Kentuckians for Single Payer Health Care

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Read the Physicians’ Proposal for a National Single Payer Program here.  Sign on to it  hereArticles of interest.  Quote of the day by Dr. Don McCanne.  Answers to questions on single payer.  HR 676, Expanded and Improved Medicare for All, a model single payer bill that was in the House from 2003 to 2017.

Please support the work of Kentuckians for Single Payer Health Care by making a donation.

Dr. Ewell Scott of Morehead, KY, explains Single Payer Health Care

In 2006 Kentuckians for Single Payer Health Care hosted a hearing at a downtown Church in Louisville.  Many told their stories of suffering and tragedy caused by a broken health care system.  Dr. Ewell Scott explained how to fix it.  Thanks to Harriette Seiler for preserving and editing this 18 minute segment, part of a video made by Sonja De Vries.


Barbara Casper, MD, gives presentation on single payer health care to residents

Dr. Barbara Casper speaks at the Sidewalk Town Hall in front of Senator McConnell's Office, March 15, 2018
Dr. Barbara Casper speaks at the Sidewalk Town Hall in front of Senator McConnell’s Office, March 15, 2018

Louisville, KY.   On Wed., Jan. 20, 2021, Dr. Barbara Casper presented a virtual program on national single payer health care to residents in internal medicine.

She explained how an improved Medicare for All would cover everyone, remove financial barriers to patient care, save money, and allow physicians to practice their profession free from the control of insurance companies.

At least 32 participated in the slide presentation and the discussion that followed.

Kentuckians for Single Payer Health Care is pleased to offer such virtual programs, free of charge, to any Kentucky organization or group that is interested.

To make arrangements please email Kay Tillow at

Dr. Eugene Shively discusses the issues of rural health with Dr. Wayne Tuckson on Kentucky Health, KET

Dr. Wayne Tuckson, a specialist in colon and rectal surgery and past president of the Greater Louisville Medical Society, is the host of Kentucky Health, which airs several times a week on the Public Broadcasting System.

For an upcoming TV show, Dr. Tuckson interviewed Dr. Eugene Shively, a surgeon who resides in Campbellsville, on the issues of rural health.   Dr. Shively is featured regularly on Single Payer Radio at .

Rural Healthcare: Who pays and who benefits

Eugene Shively, MD, Emeritus Professor of Surgery, University of Louisville

The Kentucky Health interview of Dr. Shively by Dr. Tuckson can be viewed at these dates and times.

Eugene Shively, MD
Eugene Shively, MD

Kentucky Health

  • Sunday February 7, 2021 12:30 pm ET on KET
  • Sunday February 7, 2021 5:30 pm ET on KETKY
  • Monday February 8, 2021 2:00 pm ET on KET2
  • Friday February 12, 2021 1:30 pm ET on KETKY
  • Friday February 12, 2021 6:00 pm ET on KET
  • Sunday February 14, 2021 12:30 am ET on KETKY
  • Sunday February 14, 2021 7:00 am ET on KET2
  • Sunday February 14, 2021 9:00 am ET on KETKY
  • Sunday February 14, 2021 5:30 pm ET on KETKY
  • Friday February 19, 2021 1:30 pm ET on KETKY
Wayne Tuckson, MD
Wayne Tuckson, MD

Action needed on systemic racism, health care

Published in the Courier-Journal 12/28/2020

In November, the Vermont Medical Society passed a resolution expressing its support for universal access to high quality health care through a single-payer national health program. On Dec. 10, the Congressional Budget Office reported that a single-payer health care system could cover everyone yet cost $650 billion less per year.

The Courier Journal reported on the impact of systemic racism on the health of African Americans. The 12 years of life lost to residents in the West End points to the dire need for quick and effective action. The solutions explored omit the most decisive one — the need for every person to have physicians of their choice and all necessary health care, free at the point of service.

Until age 65, Black people are 50% more likely to be uninsured than white people. Life expectancy at birth is 3.5 years shorter for Black people. And 86% of the difference in life expectancy is due to conditions that respond to medical treatment and prevention. Mortality rates quickly match across races after age 65 when everyone is covered by Medicare.

Getting everyone covered is vital — not a complete solution but a necessary foundation to tackle the problem.

