Not Just a Bill

Promoted by Steven D

A surreal debate is playing out on Capitol Hill over a proposed expansion of the GI Bill of Rights.    Bi-partisan coalitions in the House and Senate want to increase college support under the law to give a new, promising start to veterans who’ve served at least three years in the military.  President Bush and John McCain oppose the bill, ostensibly on the ground that it would motivate too many soldiers to seek college over re-enlistment.  But the Congressional Budget Office estimates that an augmented GI Bill would increase the number of new recruits by about the same amount that it would coax out of the armed forces.

So what’s really going on?  The GI Bill is not just a bill.  Through its values, its language, its history and impact, it embodies a profoundly progressive vision of opportunity, linked to a populist form of patriotism.  That combination is especially threatening to the conservative elite.

First, it’s a “bill of rights”–a phrase and idea that derive from our most cherished constitutional foundation.  The bill conveys not benefits or privileges, but rights that veterans hold by virtue of their service to our country.

(cont.)
Second, it’s an economic bill of rights, tied to Franklin Delano Roosevelt’s vision of a “Second Bill of Rights” for all Americans that included not only “the right to a good education,” but also “the right to a useful and remunerative job in the industries or shops or farms or mines of the nation; the right to earn enough to provide adequate food and clothing and recreation;…the right of every businessman, large and small, to trade in an atmosphere of freedom from unfair competition and domination by monopolies at home or abroad; the right of every family to a decent home;…the right to adequate medical care and the opportunity to achieve and enjoy good health; [and] the right to adequate protection from the economic fears of old age, sickness, accident, and unemployment….”

That vision connects us to internationally-recognized economic and social human rights, embodied in the Universal Declaration of Human Rights, that recognizes a similar range of economic and social rights, as well as civil and political rights like the right to freedom of speech and religion.  While the United States, led by Eleanor Roosevelt, helped to craft and elevate the Universal Declaration at the end of World War II, presidential administrations of both parties have largely opposed the notion of economic and social human rights since the start of the Cold War.  Polling by The Opportunity Agenda shows that large majorities of Americans, however, recognize and support the economic rights that the Roosevelts worked to advance.

Fourth, the history and impact of the original GI Bill of Rights demonstrate how expanding opportunity advances our national interests and the common good.  The GI Bill helped an entire generation of Americans–and America itself–to take a giant leap toward shared prosperity.  It instigated a wave of ingenuity, innovation, entrepreneurship, productivity, and mobility from which our country continues to benefit sixty years later.

Finally, expanding the Bill of Rights today will make plain the connection between those progressive ideals and the men and women now serving in our military–a connection that conservatives have successfully undermined (often with progressive assistance) since the days of the Vietnam War.

The original GI Bill of Rights was almost defeated by Southern conservative lawmakers, Democrats, who opposed higher education and economic mobility for returning African-American veterans.  Today, conservatives’ objections may be expressed differently, but they rest on similarly ideological grounds.  Today, as in 1944, the GI Bill is not just a bill.

Moving Forward from the Supreme Court’s School Cases

Much of the news reporting on the Supreme Court’s school integration cases has gotten it wrong, describing the outcome as a 5-to-4 opinion by Chief Justice John Roberts against voluntary school integration.  In fact, the outcome of these cases was a 4-to-1-to-4 decision in which Justice Anthony Kennedy (the “1”) controlled the outcome and wrote a mixed opinion with both positive and negative implications for the future of diversity and our Constitution.

Justice Kennedy voted with Roberts, Alito, Scalia, and Thomas to strike down the specific policies used by the Louisville and Seattle school districts, but also agreed with Justices Souter, Stevens, Ginsburg, and Breyer that educational diversity and combating segregation are compelling governmental interests that governments may pursue through careful efforts that consider race.
Justice Kennedy ruled, for example:

  •    “If school authorities are concerned that the student-body compositions of certain schools interfere with the objective of offering an equal educational opportunity to all of their students, they are free to devise race-conscious measures to address the problem in a general way and without treating each student in different fashion solely on the basis of a systematic, individual typing by race.” (p.8).
  •    “In the administration of public schools by the state and local authorities it is permissible to consider the racial makeup of schools and to adopt general policies to encourage a diverse student body, one aspect of which is its racial composition.” (p.8)

Justice Kennedy (and therefore a majority of the Court) firmly rejected Chief Justice Roberts’ position that considering race in a careful way to promote inclusion inflicts the same constitutional harm as the hateful segregation laws that Brown v. Board of Education began to overturn.  Kennedy’s opinion says, “[t]he enduring hope is that race should not matter; the reality is that it too often does,” and notes that “as an aspiration, Justice Harlan’s axiom [that our Constitution is “colorblind”] must command our assent.  In the real world, it is regrettable to say, it cannot be a universal constitutional principle.”

