Dr Jim Corwin For Congress

Our official campaign web site is up! 

Please re-direct your browser to www.corwinforcongress.com.  While it's not 100% functional, many of the sections are working.  If you find a page that's not working, drop us an email at webmaster@corwinforcongress.com.

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Towards A New Health Care Currency

rThe Landscape

In 2004, total U.S. health care expenditures were $1.9 trillion, or $6,280 per person, which represented 16% of the gross domestic product (GDP). Barely ten years earlier, spending for health care services and supplies totaled "only" $0.9 trillion. The rate of health care spending is rising faster than U.S. incomes: between 1980 and 2002, health care outlays shot up from 12.1% of disposable income to 20.2%. For all this money, Americans are buying into a system that is bewilderingly complex, impossibly fragmented, and in constant turmoil - at best, a perfect set up for miserable health care workers and consumers; and, at worst, fraud, abuse, errors, and mistakes.

On its current trajectory, this second rate chaotic system is destined to get worse and more expensive. To make matters worse, a recent Kaiser Foundation study showed that in 2003 over 58 million Americans, because of lack of insurance or higher out-of-pocket costs, are at high risk of incurring medical bills they may not be able to afford. The number of locked out Americans will most certainly rise with the increasing cost of health care relative to personal income.

The Problems

Health care has become impossibly fragmented, a system in constant turmoil - almost everyone is unhappy

This chaos serves to cover fraud and abuse, and leads to errors and mistakes

Staggering overlap, duplication, bureaucracy, and waste created by thousands of individual health plans (a recent study found that insurers offered 755 different plans in the Seattle area alone)

Tens of billions of dollars annually vanish in waste, inefficiency, fraud and in profits to companies that make money by denying care

Nearly $1 of every $3 spent on health care goes for administration - a higher percentage than any other country

System forces physicians to spend as much time negotiating with insurers over referrals an fees as they do treating patients

From 1969 to 1999, administrative workers went from 18.2% to 27.3% of total health care workers (significantly understated because over 1.6 million insurance employees not included)

Vast overlap, duplication, and waste - physicians and hospitals spend more time on paperwork and administration and less time on patient care

Insurers decrease their "medical loss ratio" by delaying, reducing, or denying claims, which compels physicians and hospitals to work even harder to get reimbursed (in 1999, 27% of physicians’ gross income went to administrative costs)

Insurers have created a stifling bureaucracy to deny, discourage, or postpone care, and to shift more expense to consumer

The Solution

In order to streamline the health care system, rein in spiraling costs, and restore stability to the health care marketplace, we need to restore transparency in pricing, unleash free market forces, and reduce bureaucratic meddling with its associated costs. We propose a major overhaul of US health care financing systems through the elimination of Medicare, Medicaid, and all employer sponsored private health insurance plans.

Instead, we outline plans for the minting of a new health care currency, called health care dollars ("HC$"), the monetary value of which will be determined by a quasigovernmental Federal Health Care Reserve System ("HC Reserve").

Every American will carry a debit card, preloaded annually with an actuarially determined number of HC$, with which they can purchase services from providers.

Providers will exchange HC$ for US currency at their Regional Health Care Reserve ("Regional Reserve") by submitting simple demographic, diagnostic, and procedural data for each transaction.

The Regional Reserve will be funded by businesses, households, and governments through a combination of sales and payroll taxes, unearned income tax, social security benefit withholds, and state and federal contributions from general revenues for indigents and retirees.

In addition, there would be a one time transfer of funds from the Medicare trust fund to the HC Reserve.

The Regional Reserve will purchase insurance from private health care insurers to cover unanticipated shortfalls in cash reserves.

