willing to put your shoulder to the wheel alongside many others to be a part of this immense work for social change.
Our responsibility is to not only do our best with outreach and enrollment into the products of Chapter 58 but to also insist that more reforms be undertaken until we actually have a functional and affordable statewide (and nationwide) program to guarantee quality health care for all.
With all due respect, this will take much more than then the above sentiments expressed by Mr J-H. To truly answer the moral call of creating health care for all we advocates have the responsibility to advance a vision that goes beyond the Chapter 58 law with its subsidized products and purchase mandates. The new law does help many people but comes at too steep a collective price while leaving too many (hundreds of thousands of our neighbors in the state) without coverage and care.
Alongside other health care workers I have cared for far too many people suffering horribly from preventable illnesses, permanent disabilities, and early death.
Chapter 58 keeps us all–taxpayers, employers, workers, the insured and the uninsured–on a doomed path of unaffordable care and trying to patch up a terribly broken system without addressing the underlying causes. The law is inherently flawed because it treats health care as a market-driven commodity rather than as a public good and human right.
Each of us needs to own up to, and to embrace, our shared moral obligation to create a health reform program that is built solidly on real shared responsibility. This must be based on equitable contributions by all and not the current law that is built shakily on “shared responsibility” that is more spin than reality.
The call must be to keep at this work until all residents of the Commonwealth have guaranteed access to comprehensive, quality, affordable and equitable health care. Health care is essential to life and human dignity. Is it then reasonable to expect a civilized society to make every effort to guarantee health care security for all, not just to pass a law that mandates purchase of a commercial product that may or may not provide health care security?
If you share this vision of and commitment to a sustainable and equitable approach to health care reform you might like to consider joining the Mass-Care coalition. It was launched in 1995 as a coalition of organizations sharing a deep concern about the gross inequities and gross financial inefficiencies of our health care system. Mass-Care now acts as the grassroots organizing umbrella for more than 100 groups in Massachusetts, representing over 500,000 residents in the state working together to make health care a right.
Learn more and join in at http://www.MassCare.org