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Georgia Nurses Association

3032 Briarcliff Road
Atlanta, GA., 30329-2655
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Message From the President - March 2003
Myra Carmon, EdD, CPNP, RN
mcarmon@gsu.edu
 
     
  Cover the Uninsured Week March 10 – 16  
  The Plight of the Uninsured Continues to Escalate  
     
 

The number of uninsured continues to grow in the U.S. and Georgia. According to the U.S. Census Bureau, there are approximately 41 million Americans who were uninsured in 2001. Of these 41 million, approximately 8.5 million were children. In addition, there are a significant number of individuals who have gaps in insurance. In 2001-2002, according to the Census Bureau’s data from the Surveys of Income and Program Participation (SIPP), 74.7 million people under the age of 65 (nearly one out of 3) were without health insurance for all or part of the year . Of these 74.7 million uninsured individuals, almost two-thirds were uninsured for six months or more.

According to survey results from the Governor’s Office of the Consumer’s Insurance Advocate in 2002, 13% of the Georgia residents under the age of 65 are currently uninsured- approximately 1 million people. In the past year, 18% of Georgia residents, or about 1.35 million people under 65 experienced gaps in coverage of one month or more. 

Contrary to popular perception, most people without health insurance were connected to the workforce.  Past research has shown that 80% of individuals without health insurance are part of families where at least one member works full or part-time. Nearly four in five individuals who went without health insurance during 2001-2002 were connected to the workforce.

With more than 41 million American uninsured with growing as the economy weakens, the problem of the uninsured is one of America’s biggest health challenges.  Too many families are without affordable insurance coverage and therefore live sicker and die younger as a result. Being uninsured is not only a problem for the unemployed, eight out of ten uninsured Americans are in working families.

Due to these statistics and thus concern about the growing number of uninsured, the Robert Wood Johnson Foundation, The California Endowment, and the W. K. Kellogg Foundation and organizations including the American Nurses Association, the Chamber of Commerce, AFL-CIO, American Medical Association and many others sponsored “Cover the Uninsured Week” throughout many cities in the US. Atlanta was one of the cities chosen to participate for these activities. The purpose of these activities was to bring professional, health, community organizations as well as business together to discuss the issue and to educate and create awareness of the issue. All in hopes of bringing this issue of the uninsured to the forefront of our national agenda.

To see more editorials and report of activities go to www.CovertheUninsuredWeek.org.

The partners in Atlanta included: Georgia Nurses Association, Morehouse School of Medicine, Georgia State University School of Nursing, Medical Association of Georgia, St. Joseph’s Hospital of Atlanta, Georgia Rural Summit, Georgia AFL-CIO, Right from the Start Medicaid, The Edison Group, Georgia Association of Primary Care, United Way of Atlanta, Rollins School of Public Health, Georgia Hospital Association, American College of Physicians, SEIU Local 1985, Atlanta Labor Council, Atlanta Regional Forum, Healthcare Leadership Council, Department of Community Health, Women’s Policy Group, Health Students Taking Action Together, US Chamber of Commerce SE Regional Office, Georgians for a Commonsense Health Plan, Healthy Mothers Health Babies of Georgia, and State Planning Grant for the Uninsured.

The week for Cover the Uninsured was March 10 – 16. The Town Hall Meeting on March 10 occurred in two parts. The Town Hall kick off with legislators on March 10 took place on the Washington Street Steps of the Capitol.  I moderated the activities, introduced the purpose of “Cover the Uninsured Week, introductions of legislators, partners, signing of proclamation and closing remarks. The legislators included Lt. Governor Mark Taylor, Congressman Johnny Isakson, Congresswoman Denise Majette, and Congressman Phil Grengrey. All partners were introduced and legislators, partners and public were asked to sign the Proclamation for”Cover the Uninsured Week.” 

