This International Women’s Day and Always: better health, not more prisons

Happy International Women’s Day!

Today should serve as a reminder of the fundamentally intersectional nature of the push for women’s rights. Women need pay equity, universal health care (including and especially reproductive health care), affordable child care, affordable housing, and so much more.

This International Women’s Day, take action on two important issues: saying no to another women’s prison and saying yes to creating a better maternal health care system. 
 


No New Women’s Prison

Massachusetts is planning to spend $50 million to build a new women’s prison to replace MCI-Framingham. As of January 1, 2022, the population in MCI-Framingham stood at 179, with more than 20% held in pre-trial detention. Why would we expand a system that costs $235,000 per person and only causes further harm?

That is the question that women from MCI-Framingham asked in a historic hearing last summer when they were able to testify to state legislators about the myriad better uses of that $50 million, especially in terms of investing in communities and support services at MCI-Framingham, expanding programming, and improving access to health care.

Studies have repeatedly shown that society cannot incarcerate its way to safety, and the family separation of incarceration and the well-documented inhumane conditions in Massachusetts’s prisons and jails fuel the community instability that is detrimental to public safety. Instead, investments in housing, health care, economic opportunity, and other social supports have been shown to be the true foundation of public safety for all.

Can you write to your state legislators in support of a moratorium on new prison and jail construction?

The Prison Moratorium bill (S.1979) would create a 5-year pause on major jail and prison construction and expansion, without preventing essential repairs, to allow for a focus on reducing the number of people in prison, implementing alternatives, and investing in communities.

The Legislature, in fact, has already gone on record in support of this bill by passing it at the end of the session, but Republican Governor Charlie Baker vetoed it. Let’s finish the work this year.

Find out if your legislators are already co-sponsors here.

  Demand a Better Maternal Health Care System

Massachusetts is facing a maternal health care crisis, which is devastating all of our communities, and hitting Black, Indigenous and people of color especially hard. This crisis has been compounded by a cascade of maternity care closures across the state. Policies are urgently needed to reverse this alarming trend.

A study published by the Massachusetts Department of Public Health last year revealed that rates of severe maternal health complications nearly doubled between 2011 and 2020. The situation is especially dire for black women, who are twice as likely than white women to die from maternal health complications in Massachusetts.

We need to demand that all women and birthing parents have access to the care that they need.

Can you write your state legislators along with the Chairs of the Committees on Public Health and Health Care Financing in support of access to midwives and birthing options?

An Act promoting access to midwifery care and out-of-hospital birth options (H.2209/S.145) would improve maternal health outcomes and promote racial and economic justice by expanding access to midwifery care and birthing choices, eliminating maternal care deserts and increasing access for low-income families.

Mass Can Lead the Way on Medicare for All

Medicare for All

Tuesday, November 14, 2023

Chair Friedman, Chair Lawn, and members of the Joint Committee on Health Care Financing:

My name is Jonathan Cohn, and I am the policy director at Progressive Massachusetts. We are a statewide, multi-issue, grassroots membership organization focused on fighting for policy that would make our Commonwealth more equitable, just, sustainable, and democratic. 

We urge you to give a favorable report to S.744/H.1239: An Act establishing Medicare for All in Massachusetts.

Massachusetts has a storied role in the history of the fight for universal health care in the US. Our former senator Ted Kennedy was a longtime champion of single payer, and our 2006 health care reform law was a model for the Affordable Care Act nationally.

Although our health care reform law, boosted by the ACA, has helped Massachusetts achieve near-full universality in health insurance coverage, we still see underinsurance, high premiums, high rates of medical debt, and significant disparities—all inevitable outcomes of a reliance on private sector provision. Universal coverage alone doesn’t guarantee affordability, quality, or equity without additional steps.

The COVID-19 pandemic has made the flaws of our current system clear. As we recognize the central public health message that our health is intertwined, we must build that recognition into health care delivery and ensure everyone can access the best-quality care possible. When anyone is too afraid of medical bills or debt to seek the care they need, we are all worse off.

The US remains the only advanced industrial country that has not recognized this as a fundamental right, but Massachusetts can lead the way. A single payer system would save the Commonwealth money through increased efficiency; take the burden of rising health care costs off small businesses, municipalities, and families; eliminate medical debt and medical bankruptcy; and finally guarantee access to quality, affordable health care as a right for all residents of the Commonwealth.

We often hear rhetoric around “choice” in our health care system. And indeed, there are plenty of places where “choice” is important, where it provides a valuable outlet for self-expression. Health insurance is not that. “Choice” in health insurance only means “you get as much as you can afford, and no more.”

The way we design our health care system has a significant impact on the lives of all residents of the Commonwealth, and putting equity and justice at the center of such a design is vital to ensuring that every person is able to live up to their full potential.

Sincerely,

Jonathan Cohn

Policy Director

Progressive Massachusetts

Keep the Momentum Going for Medicare for All!

Health care is a human right, and our our policies need to reflect that.

That’s why we’ve been consistent supporters of Medicare for All, and the state’s Medicare for All bill is getting a hearing in the Joint Committee on Health Care Financing next Tuesday, November 14th at 10AM at the State House. The deadline to register to testify is this Thursday, November 9th.

Sign up to give testimony at the hearing

If you are able to go on Tuesday, then show up early to join Mass-Care for a rally outside on the State House steps before.
Rally and Testify for Medicare for All / Tuesday, November 14 — Rally 9 am, State House steps, Testify 10 am — Room A-1.

Whether or not you are able to submit testimony, it’s important for your legislators to hear from YOU.

Can you commit to writing to your state rep and state senator about Medicare for All?

And before you do…..Find out if your State Rep/Senator is a already a cosponsor.

Links from Our Friends at Mass-Care

  • Let Mass-Care know you’re coming
  • Spread the word about the 9AM rally on Facebook.
  • Check out Mass-Care’s Guide to the Bill Hearing

Ensuring Birthing Justice in the Commonwealth

Tuesday, June 6, 2023

Chair Cyr, Chair Decker, and members of the Joint Committee on Public Health:

My name is Jonathan Cohn, and I’m the policy director of Progressive Massachusetts, a statewide, member-based grassroots advocacy organization fighting for a more equitable, just, sustainable, and democratic Commonwealth. 

We urge you to give a favorable report to S.1415, An Act relative to birthing justice in the Commonwealth, and H.2209/S.1457, An Act promoting access to midwifery care and out-of-hospital birth options.

Since the Dobbs decision last year, nearly 20 states have moved to ban or severely restrict access to abortion, with wide-reaching negative impacts on access to reproductive health care, especially for marginalized communities. Although Massachusetts has taken important strides in recent years to strengthen access to reproductive health care, which we greatly appreciate, our Commonwealth still sees severe inequalities in access to care. Indeed, Black women are twice as likely to die from pregnancy-related causes than white women. We have more work to do to break down barriers to the full spectrum of reproductive health care that still exist for Black, Indigenous, and other people of color.

An Act relative to birthing justice in the Commonwealth introduces a critical framework to improve maternal health outcomes and ensure people have the support, education, and access to resources to be empowered throughout their pregnancies. An Act promoting access to midwifery care and out-of-hospital birth options, standalone legislation which is also a core provision of the birthing justice bill, creates a pathway to licensure for Certified Professional Midwives, the key midwifery workforce trained in out-of-hospital births.

These bills advance key recommendations from the Special Commission on Racial Inequities in Maternal Health. When the Legislature creates commissions to investigate policy areas, it is incumbent upon the Legislature to listen to the recommendations. Commissions take time and work from countless legislators, administrators, staff, and outside experts, and the recommendations are the result of such underappreciated work.

By embracing those recommendations, Massachusetts can ensure all pregnant people—regardless of race—have the autonomy, support, and adequate birth options to feel empowered throughout their pregnancies.

Sincerely, 

Jonathan Cohn

Policy Director

Progressive Massachusetts 

A #FlashbackFriday about Disenfranchisement in MA and What You Can Do Today

Although we often think of the history of voting rights in the US as one of ever-forward motion, Massachusetts stands as an outlier. In the late 1990s, after incarcerated individuals in MCI-Norfolk started organizing for better conditions, Republican Governor Bill Cellucci and the MA Legislature responded with retaliation: a multi-step process of disenfranchisement. In 2000, Massachusetts voters approved a constitutional amendment to prohibit people incarcerated for felonies in state prison from voting in state elections; the subsequent year, Cellucci signed a law to extend this prohibition to federal and municipal elections. Our commonwealth did something rare in recent history: it took away the right to vote from a category of people who were formerly enfranchised.