The passage of Medicare in 1965 eliminated segregation in hospitals and helped end racial disparities for seniors. A universal, not-for-profit, single-payer system — an improved Medicare for all — will save millions of lives.

Kay Tillow, Louisville, 40208

Ask your legislators to support HB 97 to end discrimination for pre-existing conditions in Kentucky

David Cox at Humana Headquarters in Louisville

In Kentucky, it can happen that a senior is denied a Medicare supplement (Medigap) insurance policy, or is charged more for such a policy, because of a pre-existing condition.  Such discrimination isn’t right and should be illegal.  In fact, four other states have passed laws that do not allow such practices.  We must do the same.

Write, call, email, tweet your representative urging her/him to co-sponsor HB 97 which will make such discrimination unlawful in Kentucky.

Then ask your senator to introduce or co-sponsor HB 97 in the senate.

(HB 97 was introduced into the KY House on Jan. 5, 2021, by Rep. Tom Burch.  It was formerly BR 483.)

HB 97 is here.

Find your representative and senator here.

You can leave a message for your representative and senator at 1-800-372-7181.  If you do not know who they are, the operator will help you.

Article illustrating the problem:

Medicare Advantage Enrollees Discover Dirty Little Secret

— Getting out is a lot harder than getting in

by Cheryl Clark, Contributing Writer, MedPage Today


Further info:  Kay Tillow,, 502 636 1551


Vermont Medical Society Endorses National Single Payer Health Care

Jane Katz Field, MD
Jane Katz Field, MD

The Vermont Medical Society (VMS) overwhelmingly endorsed a resolution supporting a single-payer national health program, also known as Medicare for All, at its annual meeting on Saturday, Nov. 7.

The VMS, which represents 2,400 Vermont physicians and physician assistants, is only the second state medical society in the U.S. after Hawaii to formally endorse a national single-payer health care program.

The VMS resolution was introduced by Dr. Jane Katz Field, a pediatrician and vice president of the Vermont chapter of Physicians for a National Health Program (VTPNHP).

“The need for universal single-payer health care has never been more urgent,” said Dr. Katz Field. “Thirty million Americans were already uninsured before the COVID-19 pandemic, and millions more continue to lose coverage as they lose their jobs. Today the Vermont Medical Society recognizes the need to move away from a broken health system that ties health care to employment, and towards a system of equitable and universal coverage.”



Support of a single-payer, national health program

As adopted at the VMS Annual Meeting on November 7, 2020

BE IT RESOLVED that the Vermont Medical Society express its support for universal access to comprehensive, affordable, high-quality health care through a single-payer national health program; and be it further

RESOLVED that the Vermont Medical Society will support a national health program provided it meets these core criteria and principles:

a) Promotes universal, equitable coverage for all US residents (regardless of immigration status);

b) Provides comprehensive and high quality coverage for all medically necessary or appropriate services, including inpatient and outpatient hospital care, primary and preventive care, long-term care, mental health and substance use disorder treatment, dental, vision, audiology, prescription drug and medical devices, comprehensive reproductive care (including maternity and newborn care, and abortion),

c) Prioritizes affordability for all, including: no cost sharing ( no premiums, copays or deductibles), a ban on investor-owned health care facilities, and prescription drug prices to be negotiated directly with manufacturers;

d) Reimburses physicians and health care practitioners in amounts that are sufficient, fair, predictable, transparent and sustainable, while incentivizing primary care;

e) Allows for collective participation by physicians and other practitioners in negotiating rates and program policies;

f) Promotes global operating budgets for hospitals, nursing homes and other providers. Continues to move away from fee-for-service reimbursement models to more flexible payment models that incentivize better outcomes and more coordinated care;

g) Allocates capital funds for hospitals separately from operating budgets;

h) Eliminates the role of private health insurance companies, thereby greatly reducing administrative costs and burdens on clinicians;

i) Allocates funding for graduate medical education that assures adequate supply of generalists and specialists

j) Reforms medical school costs to reduce the amount of debt recent graduates face;

k) Protects the rights of healthcare and insurance workers with guaranteed retraining and job placement;

l) Provides high quality software (EMRs) developed in public sector and provided free to all practitioners;

m) Creates a legal environment that fosters high quality patient care and relieves clinicians from practicing defensive medicine; and

n) Is funded through a publicly financed system, based on combining administrative savings and the current sources of public funding, with modest new taxes based on individual’s ability to pay

Christine Perlin-Gump, Presente!