Federal Health Care Reserve System

Central oversite for all health care expenditures in the U.S. which ensures a safer, more flexible, and more stable health care currency system

Comprised of a centralized Board of Governors in Washington, D.C. with ten Regional Reserves commensurate with the ten regions of the Public Health Service

Board of Governors comprised of seven members, nominated by the President and confirmed by the Senate, to 14 year staggered terms with no reappointments. Broad representation (business, labor, finance, agriculture) with no two from the same region. Chair and Vice Chair appointed to four year terms by President, confirmed by Senate, from sitting Governors

Accountable to the American people through periodic reports to Congress and annual audits from an independent outside auditor, the GAO, and OIG

Regional Health Care Reserve

Receive all payments from businesses, households, and governments doing business or residing within their region from taxes and contributions as above

Determine monetary value of HC$ based upon public health needs, utilization patterns, available reserves

Assure all residents within the region receive the appropriate actuarially determined allocation of HC$

Oversee periodic adjustments for individuals based upon data submitted by providers during the reimbursement request process

Disburse payments in US currency to providers in exchange for submitted HC$

Purchase stop-loss insurance from private health insurers to cover unanticipated shortfalls in reserves

Performs periodic audits of providers

Controls day-to-day operations of the Regional Reserve

Supervised by the centralized Board of Governors

Board of Directors is made up of individuals appointed by each member state’s governor, with consent of upper legislative body, selected in an evenly distributed manner from business, government, and providers

Each member state’s governor will appoint a number of directors equal to 1/7th of their state’s electoral votes (rounded up the next whole number), but in no case less than three per state. Depending on the region, there will be anywhere from 12 to 25 directors on each regional board.

The Board of Directors will appoint, with the approval of the Board of Governors, a President and CEO of the Regional Reserve, to serve a five year term.

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In addition to the Happenings listed in the last entry, here's more Corwin for Congress campaign past and future activities:

Friday, January 27th, attended the big fundraiser in Ferndale for Jamie Benoit's Anne Arundel County Council District 4 race.

Saturday, January 28th, learned all about re-framing political debate at the Democracy for Montgomery County sponsored workshop on Passion To Persuasion presented by Dr. Jeffrey Feldman of www.frameshopisopen.com.

Wednesday, February 1st, joined a panel of Congressional District 3 candidates Andy Barth, Mishonda Baldwin, and Kevin O'Keeffe at the Democracy for Baltimore meeting at Red Fish Tavern.

Thursday, February 2nd, joined a panel of candidates for state and local Queen Anne's county offices (including Frank Kratovil for State's Attorney, Gene Ransom for County Council, Charlie Rhodes for Sheriff, and Rob Babbitt for Delegate) at the Community Center in Grasonville.

Saturday, February 4th, met with scores of enthusiastic up-and-coming Democrats at the Young Democrats of Maryland state convention in Annapolis.  Keynote speaker at lunch was Maryland's Attorney General Joe Curran. 

Tuesday, February 7th, tour of North Bay environmental education center in Cecil County. 

Wednesday, February 8th, meeting with Talbot County Democratic Central Committee in Easton.

Tuesday, February 14th, Central Baltimore County Democratic Club monthly meeting at Carver Center in Towson.

Wednesday, February 15th, Leadership Anne Arundel Flagship Recruitment breakfast at Kauffman's in Gambrills.

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Upcoming Events

Thursday, January 19th, District 33 Club at Perry's.  Working meeting to assign tasks using voter lists.

Friday, January 20th, Almost 7:30 Meeting in Annapolis.  Discussion on stem cell research with Susan O'Brien.

Saturday, January 21st, Democracy for America, Anne Arundel chapter, fundraiser in Severna Park.  Meet with Jim Dean, DFA Chair, and Terry Lierman, MDP Chair.

Wednesday, January 25th, District 30 Club in Annapolis.  Meet with gubernatorial candidate Martin O'Malley.

Saturday, February 4th, Annual Breakfast Meeting with Democratic Central Committee of Caroline County in Denton.  Guest speaker is Mayor Martin O'Malley.

Thursday, February 9th, Meeting with Seton Society in Catonsville.

Monday, February 13th, Meeting to review legislative agenda with Anne Arundel/Howard county contingent from Maryland Medical Society (MedChi) in Annapolis.

Friday, February 17th, through Sunday, February 19th, AMPAC candidate workshop in Alexandria, VA.

Wednesday, February 22nd, Speaking to Washington College Democrats in Chestertown.  Please come along and support the candidate!

March 15th and 16th, FEC workshop in D.C.

April 21st and 22nd, Eastern Shore Association of Democratic Central Committees Convention in Ocean City (Tentative Date).

This is a partial listing, please contact us at drjimforcongress@aol.com with any questions.