But the tide is turning. On Wednesday, the Joint Committee on Election Laws took the significant step of giving a favorable report to S.8/H.26, constitutional amendments filed by Sen. Liz Miranda and Adam Gomez and Rep. Erika Uyterhoeven that would ensure that incarceration never leads to a loss of voting rights.

Urge your legislators to support the bill and advocate for its advancement in an upcoming constitutional convention.

And in upcoming events….

Wednesday, May 3: Higher Ed for All Speakout

Celebrate graduates and ensure that debt-free public higher ed is an option for future generations!

The Massachusetts State House will soon be considering the Cherish Act (S.816 / H.1260) and Debt-Free Bill (S.823 / H.1265). Collectively, these bills call for debt-free public higher education, increased student supports, better wages and working conditions, and green/healthy buildings.

Join the Higher Ed for All coalition on the State House steps and share your testimony alongside graduates, students, faculty, librarians, staff, and community from across the commonwealth!

  • 12:00-12:55 PM: Speak Out
  • 12:55 PM: Group Photo
Higher Ed for All

Thursday, May 4: Medicare for All Lobby Day

The Medicare for All Lobby Day will take place on Thursday, May 4, from 10AM to 3PM at the State House. RSVP here to let Mass-Care know you can join!

The polls close soon…where is your vote?

It’s finally Election Day!!!  
This year’s ballot questions have the possibility to greatly impact the safety and equity of life in Massachusetts.

Whether that impact will be positive or negative is up to your YES votes.

Below is an explanation of why we have endorsed YES on Questions 1, 2, and 4 (and for those select districts, 5 and 6). Please share these resources with your family, friends and neighbors and help us promote progressive policy.

YES ON 1: Fair Share Amendment

The Fair Share Amendment – Question 1 on the November ballot – will allow Massachusetts to improve our transportation and public education systems by making the very rich pay their fair share. Question 1 would create a 4 percent tax on the portion of a person’s annual income above $1 million and constitutionally dedicate the funds to be spent on transportation and public education. Only people who earn more than $1 million annually will be impacted; 99% of us won’t pay a penny more. And we’ll all benefit from better schools, roads, bridges, and public transportation.

We know that there are lots of questions about how the tax will be implemented and spent. The Fair Share FAQ website has factual, easy to understand answers, including in the extremely rare instances where it will apply to the sale of houses and businesses.

YES on 2: Better Dental Care

In Massachusetts, we have a law that requires medical insurance plans to spend at least 88% of all premiums on health care or efforts to improve the quality of health care delivery. However, no such requirement exists for dental insurance. If Question 2 passes, a minimum of 83% of your premium would have to be spent on care, rather than profit, and strengthen financial transparency of dental insurance companies.

To learn how a Yes vote on Question 2 will require more patient dollars to be spent on patient care check out the Yes on 2 website FAQ.

YES on 4: Safer Roads

A YES on 4 would uphold the Work & Family Mobility Act, a bill passed by 75% of the MA Legislature that would allow qualified drivers – regardless of immigration status – to pass a road test, buy insurance, obtain a license and legally drive in Massachusetts. By voting YES ON 4, Massachusetts voters will ensure that immigrants without status can legally make essential trips, like dropping off kids at school and getting to work, while promoting road safety for all of us.

Learn more about the positive impact similar legislation has made in other states and why it should stay law by visiting the Safer Roads MA FAQ site.

Wait, Is There a Q5 or a Q6, too?

In select state representative districts, there are non-binding advisory questions as well, and if you see them on your ballot, we recommend voting YES on these questions also:

  • YES on 5, which would instruct the district’s state representative to support legislation to create a single payer health care system in Massachusetts so that we finally treat health care as a right, not a privilege.
  • YES on 6, which would instruct the district’s state representative to support a change to the MA House’s rules enabling all legislative committees’ votes to be public, posted online as they are in most other states.

Both are clear and simple; and lots of YES votes send a strong message to your state representative.

Some final voting reminders…

If you have any questions about the ballot questions or making your vote count, please feel free to respond to this email- we are here to help!

Medicare for All: Treating Health Care as a Human Right

Public health image

Tuesday, October 26, 2021

Chairwoman Friedman, Chairman Lawn, and members of the Joint Committee on Health Care Financing:

Thank you for holding this hearing today. My name is Jonathan Cohn, and I am the chair of the Issues Committee of Progressive Massachusetts. Progressive Massachusetts is a statewide grassroots advocacy organization devoted to shared prosperity, racial and social justice, good government and strong democracy, and environmental protection and sustainable infrastructure.

Progressive Massachusetts urges a favorable report for S.766/H.1267: An Act establishing Medicare for All in Massachusetts.

Massachusetts has a storied role in the history of the fight for universal health care in the US. Our former senator Ted Kennedy was a longtime champion of single payer, and our 2006 health care reform law was a model for the Affordable Care Act nationally.

Although our health care reform law, boosted by the ACA, has helped Massachusetts achieve near-full universality in health insurance coverage, we still see underinsurance, high premiums, high rates of medical debt, and significant disparities—all inevitable outcomes of a reliance on private sector provision. Universal coverage alone doesn’t guarantee affordability, quality, or equity without additional steps.

The COVID-19 pandemic has made the flaws of our current system clear. As we recognize the central public health message that our health is intertwined, we must build that recognition into health care delivery and ensure everyone can access the best-quality care possible. When anyone is too afraid of medical bills or debt to seek the care they need, we are all worse off.

The US remains the only advanced industrial country that has not recognized this as a fundamental right, but Massachusetts can lead the way. A single payer system would save the Commonwealth money through increased efficiency; take the burden of rising health care costs off small businesses, municipalities, and families; eliminate medical debt and medical bankruptcy; and finally guarantee access to quality, affordable health care as a right for all residents of the Commonwealth.

We often hear rhetoric around “choice” in our health care system. And indeed, there are plenty of places where “choice” is important, where it provides a valuable outlet for self-expression. Health insurance is not that. “Choice” in health insurance only means “you get as much as you can afford, and no more.”

The way we design our health care system has a significant impact on the lives of all residents of the Commonwealth, and putting equity and justice at the center of such a design is vital to ensuring that every person is able to live up to their full potential.

Sincerely,

Jonathan Cohn

Chair, Issues Committee

Progressive Massachusetts

Upcoming Hearings on Medicare for All and Universal Child Care: Share Your Story

The reason why we support progressive policies is the tangible, positive impact that they will have in bettering the lives of people across the Commonwealth.

When health insurance costs too much and provides too little, and when families struggle to make ends meet in order to afford child care, people end up with undue stress, growing debt, and foreclosed opportunities.

The good thing? We can change that.

There will be upcoming hearings in the MA Legislature on Medicare for All and universal child care / early education, and they will be an opportunity to share why how such policies would have a tangible, positive impact on you and the people you care about.

Next Tuesday: Medicare for All Hearing

Next Tuesday (10/26) at 11 am, the Joint Committee on Health Care Financing will be hearing testimony on Medicare for All (S.766/H.1267).

These bills would make health care at last a truly enjoyed human right with a non-profit health care system that puts patients before profits, is comprehensive, covers every one, and is affordable.

If you would like to speak at the hearing, you must sign up by 4 pm today!

If you aren’t able to attend but still want to share why Medicare for All is so important to you, don’t fret!

Coming Soon: Hearing on the Common Start Bill

The Common Start coalition is collecting testimony for their bill’s hearing next month. The Common Start bill would establish a system of affordable, high-quality early education and child care for all Massachusetts families, over a 5-year timeline. This system would cover early education and care for children from birth through age 5, as well as after- and out-of-school time for children ages 5-12, and for children with special needs through age 15.

The hearing is on November 23, but the coalition is asking for testimony by Thursday, October 28 to put together a curated “recipe book” (Common Start, A Recipe for Affordable, Accessible, High-Quality Education and Care).

Check out the coalition’s guide to writing testimony here, and send testimony (or stories you’d like to include) to james@field-first.com.

Victory! House and Senate Override Baker on ROE Act Language

Last week — on Christmas Eve to be exact — Governor Charlie Baker vetoed a bill from the Legislature to expand equitable access to abortion in Massachusetts.

Fortunately, the House and Senate had veto-proof majorities in support of the bill to override Baker this week. 