What Justice Kennedy (and, therefore, the Court) says is unconstitutional is considering the race of individual students in determining their school assignment.  That element, and the inexact details of the particular Seattle and Louisville plans, Kennedy said, made those programs insufficiently narrow in their tailoring to meet constitutional muster.

According to most educators and advocates concerned about promoting diversity and inclusion, Justice Kennedy “gets it”; he just doesn’t get how hard it is.  In other words, he understands and articulates well why integration is so important to equal educational opportunity, and to the future of our nation.  But he fails to see why achieving it sometimes requires attention to the details of student assignment.  Research and practical experience show that considering broad demographic trends in school attendance policy is necessary, but not always sufficient, to fostering diverse and inclusive schools.

So the Court’s ruling will no doubt make it harder to bring our kids together across lines of difference.  Yet it’s very important to acknowledge the remarkable victory for the principles of integration, inclusion and diversity, which a majority of the Court strongly embraced yesterday.

So now that consideration of individual student characteristics in school assignment is off the table in the K-12 voluntary integration context, what can schools, policymakers, parents and their children do to promote the vision of inclusion that a majority of the Court endorsed?

Justice Kennedy’s opinion makes clear that numerous options do remain, many of which include explicit consideration of race.  His opinion says: “School boards may pursue the goal of bringing together students of diverse backgrounds and races through other means, including strategic site selection of new schools; drawing attendance zones with general recognition of the demographics of neighborhoods; allocating resources for special programs; recruiting students and faculty in a targeted fashion; and tracking enrollments, performance, and other statistics by race.”

Educators and civil advocates are already hard at work to craft innovative approaches within the Court’s parameters that work on the ground.

In addition, a number of civil rights laws, including the Civil Rights Act of 1964, still require schools to avoid segregation or exclusion of students by race.   The Bush Administration has an atrocious record of enforcing those laws, and yesterday’s decision should be an impetus to push for change.   Certainly the next president should make it a priority.

Congress, too, has an important role to play in promoting inclusion and combating segregation in the wake of yesterday’s decision.  For example, Congress should allocate significant resources for communities that want to pursue diversity efforts in line with the Court’s ruling.  Federal support for school construction and expansion should depend, in part, on whether school locations and attendance zones will foster or stymie integration.

And, of course, the U.S. Senate must give far greater scrutiny of judicial nominees than it has done to date.  It’s deeply disturbing that four members of the Court–including the two newest members (Roberts and Alito) nominated by President Bush–would have outlawed almost all effective efforts to promote inclusion in our nation’s schools.  And their view that the modest voluntary integration efforts at issue in these cases are constitutionally tantamount to Jim Crow-era segregation is nothing short of outrageous.

While a majority of the Court correctly rejected that extreme position, the Chief Justice’s opinion–joined by Justices Alito, Scalia, and Thomas–fundamentally misunderstands the purpose of our Constitution and highlights the importance of exacting questioning of the President’s judicial nominations by the U.S. Senate.  Flawed as Justice Kennedy’s opinion is on this subject, it’s worth noting that, if not for the rigorous questioning and consideration of President Reagan’s Supreme Court nominee 20 years ago, Robert Bork would have been the fifth conservative vote in this and many other decisions, instead of Justice Kennedy.

Additional details regarding the decisions may be found at www.naacpldf.org and www.civilrights.org.

Resources for the Katrina Anniversary (and Katrina Open Thread)

Cross posted at Daily Kos.

The one-year anniversary of Katrina is less than a week away.  As politicians, the media, and the American public briefly refocus on the disaster, we are briefly presented with an opportunity to frame this issue in the public’s mind and push for real progress towards a more equitable and just Gulf Coast.

The battle over this media narrative – and the policy outcomes that will determine the Gulf Coast’s future – has already begin on both the left and the right.

To this end, we at The Opportunity Agenda have compiled a list of resources that people can use to fact-check the media and the administration, write informed blogs, write letters to editors and to Congress, and talk to their friends about the current state of the Gulf.  Below the jump, you will find potential message frames, research/fact sheets, letter writing tools, petitions, calendars, wikis and a number of other resources for taking action to help restore the Gulf.  

There’s a lot here, but there’s probably just as much – more – that we missed.  Please add more resources in the comments section, and if you have feedback on the materials presented here, or ideas on how they can more effectively be used, please share them with the community.  We hope you find these tools useful.

  1. Framing Katrina

    Based on public opinion research we conducted, We recommend that Katrina communications convey two core messages:

    • Hurricane Katrina and its aftermath show the need for a public effort to achieve our national promise of opportunity for all. Race, wealth, and other aspects of who we are still heavily influence Americans’ life chances in the Gulf Coast region and around the nation.
    • Building a safe and prosperous nation in which we all enjoy opportunity means investing in an effective role for government systems.

    Sample Messages:

    • Building a safe prosperous nation in which we all enjoy opportunity means investing in an effective role for government. The FEMA that responded to Hurricanes Katrina and Rita was weakened by systematic disinvestment over time, which diminished the agency’s ability to address national disasters. This is part of a broader pattern of disinvestment in our federal government’s ability to address national problems, which has left many of our institutions without adequate resources or authority to accomplish their goals.
    • Katrina’s biggest lesson is that it’s time to reinvest in government systems that ensure opportunity for everyone in our country.  We must revamp a broken health care system that exposes millions of Americans to the risk of poor health and financial ruin because they lack health insurance, and that too often treats patients unfairly on the basis of gender, race, and social class.

    You can read more messages, as well as some of the research from which they were drawn, here.

    Those interested in finding ways to talk about the positive role that government can, and does, play in our lives, should also read these publications:

  2. Fact Sheets

    Below you will find a number of fact sheets covering the most pressing issues now facing Katrina survivors.  Each fact sheet has easy to follow facts about the Gulf Coast, and draws parallels to national conditions as well as offering a list of potential policy solutions.

    • Working Conditions in the Gulf Coast Region

      –In the immediate aftermath of the hurricane, local companies and small businesses were passed over for lucrative contracts, and multimillion dollar opportunities were outsourced to large out-of-state companies.  For example, as of November 2005, only 5.4% of the $3.7 billion that the Federal Emergency Management Agency (FEMA) has spent on contracts related to hurricanes Katrina and Rita went to Louisiana companies.

      –An Economic Policy Institute analysis of Bureau of Labor Statistics data revealed that African American (41.5%) and Latino (42.1%) evacuees were more than twice as likely as white evacuees (17.5%) to be unemployed two months after the storm.

    • Health Security Among Katrina’s Victims

      –Currently, in Louisiana, the rate of uninsurance is between 35-50%.  The lack of health insurance among the population will make it even more difficult for providers and health centers to recoup costs and rebuild their practice. As of July 2006, only 55% of Orleans Parish’s hospitals have resumed operation.

    • Housing Conditions One Year Later

      –Prior to the storm, 67% of the New Orleans’ extremely low-income households dealt with housing costs that exceeded 30% of the household heads’ incomes in 2000.  56% of very-low-income households used more than half of their incomes to pay for housing.

    • Government Disinvestment in Social Infrastructure

      –According to the DHS’s inspector general, a shortage of qualified staff contributed to a lack of oversight and overwhelmed FEMA employees in the response to Hurricane Katrina. When Katrina hit, FEMA was understaffed by approximately 500 employees. As the 2005 hurricane season began, many of the people on staff were new and untrained.

    • Voice: Voting and Political Expression in the Gulf

      –In predominantly African American Orleans Parish, voters were incorrectly purged from the state’s registration rolls, and many voters faced unwarranted police presence at polling stations, poorly marked polling sites, and early closures of polling locations.

      –Although thousands of voters were residing outside Louisiana, satellite polling stations were confined to the state, a problem that disproportionately affected African American voters who were unable to return to their homes.

    For more fact sheets on conditions in the Gulf Coast, visit the Season of Prayer website.

  3. Advocacy Tools

    Write a Letter

    Write to Your Elected Officials on the following topics. Each link will provide you with a pre-written letter or provide you with talking points and research to write your own letter (generally a more effective strategy).

    Letter to the Editor Tool – Write to the national news outlets.

    Organize a Petition Drive

    The National Alliance to Restore Opportunity to the Gulf is organizing a petition drive in support of a fair and equitable reconstruction process in the Gulf Coast region.  The petition will be presented to Congress and the administration in September as part of the Opportunity Platform for Rebuilding the Gulf.

    Download the petition (PDF), and collect signatures from your congregation, union, neighborhood association, or any other civic or faith group to which you belong.

  4. Miscellaneous – Calendars, Wikis, Maps, and More

    • Clearing House on Katrina Advocacy Activities:(pdf) Hundreds of organizations are working to improve conditions for those living in the Gulf Coast.  This comprehensive list from the Center for Social Inclusion is an information resource of over 130 organizations conducting Katrina related advocacy.
    • FEMA Answers:  A one-stop-shop for all information related to the federal agency.  Forms, FAQs, Policy Updates and Advocacy Tools – you can find them all, and contribute your own material – at this comprehensive wiki.
    • Fema Photo Library:  FEMA offers a large collection of photographs depicting the disaster and the relief and rebuilding efforts.  These photos are all in the public domain.
    • Katrina Events Calendar: Our partners at the National Alliance to Restore Opportunity to the Gulf have compiled a comprehensive calendar of Katrina-related events leading up to, and beyond, the one-year anniversary. The calendar is an open resource for all Katrina advocates, and all organizations are encouraged to coordinate their activities by publicizing their events through this calendar.
    • Katrina Legislation Tracking: Stay informed about policy changes impacting the Gulf Coast region. The Katrina Legislation Tracking blog aggregates information about local, state, and federal legislation, which can keep you abreast of potential policy changes and help advocates coordinate their efforts.
    • Katrina Timeline: With the one-year anniversary of Katrina less than a month away, media outlets will soon begin pumping out a flood of “anniversary stories.”  Make sure they get their facts straight.   This detailed – and well-sourced – timeline from Think Progress catalogues the government response to the Hurricane from August 26th through September 3rd.
    • Opportunity Maps:Produced by the Kirwan Institute for the Study of Race and Ethnicity, these maps illustrate the barriers to opportunity for many poor residents and communities of color in New Orleans along the following indicators: economic health and mobility, education, environmental health, housing and neighborhoods, and public health.
    • And if you haven’t yet, go and listen to Sen. John Edwards speech on poverty at the National Press Club.  It’s amazing.
  5. Katrina Bloggers

    Here’s (I’m sure) a partial list of bloggers that have been focusing on the anniversary and the rebuilding process in teh Gulf:

    Facing South

    After the Levees

    Reconstruction Watch

    Covenant with Black America

    MoJo Blog

    The Third Battle of New Orleans

    There have also been some great diaries over on Daily Kos.  Here are just a few that deserve another look:

    Breaking Report: One Year After Katrina

    Spike Lee, Katrina, and Daily Kos . . .

    Coming Home: The Katrina Blog Project

    Little Progress in New Orleans One Year Later

    New Orleans, The Forgotten City

    Mississippi After Katrina

    The Mental Health Crisis in New Orleans

  6. Footage from the Field

    The Opportunity Agenda was fortunate enough to have a camera crew in New Orleans last July in preparation for a DVD project we are doing with Deep Dish TV and Pacifica Radio.  On our YouTube channel you can find some rough cuts of interviews we conducted with volunteers, activists, and citizens.  

    This is our first foray into video work.  If you have suggestions on how we can better use our video, or YouTube, please let us know in the comments.

Again, there’s a lot here, but this only scratches the surface.  Please add more resources in the comments section, and if you have feedback on the materials presented here, or ideas on how they can more effectively be used, please share them with the community.  We hope you find these tools useful.

A Framework for Progressive Values

For years now, progressives have lamented the apparent monopoly that the Right has on framing the public debate.  There have been a variety of attempts to remedy this situation, from books like George Lakoff’s Don’t Think of an Elephant, to blogs like Jeffrey Feldman’s Frame Shop.  This is an important discussion, and vital to the future success of progressive ideas.  At The Opportunity Agenda we’d like to offer our own contribution to this effort.