Recent Happenings

Over 1200 attended the MLK, Jr. dinner in Glen Burnie on January 13th.  The Corwin for Congress campaign was well represented and Dr. Jim was honored to make a pledge towards completion of the MLK, Jr. memorial at the Anne Arundel Community College.

Dr. Jim attended the January 12th announcement by Andrew Pruski for Anne Arundel county council in District 4.

A big gathering in Willards on January 8th for Del. Norm Conway's (Democrat-38B) fundraiser gave Dr. Jim a chance to meet up again with hundreds of supporters.

Dr. Jim spoke about healthcare finance reform to the Cecil County Democratic Club in North East on January 5th.

An intimate group of came out with Dr. Jim and other guests of Maryland General Assembly Speaker of the House Michael Busch to show support for Del. Dave Rudolph (Democrat-34B) at O'Brien's in Annapolis on January 4th.

We ended 2005 with testimony on high school start times before the Anne Arundel school board, a very positive meeting with Rep. Chris Van Hollen (Dem - Montgomery County) at the Democratic Congressional Campaign Committee, and a well deserved few days of vacation with the family in the Outer Banks.

 

 

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Recent Events

On November 15, attended the nationwide Kick Off conference call with DNC Chairman Howard Dean at John Schneider's house in Severna Park.  There was a roomful of Democrats that shared their vision for Maryland and the U.S. and are just itching for the 2006 campaign to elect more Democrats.

Door-to-door canvass in Pasadena on November 19th.  Spoke with many Democrats that are ready for a change in Washington and willing to help the campaign.

On November 30, spoke to the assembled crowd at the first annual Anne Arundel County Young Democrats fundraiser in Millersville.  There were many elected officials and candidates for local, state, and federal office.  The audience was thrilled when they heard that "Corwin is the one" to take back our seat in district one and put the people back in charge.

Plenty of opportunity to work a huge crowd at the Maryland Democratic Women's PAC annual reception in Baltimore.  Met with Rep. Wasserman Schultz (FL-20), a DCCC candidate recruiter who was very supportive of our campaign.

Ed & Christine Crawford graciously hosted a houseful of guests on December 13 for the Central Baltimore County Democratic Club Annual Holiday Reception.  Made many new contacts and had spirited discussions with plenty of old friends.  There was plenty of enthusiasm for turning out all 20,000 of the Democratic voters in Baltimore county next November.

Upcoming Events

Wed, December 21, Meeting with Rep. Van Hollen at the Democratic Congressional Campaign Committee offices in Washington.

Wed, January 4, 7:00 PM, New Harford Democratic Club at the Holiday Inn in Aberdeen (tentative).

Thursday, January 5, 7:30 PM, Cecil County Democrat Club speaking engagement at the VFW Home in North East.  Interested in accompanying Dr. Jim?  Call 443.703.3616.  General Public Invited - for information, call Bob Parker 443.309.4998.

Thursday, January 12, 6:00 PM, Andrew Pruski announces his candidacy for Anne Arundel County Council at Perry's in Odenton.  For info call the Pruski campaign at 410.672.5312.

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Following is a Letter to the Editor that was just sent to various media outlets:

            Rep. Wayne Gilchrest is not a moderate and should no longer be referred to automatically by the media as a "moderate Republican".  Following are just a few recent examples of his extreme positions in matters of budget and taxation, consumer affairs, energy policy, and personal freedoms.

            On budget action, Mr. Gilchrest showed his true colors and sided with the extreme right leadership in Congress.  Just before the Thanksgiving break, he voted in favor of a health and education appropriations bill which was loaded with spending cuts in many essential health care and education programs, a bill that eventually went down when real moderate Republicans joined together with Democrats to deliver a stinging 224 to 209 defeat.  Hours later, so-called moderate Republican Wayne Gilchrest joined with the leadership again, this time to give them a slim 217 to 215 win for their sham deficit reduction bill (with plans by the leadership to be followed by another Bush-led tax cut that would undo all of the reductions). This is a bill that, depending upon conference with the Senate, would cut about 220,000 people off food stamps, allow states to impose new costs on Medicaid beneficiaries, squeeze student lenders, cut aid to state child-support enforcement programs and trim farm supports. 

            While cuts in expenditures are only a recent exercise for the fiscally irresponsible majority, let us also not forget that their agenda all along has included deficit creating revenue reductions through tax cuts.  In April of this year, Mr. Gilchrest joined this decidedly immoderate mob and voted to permanently repeal the estate tax.  This was a truly progressive tax that affected only the wealthiest 2% of Americans but annually yielded $20 billion in revenues, resulted in substantive deficit reduction, made up for other tax breaks, and encouraged charitable donations by allowing deductions from generational wealth transfer.

            This past summer, so-called moderate Republican Wayne Gilchrest voted for the Energy Policy Act of 2005, a missed opportunity to provide a secure energy future for America, but instead was packed with taxpayer-subsidized goodies for energy companies and will not reduce our dependence on foreign oil. Just last month, he handed his leadership another slim 212-210 victory when he voted for the shameless GAS Act which advances a radical anti-environment agenda, guts the principle of local control over land use decisions, and gives oil companies even more taxpayer subsidies.  

            Earlier this year, Mr. Gilchrest voted in favor of the so-called Bankruptcy Abuse Prevention and Consumer Protection Act which does absolutely nothing to stop credit card companies and other lenders from continuing their abusive and predatory lending practices and makes it harder for working families to seek shelter from the devastating and unavoidable situations of a lost job or inability to cover the escalating costs of medical care.  Mr. Gilchrest voted in virtual lockstep with 224 other Republican members in support of this merciless attack on American consumers.  He also supported Medicare Part D, an incredibly confusing prescription drug plan of questionable benefit to consumers but undoubtedly a massive giveaway to health insurers and drug companies.  In trade matters, the Republican leadership missed an opportunity to ensure that the benefits of trade flow broadly to working people, small farmers, society at large, and larger businesses; but, instead Mr. Gilchrest helped pass CAFTA, which lacks basic labor standards and does little to raise living standards or improve environmental protections abroad.

            This past spring, in perhaps the most glaring example of extreme intrusiveness and abuse of governmental authority, this so-called moderate sided with an out-of-control majority in the House and gave the federal courts in Florida jurisdiction over the most personal of family matters in the Terry Schiavo case.

            Thomas Paine wrote that "moderation in temper, is always a virtue; but moderation in principle, is a species of vice."  Mr. Gilchrest is not guilty of this foible - he stands squarely with the extremist majority in Congress (except when it comes to oil-drilling in Alaska).  While their anti-worker, anti-consumer, anti-family agenda is bad enough, the media is just as culpable when perpetuating the myth of Mr. Gilchrest's moderation.

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PAST EVENTS:

Week of October 23rd:  Spoke to about 50 members of the Democratic Club of Worcester County at the Ocean Pines Country Club and attended the Democratic Central Committee of Worcester County's "Spirit of the Party" Pancake Breakfast at the Lions' Club in West Ocean City with about 100 revved up Democratic volunteers and elected officials.

Week of October 30th:  Spoke briefly about the campaign to a very supportive crowd at the Democratic Women of Cecil County's "Democratic Salute" Brunch in Elkton.  Featured speakers were Myrna Cardin, wife of US Senatorial candidate Ben Cardin, and former state Senator Walter Baker.  Later that week, gave an update on the campaign to an enthusiastic gathering of the New Harford Democratic Club in Aberdeen, followed by a very successful fundraising event at the Red Fish Tavern in Baltimore sponsored by Democracy for Baltimore.  Ended the week with some schmoozing with old friends and new at the Caroline County Central Committee's Jefferson-Jackson dinner in Denton.  Featured speaker was Michael Busch, Speaker of Maryland's House of Delegates.

Week of November 6th:  Worked the crowd by volunteering for parking lot duty at the Anne Arundel United Jewish Council's semi-annual Jewish Festival in Annapolis.  Served as a pollwatcher for the Moyer for Mayor campaign on city election day, then gave a campaign update to the Central Baltimore County Democrats Club in Towson later that evening.  Featured guest was Maryland Democratic Party Field Director, Jocelyn Bogdan.  Met with state party leaders, Terry Lierman and Josh White, the next day and garnered support for an "Eight District Strategy" in Maryland to mirror the national party's "50 State Strategy".

UPCOMING EVENTS:

Sunday, Nov. 13, Peace Rally in Bel Air. 

