MEASURE 35 WOULD HARM THE QUALITY OF HEALTH CARE AND INCREASE YOUR COSTS FOR HEALTH CARE
Measure 35 will turn back the clock on health care in Oregon.
Measure 35 puts restrictions on how doctors and other health care providers may be paid.
State regulators could take away a doctor's license to practice or a hospital's business license -- not based on the quality of the care they provide, but on the terms of contracts they signed.
Measure 35 would outlaw prepaid health care. Such arrangements are important. The plans emphasize preventive care, early identification and treatment of illnesses, and aggressive management of chronic health conditions.
That kind of care reduces costs and improves health.
Many Medicare-eligible Oregonians have chosen these plans for their care. The Oregon Health Plan, which expanded medical coverage for very low income Oregonians, also relies on prepayment contracts.
The Oregon Health Plan
Could be Lost.
Oregonians will lose those choices if Measure 35 passes. Health insurance costs will increase, resulting in reduced employee benefits or the risk of job cuts. For taxpayers, Measure 35 will cost us $44 million more next year to provide health insurance for government workers; plus $35 million to the cost of the Oregon Health Plan.
Measure 35 could raise your costs,
reduce health care choices for consumers,
and increase the number of Oregonians
who cannot afford health care
That's why the board of Oregon's largest employer group involved in public policy voted unanimously to oppose Measure 35. And that's why...
Associated Oregon Industries urges you to
vote NO on Measure 35.
(This information furnished by Richard M. Butrick, Associated Oregon Industries.)
(This space purchased for $500 in accordance with 1993 Or. Laws 811 §11.)
The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument.
MEASURE 35: BAD MEDICINE FOR OREGON
A broad-based coalition of thousands of Oregonians, small and large employers, consumers and seniors join the following organizations in urging you to ...
VOTE NO ON MEASURE 35
Oregon Nurses Association
Associated Oregon Industries
Academy of Family Physicians
Associated Builders and Contractors
Association of Health Underwriters
Association of Oregon Counties
Local health plans and insurers throughout Oregon
Oregon Self-Insurers Association
Oregon Rural Health Association
Local Chambers of Commerce across the state
United Grocers
Human Services Coalition of Oregon
Oregon Medical Association
(partial list)
VOTE NO ON MEASURE 35
(This information furnished by E.E. Patterson, Oregonians for Quality Health Care.)
(This space purchased for $500 in accordance with 1993 Or. Laws 811 §11.)
The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument.
NURSES PUT PATIENTS' NEEDS FIRST.
BALLOT MEASURE 35 DOES NOT
The Oregon Nurses Association represents 9,000 nurses who care for patients in urban and rural clinics, hospitals and nursing homes throughout the state. We work closely with physicians and other health care professionals to make sure that our patients, whether they're children or elderly, receive the quality and compassionate care they deserve.
The ONA has serious reservations about Measure 35. We believe it poses a severe threat to the Oregon Health Plan, a system that provides health care to people who can't afford health insurance, the poor and the disabled. Measure 35 would eliminate the foundation of the Oregon Health Plan, the effective and increasingly common method of paying doctors and other health care professionals.
Further, we believe that when this payment method works as it should, patients get the care they need, in the right setting, by the most appropriate provider. The incentives for this payment method are prevention, early identification and treatment of illnesses, and aggressive management of chronic health conditions. While abuses can occur under any system, the temptations under Ballot Measure 35 are to do too much, a far greater danger. Specialty physicians would be assured a steady stream of patients under Measure 35 for health conditions a primary provider can appropriately manage.
Measure 35 is a measure we can't afford.
JOIN OREGON NURSES AND VOTE NO ON MEASURE 35.
(This information furnished by Susan King RN, MS, Oregon Nurses Association.)
(This space purchased for $500 in accordance with 1993 Or. Laws 811 §11.)
The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument.
Ballot Measure 35 is a bad idea. It would totally undermine the Oregon Health Plan by eliminating cost-effective capitation payment to providers. It would limit consumer choice of health plans by returning to the day of indemnity insurance as the major source of coverage. And it would significantly increase healthcare costs to businesses, consumers and taxpayers by eliminating Oregon's evolving managed care delivery system.
A large part of health insurance in Oregon is currently provided through managed care arrangements on a prepaid basis: HMOs, Medicare and the Oregon Health Plan all rely on contracts with providers to treat patients for a fixed, prepaid cost.