Christine Perlin-Gump, Louisville activist for peace and social justice, passed away on November 19, 2020.  She is survived by her husband Michael, her son Max of Lexington, and her daughter Rina of Louisville.   Christine loved her job as interpreter and attended classes every day to assist Spanish-speaking students in understanding and communicating.

Several years ago Christine joined Kentuckians for Single Payer Health Care, enthusiastically jumping into the work to bring the struggle to the broader public.  She was elected to leadership as a member of the KSPH steering committee.  She led power-point presentations to teach single payer in every venue possible–even once in a noisy bar.  She rode her bike to dozens of festivals where she staffed booths, explained the issues endlessly, and persuaded people to sign petitions.  Christine was courageous, energetic, full of fun, and creative.  She dressed up in Irish attire to help carry the banner in the St. Patrick’s Day Parade,  stuffed endless envelopes, and led educational discussions.

Christine Perlin speaking at the demonstration at Humana.
Christine Perlin speaking at the demonstration at Humana.

In 2018, Christine wrote, produced, and directed a health care skit that was performed on the sidewalk in front of the Humana Headquarters in downtown Louisville.

When Kentuckians sat-in at the office of Senator Mitch McConnell to stop further destruction of health care, Christine was there, proudly demanding health care justice and ending up with a citation from Homeland Security that accused her and others of “failure to comply.”

Christine was not afraid to take a stand.  Her inspiration and work will continue in those she touched.  Kentuckians for Single Payer Health Care will honor her memory.

The notice in the Courier-Journal is at this link.

Those who sat-in for health care at the office of Senator Mitch McConnell. Christine in on the right in the front row.
Those who sat-in for health care at the office of Senator Mitch McConnell. Christine in on the right in the front row.



A New Show Each Week on Single Payer Radio

Links are below to the most recent radio shows:


Eugene Shively, MD, and Mike Flynn, MD, discuss Investor-Owned Health Care;   11/30 at 2PM, 12/1 at 7AM, 12/2 at 11AM


“What is Single Payer and Why Do We Have to Have it?” with Kay Tillow


Gun Violence as a Public Health Issue, Dr. Keith Miller, Dr. Mike Flynn, Dr. Eugene Shively


Medical Bankruptcy for those with insurance, Matt Fentress, Dr. Barbara Casper, Kay Tillow


Dr. Susan G. Bornstein, Dr. Eugene Shively, Dr. Mike Flynn discuss health care reform


Dr. Wayne Tuckson speaks of Racism in Health Care with Dr. Eugene Shively and Dr. Mike Flynn

– – – – – –

Please listen and share on Facebook and social media!  Our thanks to Mark McKinley who makes the shows happen.

Listen live at 106.5 FM on Mon. at 2:00 PM, Tues. at 7:00 AM, and Wed. at 11:00 AM–or go online at and tap ‘listen live.’

All the single payer programs are archived here:

Harriette Seiler’s letter in the Courier-Journal

Health Care and the Senate Race

As the November election nears, television viewers across Kentucky are subjected to dueling campaign ads approved by Sen. Mitch McConnell and Amy McGrath.  For voters, health care is a crucial issue, especially due to the spread of COVID-19, job loss and threats to the Affordable Care Act (ACA).  While the need for care and coverage has escalated, “ability to pay” remains a barrier.  for the insured, the costs of premiums, deductibles and prescriptions are rising.

Harriette Seiler, Secretary, Kentuckians for Single Payer Health Care
Harriette Seiler, Secretary, Kentuckians for Single Payer Health Care

Ironically, while sniping at each other, our Kentucky senatorial candidates reveal they agree on the path to meaningful reform.  Each cites the other’s past comments in favor of health care for all.  Amy  refers to a 1990 clip of Mitch saying he will “make sure healh care is available to all Kentucky families.”  A 2020 McConnell ad features Amy favoring “single payer.” Obviously, each candidate understands what sort of health reform legislation our country needs.

I am a member of Kentuckians for Single Payer Health Care, which does not endorse candidates.  I urge Mitch and Amy to study the systems of other advanced democracies, to listen to common sense and conscience, to advocate for universal single-payer Medicare for All.

Harriette Seiler, Louisville 40207