We have outlined a frame that we believe can promote progressive ideas and recapture our national values discussion from the Right.  We call it the Opportunity Frame.  In collaboration with The SPIN Project, we have produced a communications toolkit that outlines this frame and provides concrete tools and case studies to help implement it.  Click here to read American Opportunity: A Communications Toolkit, or continue reading about this frame and take our poll after the jump.
What is the Opportunity Frame?
The Opportunity Frame was developed through conversations with diverse leaders, extensive research on public opinion and media coverage, and discussions with Americans from all walks of life.  In all of our research, the most positive, hopeful, and empowering articulation of our shared goals as a nation, evoke the theme of opportunity. Opportunity is deeply embedded in our national consciousness, and, though we’ve never fully achieved it, it embodies our highest aspirations as a people

Opportunity is a “level one frame.”  It is a big idea–like freedom, justice, or responsibility.  Opportunity is the idea that everyone deserves a fair chance to achieve their full potential.  This idea can be broken down into 6 core values shared by the vast majority of Americans:

  • Mobility – Whatever our status at birth, we must all have the opportunity to advance and participate fully in the economic, political, and cultural life of the nation.
  • Equality – We all must have full access to the benefits, responsibilities, and burdens of our society regardless of race, gender, national origin, or socioeconomic status.
  • Voice – We embrace democracy as a system that depends on the ability of all of us to participate, debate, and have real ownership in the public dialogue.
  • Redemption– We are evolving beings who grow and change over time, and deserve a chance to start over after missteps or misfortune.
  • Community – We are responsible for each other, just as we are responsible for ourselves.  The strength of our people and our nation depends on the vibrancy and cohesiveness of our diverse communities.
  • Security – Beyond the limited vision of “national security” put forth by the Right, this value implies that we are all entitled to the level of education, economic well being, health care, and other protections necessary to human dignity, without which it is impossible to access society’s other rights and responsibilities.

Viewed through the lenses of these six core values, opportunity is a theme that can unite social justice messages and constituencies, and build bridges across a range of issues, including civil and human rights, health care, housing, education, employment, and criminal justice.

The State of Play
To be sure, progressives won’t win just by invoking the magic word “Opportunity.”  Opportunity can be a powerful frame, but it is also a contested frame in the public discourse that both the Left and the Right have tried to co-opt.  

A media scan conducted on behalf of The Opportunity Agenda found that during the period from late 2004 to early 2005 (the pre- and post-election period) both parties were actively working to gain ownership of the meaning of opportunity. During this time period, Republicans promoted the creation of “opportunity zones” in the gulf coast region and the creation of an “opportunity society.” Democrats made a point of including “Expanding Opportunity to All Americans” as a plank in the congressional agenda of the 109th Congress, and Candidate Kerry frequently promised to “widen the circle of opportunity for every American.”

Our study found that, in general, the media tended to reinforce the conservative frame with their stories – as much by omission as by commission, giving conservatives de facto control of the meaning of opportunity in the public discourse.  But it is possible for progressives to take back the meaning of opportunity, and use it to build a far broader constituency for a more just society.

The graph below tracks public opinion from 1965 to 2001 on the answer to a single question:

“In your opinion, which is generally more often to blame if a person is poor – lack of effort on their own part or circumstances beyond their control?”

This snapshot of public opinion offers us a glimpse as to how our nation’s understanding of opportunity has shifted over the years.

For most of the last 40 years, the two “Dueling Frames” ran neck and neck, but during the periods between 1988 and 1992, and again by 1995, huge changes occurred in public opinion.  These shifts coincided with two major events – the first Bush recession (and Clinton’s now famous slogan, “It’s the economy, stupid.”), and Newt Gingrich’s Contract with America.  

In the first instance, Clinton evoked a progressive vision of opportunity.  His slogan “It’s the economy, stupid” blamed the lack of opportunity on a systemic problem and implied a systemic solution.  By using this frame to shift public opinion, Clinton was able to convince the nation that “we are all in this together” and fixing the economy would “lift all boats” – key concepts that invoke our shared values of community, mobility, and economic security.

Gingrich, on the other hand, spoke of “welfare cheats” and “deadbeat dads.”  His Contract with America evoked a conservative view of opportunity that emphasized personal responsibility (and thus private solutions).  

As you can see, the use of different frameworks to guide perceptions as to  how opportunity is created and what opportunity means resulted in massive changes in public opinion on social and economic issues.  The ideal of Opportunity, and the national values that it represents, are clearly up for grabs.

Recapturing The Values Discussion
With all that has happened recently – Hurricane Katrina, immigration reform, and Supreme Court confirmation fights, for example – we have a chance to reclaim Opportunity from conservatives and promote core American values that underlie a progressive vision.