Tues, Nov 15, DNC Kick Off conference call with Chairman Howard Dean (location TBD).

Wed, Nov 16, North Baltimore Democracy for Baltimore in Towson.

Thur, Nov 17, District 32 Club meeting in Ferndale.

Sat, Nov 19, Door-to-Door canvass in North Linthicum in support of the Maryland Democratic Party.

Wed, Nov 30, Anne Arundel County Young Democrats dinner at Hella's in Millersville.  Follow this link for more information:  http://www.aayd.org/event.html

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November marks the beginning of the 12 month count down until Election Day 2006.  With the President's approval ratings at all time lows, the Republican leadership in Congress losing its grip, and national polls showing Americans prefer Democrats in charge, the prospects for big Democratic wins in 2006 never seemed better.  Please make a secure online contribution today to beat Wayne Gilchrest and take back Maryland's first district for the Democrats:

http://www.actblue.com/contribute/entity/9072

The Corwin for Congress campaign is now working with ActBlue, the universal Democratic bundler, to enable all our supporters to use the best practices of EMILY's List and MoveOn to help raise funds to defeat Wayne Gilchrest in November 2006 and take the first steps to restore a healthy democracy in Washington.  Follow the link below to make a contribution to Corwin for Congress:

http://www.actblue.com/contribute/entity/9072

Feel free to share the above link with your contacts and encourage them to make a contribution to the campaign.  If you'd like to do even more, such as put a contribution box on your website or create a full-blown fundraising page for Corwin for Congress, please check out the details at this link:

http://www.actblue.com/entity/syndicate/9072

Thanks to all of our generous supporters who have offered help and made contributions.  Please be patient as we continue to work on a real website and develop volunteer coordination.

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Severna Park, MD, October 24, 2005 – Douglas R. Mann has been named the treasurer of Corwin for Congress, the principal campaign committee for Dr. Jim Corwin.  Corwin is a Democratic candidate for Congress in District One, which is comprised of parts of Anne Arundel, Baltimore, and Harford counties, and all of Cecil County and the Eastern Shore of Maryland.

 

Dr. Jim Corwin, 48, a specialist in family medicine and medical director for Baltimore Medical System, has been traveling throughout the district and building support for the campaign since he announced his candidacy in July.  With the campaign committee in place, he is ready to kick off its fundraising efforts.  “I’m delighted to have Doug as our treasurer,” Corwin said.  “He has experience with political campaigns, a longstanding and well earned reputation of social action, and has been a good friend for many years.”

 

Mann is an accountant and vice president and chief financial officer of the Maryland Institute College of Art in Baltimore, and was formerly the principal analyst for the Maryland Senate Budget and Tax Committee.  He lives with his two children in Severna Park.  “I’m excited about joining the team,” Mann said, “and working together to bring new ideas to the national agenda.” 

 

Dr. Jim Corwin is running for Congress because the country is headed in the wrong direction and it is time for a change in leadership.  “Congress needs to exert its authority over the executive branch and stand up against the big money special interests,” Corwin said.  “I’ve got a prescription for a healthy democracy – take back the House and put the people back in charge.”  Contributions can be made by mailing a check to Corwin for Congress, P.O. Box 1541, Severna Park, MD 21146-8541.

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EVENTS OF WEEKS' PAST:

Wed, Oct 5, met with the members of the Annapolis/Anne Arundel Democracy for America group at John Schneider’s home in Severna Park.

Wed, Oct 5, spoke at the Stoney Creek Democratic Club in Pasadena. Received strong support from State Sen Phil Jimeno and Del Joan Cadden and commitments for future engagements and campaign contributions.

Fri, Oct 7, attended an Eagle Scout award ceremony for Ben Didonato in Arnold.

Sun, Oct 9, spoke at the annual Dorchester County Central Committee fundraiser at “Old Salty’s” restaurant. The dining hall was packed and the support was overwhelming.

Tue, Oct 11, shared the podium with dozens of elected officials (e.g. US House minority whip Steny Hoyer, MD House of Delegates Speaker Michael Busch) and candidates (gubernatorial candidate Doug Duncan and many more) at the Democratic Women’s Club of Anne Arundel annual membership. The banquet hall was at capacity and the sense of unity in the room was undeniable. During my two minutes, I spoke of our Democratic values of the courage to stand up against big moneyed special interests, honesty and forthrightness in fundraising, budgeting, and legislation, and loyalty to the spirit of ’76 and the principles of self-government and challenged Democrats to take back our Federal government and “put the People back in charge.