The bill, which contains many of the provisions of the ROE Act, was a milestone in advancing reproductive freedom in the commonwealth. Patients seeking an abortion later in pregnancy will no longer be forced to leave the state, far from their families and support systems, in order to access care, and 16 and 17 year olds will no longer be forced to obtain a parent’s permission or endure a shame-inducing court process to receive abortion care. It’s simple: abortion is health care, and health care is a human right (two things our governor doesn’t understand). 

On Monday, the House voted 107 to 46.

12.28.20 House Vote on ROE Override

And then yesterday, the Senate voted 32 to 8.

12.28.20 Senate VOTE on ROE Override

Like how your legislators voted? Thank them here.

“It’s Called Insurance Insecurity, and It’s Traumatic”

The following testimony was delivered to the Joint Committee on Health Care Financing on Tuesday, June 11, 2019 in support of H.1194/S.683 

In December 2015, I was diagnosed with stage 2 breast cancer that had spread to my lymph nodes. Before I even had a treatment plan, and was in still shock at hearing my diagnosis, I met with the Financial Office to find out what my coinsurance and cap was for my out-of-pocket payments. This insurance-centric reality followed every step of my treatment plan.  

Cancer taught me to live every day and be grateful but it taught me other things as well.  Catastrophically ill patients and those with chronic illnesses often lose their life savings to the current medical system. The wicked good Cadillac health insurance I had from my ex-husband did not cover the whole thing. I was expected to pay 10% as coinsurance. Some plans call for the patient to pay 30% of the costs of their treatment.  For 2019 the capped amount is $7,900 for an individual and $15,800 for a family. This amount is before copays, medications, and many other needed procedures that patients carry the bill for in their treatment. I found out very quickly that people go bankrupt because they get sick. Many lose their house after 4 or 5 years as they can never make up for lost income and what they had to pay into the system.

One of the most baffling parts of the system was extreme administrative redundancies. Each procedure had to be checked and rechecked to make sure it was covered. Mass General, Emerson Hospital, My Primary Care office, testing labs and my pharmacist each contacted my insurance company to make sure I was covered. And while this happening, I kept being told that breast cancer patients statistically have a better outcome if they have a positive attitude. There were times I told them what to do with their positive attitude.  

You see, my positive attitude was hampered by the stress of not knowing what’s going to be paid what isn’t going to be paid. This is because our multi-payer for-profit system puts money and profit over patient outcome. Many patients are told they need an additional medicine, tests, or procedures. Each time that happens, you have to go back into the complicated system and get your approvals all over again. I was denied treatment. I was denied medications. I was denied tests. Each time my team appealed. I barely had the strength to get up in the morning between my rounds of treatment. I was forced to spend those hours hyper-vigilant about what was getting paid for and what wasn’t. It’s what I call Insurance Insecurity, and it is extremely traumatic. 

I believe we can fix this! We can start right here in Massachusetts.

(1) We need a system that focuses on the patient first. The medical professionals and hospitals are stuck on this multi-payer treadmill with their patients. As our current system is for-profit, we do it backwards putting Insurance companies first, and patients last often footing the bill with their employers.  

(2) All insurance claims must have the same forms and approvals so that a doctor’s office is not forced to have multiple administrators dealing with a myriad of health care companies.  One form, one approval, one insurance.

(3) Prescription costs must be lowered and drugs that our Doctors prescribed need to be approved without retroactive refusals. Medicare for all would take care of that. Prescription costs will go down due to our ability to negotiate with drug companies en masse. 

One of the first things I did when my immune system recovered was to volunteer at Open Table food pantry on Main Street in Maynard. Since then, I have become a manager and speak to many of our guests. I quickly realized that medical costs were one of the main factors in why people have food insecurity in Massachusetts.  

Costs keep going up, the system keeps getting more complicated, and patients are left breathless with less beneficial results than in other countries. I’m determined to speak for those in treatment right now. I know there are people lost and lonely who feel they have been left behind by our healthcare system. I often say Cancer changed my life for the better. I am extremely grateful that my diagnosis turned me from a Survivor to fighter, standing up for the next patient.  

Increments won’t do it! We need a bold Leap Forward. Let’s start the health care revolution right here in Massachusetts, the home of the American Revolution.  

Thank you for hearing me on this important issue.