We’ve articulated the foundations of this frame, but there is still much work to be done.  We’re posting this here because members of the progressive blogosphere are a core part of the progressive movement.  You are the volunteers, the voters, the donors, and the social connectors that make so much of the progressive movement tick.  We want your feedback on our frame, and we want you to use our frame – in your jobs, in your daily conversations, when you volunteer for a campaign, and when you blog.  Help us identify its weaknesses and strengths. Tell us about potential case studies that we can use to convince progressive leaders of the power of this frame.

Members of our staff will be checking this post periodically for the next few days to answer questions and respond to feedback.  If you have a question or concern that doesn’t get addressed, use this feedback form and one of our staffers will respond to you directly.

We think we’ve created a powerful tool that can unite progressive messages across issues and constituencies, and influence public opinion.  Help us take it to the next level.

Expanding Opportunity? HSAs are Not The Way

Healthcare got little more than lip service (much like Katrina) in the SOTU last night, but there’s still some problems worth noting in what little Bush did say.

In the SOTU, Bush said that American has a responsibility to provide healthcare for the poor and elderly.  He also made frequent calls for America to become a nation “equal in hope and rich in opportunity.”  Unfortunately, his healthcare proposals will do neither for the record 48.5 million Americans who now lack insurance, particularly low-income Americans and those who already suffer from racial and ethnic disparities in access to healthcare.
 Analyses by Families USA (PDF) and other groups find that HSAs do little to help the uninsured gain affordable health insurance, and will not contain healthcare costs.  Moreover, they will exacerbate racial, ethnic, and socioeconomic disparities in access to and the quality of healthcare.  The reasons:

– HSA tax breaks disproportionately benefit wealthy Americans.  A significant proportion of uninsured Americans-disproportionately people of color, immigrants, and the working poor-don’t make enough money to pay taxes, so they would receive no benefit from the tax benefit of HSAs.

-Uninsured people typically aren’t able to save enough-after taking into account housing, transportation, food, and other costs-to cover deductible costs.

-High deductibles may prevent many people from getting care that they need if they cannot afford out-of-pocket costs, thereby increasing the risk that health problems that can be treated more cost-effectively at earlier stages will remain untreated until they are debilitating and costly.

The only thing that Bush will accomplish with his HSA program is to drive wealthy, healthy individuals out of traditional health plans with the lure of big tax breaks.  Once these individuals are drawn away from traditional health insurance plans — which are designed to broadly spread risk among a large population — traditional plans would then disproportionately serve lower-income, less healthy people.  This will in turn drive up premiums, limiting the ability of employers to offer healthcare to their workers, and make insurance even less affordable than it is now. (If you aren’t already, you should be following Ezra Klein’s writing on this topic, and Think Progress did an outstanding job last night of noting why HSAs are an economic loser for individuals, businesses, and the country.)

Bush also noted that HSA’s would be good for small businesses and give them the same advantages in negotiating prices as big business.

We will strengthen Health Savings Accounts – by making sure individuals and small business employees can buy insurance with the same advantages that people working for big businesses now get.

Most likely what he is referring to here are AHPs.

AHPs are touted as a way to expand health coverage while reducing costs.  AHPs encourage small businesses and self-employed people to come together to purchase plans, on the theory that by coming together, these groups can leverage  their size and resources to obtain better, less costlyhealth insurance products.  But there are several problems with AHPs that disproportionately hurt communities of color, immigrants, and the working poor:

AHPs are not subject to state consumer protection laws or rights to appeal claim denials.  These state laws protect against discrimination based on health status, require that core services must be covered, and protect against “redlining” of selected geographic areas-a practice that was not uncommon as a means of limiting minority participation in health plans.

AHPs offer less expensive coverage with fewer benefits, which, as is the case with HSAs, are more attractive to healthy and wealthy individuals,and are less likely to provide the kind of coverage that people with chronic health problems need.  Because communities of color are disproportionately affected by chronic health problems such as diabetes, cardiovascular disease, and other illnesses, AHPs are less likely to provide comprehensive services to address these problems.

Rather than move us toward a nation “equal in hope and rich in opportunity,” AHPs and HSAs move America away from the opportunity principles on which this country was built.  These include the belief that all Americans should enjoy a basic level of health security, and that we can best provide this security by taking care of our communities, as we take care of ourselves.  

Americans need a national health insurance program that covers everyone, sharing risk equitably to include those who are healthy and have few healthcare needs, as well as those who are less healthy and who need help.  Only by standing together-rather than further dividing our healthcare along racial, ethnic, and socioeconomic lines-will we ensure that all American have a fair chance to enjoy good health.