Thur, Oct 13, met with the Caroline County Democratic Central Committee and caught up with many old friends in Denton.

Sat, Oct 15, joined hundreds of other well wishers at “An Eastern Shore Tribute to US Senator Paul S. Sarbanes” at the Wicomico Youth & Civic Center in Salisbury. It was a wonderful event with testimonials, awards, and a speech by the honoree. “Corwin for Congress” had a well placed ad in the Program, and I personally received strong encouragement from the Senator and many other elected officials (e.g. MD Delegates Norm Conway and Rudy Cane) and countless local and statewide movers and shakers.

Sun, Oct 16, attended a Green Panel discussion on environmental issues sponsored by the Democratic Forum of Talbot County at a tent on the grounds of Cleo Braver and Allie Tyler’s Cottingham Farm on the shores of Goldsborough Neck Creek near Easton. Gathered lots of great information on improving the health of the Bay, smart development, and so on. Also made many new contacts and picked up some new supporters.

Wed, Oct 19, featured speaker at the Democratic Club of Wicomico in the Knights of Columbus Hall in Salisbury. It was well attended by many local officials (County Council Tony Sarbanes and Marvin Long), as well as representatives of US Senators Mikulski and Sarbanes. All were very supportive of the campaign to take back the House.

Thu, Oct 20, featured speaker at the District 33 Democratic Club monthly dinner meeting held at Perry’s in Odenton. It was supposed to be a two person panel discussion on Homeland Security and Health Care, but the other speaker, Del. Neil Quinter, had withdrawn from the Congressional Primary race in MD-03 just that morning! As a last minute fill-in, I shared the floor with Baltimore attorney John Sarbanes, who recently announced his run for the Democratic nod in the same MD-03 House campaign.

UPCOMING EVENTS:

Thur, Oct 27, presentation of my candidacy at the monthly Democratic Club of Worcester County’s meeting at the Ocean Pines Country Club. The featured speaker will discuss economic development in Africa.

Sat, Oct 29, 8 AM -10 AM, I’ll be meeting the voters at the Worcester County Democratic Central Committee’s “Spirit of the Party Pancake Breakfast” at the Lions’ Club in Ocean City.

Sat, Oct 29, noon (TENTATIVE), Re-opening of the Romancoke Pier on Kent Island.

Tue, Nov 1, Maryland Democratic Party “Salute to Sarbanes” in Baltimore.

Wed, Nov 2, testifying before the Anne Arundel County Board of Education on the medical aspects of adolescent sleep patterns vis-à-vis school start times.

Wed, Nov 2, New Harford Democratic Club in Aberdeen. Also in attendance will be US Rep Ben Cardin, who is running for Sen. Sarbanes soon-to-be-vacant seat.

Sat, Nov 5, help with literature drops for the Moyer for Mayor campaign in Annapolis.

Sat, Nov 5, presentation of my candidacy at the annual Caroline County Jefferson-Jackson Dinner at the Denton Firehouse. House of Delegates Speaker Michael Busch is the featured guest.

Tue, Nov 8, poll watching in the Annapolis city elections.

ON THIS MONTH'S READING LIST:

Kaiser Commission on Medicaid and the Uninsured: Medical Debt and Access to Health Care, September 2005 report. Much of what’s in this report puts some facts to all the anecdotes I’ve been experiencing over the years as the medical director of community health centers. Here’s just one – one in six adults who are privately insured have substantial problems paying their medical bills. These people are largely full-time workers in middle class families. The take home message – we are ALL at risk of becoming medically indigent and we need health care financing reform NOW to assure worry-free access to health care for all Americans!

Hart Research Association’s report to the American Medical Association on Key Findings from Recent Focus Groups, May 2003. This research was conducted to assess voter perception of physicians as candidates for public office. Overall, across party lines and gender differences, physicians are well regarded as candidates, with suggestions that physician candidates connect their medical background to dealing with health care issues, show voters they are multi-dimensional, and highlight the hard work that got them to where they are today. Sounds a lot like my own campaign!

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