The second part of the Town Hall Meeting was a panel discussion with six panelists. It was held at the Fellowship Hall of Central Presbyterian Church.  I moderated this panel representing GNA. The members of the panel were: Jean O’Conner who is the Director of GA’s Health Insurance Planning grant;  Bruce Chandler, VP of St. Joseph’s Health System;  Dena Stansbury, Executive Director of Healthy Mothers, Healthy Babies of Georgia; Rita Valenti representing GNA; Richard Fullerton, MD, a private physician; and Jon Anderson, Director of Right from the Start Medicaid Outreach Project. These speakers gave statistics, stressed the increase usage of services offered by the hotline from Healthy Mothers, Healthy Babies, related approaches being implemented to assist with getting Medicaid applications completed, problems with services from physician especially OB physicians were stated and Rita Valenti elegantly revealed the cost of insurance and gave an overview of approaches to insurance coverage that would provide coverage for all Georgians at no additional cost. Many other significant points were made. The question and answer period was very active and informative.  The panel activity began at 10:15 and continued until 11:45.

Tuesday was on-campus day. There was a panel presentation and discussion on Morehouse campus. The panelist included: Dr. Alice Demi, Director of the School of Nursing Georgia State University; Daniel Blumenthal, MD from Morehouse Medical School; Nigel Harris, MD, DM, Dean and VP for Academic Affairs at Morehouse School of Medicine.; Bradley Herring, PhD, assistant professor in the department of Health Policy and Management at the Rollin School of Public Health at Emory University and Louis Sullivan, MD the founding  Dean and first president of Morehouse School of Medicine.  Again a great discussion about issues pertaining to the uninsured. GNA was represented at this event.

The activity for Wednesday was health fair day. The health fair was held at West-End Mall. There were over 30 booths. Nursing was represented by booths from GNA and Georgia State University.  Thanks to Mary Mallison, RN and Carla Keplinger RN for providing coverage for this booth from 11-7 on this date. Brochures on” Everyone deserves a nurse” were given out and blood pressures were taken. Student nurses assisted with the activities. Also Barbara Browning, JoAnn Bacon and Eva Horne assisted with both GNA and GSU tables. There was a lot of activity at the tables with many individuals sharing stories of being uninsured.

Thursday was an event to bring business and labor together for a discussion. There were many interfaith activities scheduled from Friday morning (3/14) until 3/16.  Again this was a very exciting week with much collaboration among agencies and organization

There are reasons why insurance matters. They include: 1) the uninsured are less likely to have a usual source of care outside the emergency room; 2) the uninsured often go without screenings and preventive care; 3) the uninsured often delay of forgo needed medical care; 4) the uninsured are often subject to avoidable hospital stays; 5) uninsured Americans are sicker and die earlier than those who have insurance; and 6) medical care is more costly for the uninsured than for insured Americans. The uninsured are often charged more for health services than people with insurance. Major insurers, including Medicare and Medicaid, negotiate big discounts with hospitals and other providers that are not available to the uninsured.

Other factors noted in the 2001 U.S. Census Bureau statistic is that the uninsured children miss more days of school and uninsured workers miss more days from work. There were three primary reasons people employed in December 2002 have gone without insurance. They were: 1) all jobs did not offer health insurance benefits; 2) even if employers offer coverage, the employee cannot afford to pay their share of the premium; and 3) temporary job loss due to layoffs, job elimination, or worker choice.

It is wonderful to have a neutral foundation such as Robert Wood Johnson and other foundations and national organizations bring legislators, professional organizations, labor, business and churches together to discuss the problems that exist with the over 41 million uninsured in the US. This week was successful in creating awareness of the uninsured problem in the US and Georgia. Throughout the week there were 67 Town Hall Meetings, 71 On-Campus Activities, 262 Health Fairs, 39 Business and Labor Forums and 57 Interfaith Events.

This is great to create awareness but many are asking about solutions. There were solutions discussed during these activities but the purpose of the “Cover the Uninsured Week” was awareness and education. There is a group “The Governors Healthcare Coverage Project” who collected the statistics in Georgia and now is looking for possible solutions to the problem of the uninsured. I represent GNA on the group.

The plight of the uninsured is vast. It took 41 million Americans “to get business and labor” on the same side of an issue.  Most of the uninsured are working but cannot afford insurance. In the future, the number of individuals is likely to increase unless we can continue this interest and focus on healthcare coverage that is affordable and assessable to all citizens.

Messages from GNA Presidents:

 
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