If Measure 35 passes, our low-cost, quality-focused delivery system would cease to exist. The Oregon Health Plan no longer would be able to provide health insurance to more than 130,000 working men, women and their children who now have access to good healthcare through the prepaid, managed care plans. Measure 35 would also increase taxpayer costs by $79 million for state and local government insurance costs in the first year alone. And Oregon businesses would face an estimated $250 to $400 million in higher healthcare costs.
Do we really want to return the state to the days of healthcare costs spiraling out of control? Are businesses and workers ready to step up with checkbooks in hand and cover the cost shifting that occurs under the old system of delivering healthcare? Are consumers ready to give up the ability to choose from a large selection of health insurance plans?
Measure 35 would eliminate prepaid healthcare plans that pay doctors a fixed fee to provide medical care to patients -- care focused on quality, prevention, wellness and cost controls. Protect your right to choose. Protect the Oregon Health Plan. Vote NO on Measure 35.
Ken Rutledge, President
Oregon Association of Hospitals and Health Systems
(This information furnished by Ken Rutledge, Oregon Association of Hospitals and Health Systems.)
(This space purchased for $500 in accordance with 1993 Or. Laws 811 §11.)
The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument.
HELP PRESERVE YOUR CHOICE OF HEALTH PLANS.
VOTE NO ON MEASURE 35.
As a physician and former president of the Oregon Medical Association, I have spent a large part of my career exploring ways to improve the quality and availability of health care. I am opposed to Ballot Measure 35 because it would threaten the quality and choices of health care service available to Oregonians.
Many health plans in Oregon achieve the highest quality of health care by not only treating patients when they get sick, but also working to help keep people healthy. Hundreds of thousands of Oregonians have chosen to receive this type of comprehensive health care coverage through plans that rely on prepayment compensation arrangements. Ballot Measure 35 would take that choice away because consumers could no longer choose the type of health plan they want.
Dr. Leigh Dolin, MD
Past President, Oregon Medical Association
(This information furnished by Dr. Leigh Dolin, MD.)
(This space purchased for $500 in accordance with 1993 Or. Laws 811 §11.)
The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument.
OREGON'S RURAL HEALTH PROFESSIONALS
OPPOSE MEASURE 35.
Measure 35 is bad for the health of rural Oregonians. It would place an unfair hardship on Oregon citizens who live outside the state's urban areas working families already burdened with fewer choices and higher costs for their medical care.
Measure 35 would take Oregon back to the days when health care costs were too high for many rural citizens to afford. At the same time, quality of care would suffer. Much of the preventive medicine covered by health insurance now, such as immunizations for young children and mammography screening for women would be just too expensive to include in regular health benefits.
Measure 35 would increase health insurance costs for families by up to $500 per year, causing many to lose benefits or putting health insurance coverage entirely out of reach. Those employed by small businesses, the backbone of rural Oregon communities, would be hurt most. Many small businesses simply could not absorb the higher health insurance costs created by Measure 35.
The number of Oregonians
without health insurance coverage
will increase if Measure 35 passes.
Measure 35 would unfairly swell the rolls of the uninsured and place the Oregon Health Plan in jeopardy, while at the same time increasing the cost of employer-sponsored health insurance. County and local governments, such as cities and school districts, would be forced to pay higher premiums for their employees' health insurance ($22 million in the first year, according to state estimates). In rural communities that money would come directly out of the pockets of local taxpayers.
It's time for Oregonians to unite for the good of the hard-working people that live here and pay taxes.
The members of the
Oregon Rural Health Care Association
urge you to vote NO on Measure 35.
(This information furnished by C. Hayne, Oregon Rural Health Association.)
(This space purchased for $500 in accordance with 1993 Or. Laws 811 §11.)
The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument.
YOUR DOCTOR'S LICENSE IS ON THE LINE
MEASURE 35 dictates how health care providers may or may not be paid for services.
MEASURE 35 would make it ILLEGAL for doctors to be paid by "capitation" (by exclusion) and subject them to possible LOSS of THEIR LICENSE.
"Capitation" means prepayment for health care. A physician or group of physicians are paid a predetermined amount per month for a patient's health care.
To outlaw "capitation" as opposed to salary, fee-for-service, reimbursement for time and material or other methods of payment makes no sense.
Physicians and other providers should be judged on the basis of their professional skills and conduct, not on how they part their hair, what church they go to or how they are paid.
LET'S USE OUR COMMON SENSE!
VOTE NO ON MEASURE 35
Submitted by the Oregon Medical Association
(This information furnished by Frank J. Baumeister, M.D., Oregon Medical Association.)
(This space purchased for $500 in accordance with 1993 Or. Laws 811 §11.)
The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument.