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What can Presbyterians Do?
The challenge to Presbyterians from the 214th General Assembly

 
             
 
The church must provide not merely a moral whisper of conscience, but a chorus of voices raised in a call for immediate action.
  Adequate Health Care for Everyone
As Presbyterians, we are called to promote justice and equity, to engage in healing and to treat one another with compassion. Historic inadequacies in our health care system and the distribution of services through that system leave millions without the means to obtain even the most basic health care for themselves and their families. While continuing escalation of health care costs affects all of us, the affect on the most vulnerable is devastating. Individuals on fixed incomes become at greater risk. People (and their families) who have lost jobs and benefits due to the economic downturn are at risk. Individuals without private coverage or who do not qualify for government subsidized insurance are at greater risk than before because the numbers of health care providers willing to give treatment to medically indigent people are decreasing at an alarming rate. Rising co-payments and deductibles combined with stricter pre-authorizations and reimbursement caps are affecting health care access for middle-income persons.
 
             
 

Presbyterians and other people of faith cannot achieve health care justice without legislative action. The church must provide not merely a moral whisper of conscience, but a chorus of voices raised in a call for immediate action. These voices must overcome the special interest groups' rationale. These voices must speak for those who feel they will not be heard. These voices must emanate from every church and each community.

Congregations and individuals can become the catalysts for change—once they are aware of the increasing climate of crisis in our health care system, and, once they have become aware of effective legislative solutions. They will need to bring together concerned people to create networks of health care advocates who will share information, lobby their elected officials, and add their voices to the public policy debate already begun.

 
             
  Where does one begin? The process is very straightforward.  
             
 
  1. Interact with your local congregation by raising the general awareness to the crisis in health care. Be certain to point out that health care access not only affects the uninsured, but those insured people who are continuing to pay more for health care through rising co-pays and deductibles, stricter pre-authorizations and reimbursement caps. If you have health care providers in your congregation they might be willing to share some of their own frustrations with the health care system. Look for opportunities to inform the members of your congregation of the crisis in health care. You might:
    • Write an article for your congregation's newsletter or bulletin
    • Sponsor a study of scriptures which call the community of faith to concerns of healing and justice.
    • Request that health care issues be the topic of sermon(s).
    • Use Moments for Mission in worship.
    • Make a presentation to the session.
    • Make a presentation to the health/mission/outreach/social concerns committee.
    • Make presentations to existing identity groups in the congregation.
  2. Reach beyond your local congregation. After gathering a few members of your congregation who are interested in health care reform, extend your coalition to other Presbyterian congregations by requesting time at presbytery or synod gatherings and leadership events to both raise awareness and engage others in the coalition you are building.
  3. Look for allies among other people of faith. Social justice issues resonate among reformed tradition faith groups. Invite their participation. Urge them to educate and enlist others. Make use of your natural contacts. Find out if an ecumenical or interfaith organization in your state is already involved in universal health care advocacy. Establish contact with the social action and advocacy or health ministries staff who serve in coordinating structures in your state and national offices. For each person you add to your coalition, systematically identify the components of his or her "sphere of influence."
  4. Identify and collaborate with existing organizations working for health care access. In many states, groups are now working to pull people together for health advocacy. Contact them and find out whether you can work with them. They may be able to provide you with materials and information updates for your group. Find out, also, whether there are local contacts or organizations working in your local community for universal health care. If not, form a coalition.
  5. Remember the concept of "enlightened self interest." Health care costs affect everyone, so rule out no one as you build your coalition. Brainstorm lists of local organizations that have any reason to be concerned. Many members of your congregation also belong to other organizations, unions, neighborhood groups, etc. Today, employers and health care providers are beginning to call for reform. Again, make use of contacts you already have to build your coalition of concerned advocates.
  6. Inform and alert your community. Look for opportunities to raise the awareness of your entire community. Use data from and illustrations of the crisis in health care provided here and from the resources listed at the end of this section to plan awareness programs. Form a speaker's bureau from your coalition and contact civic and business organizations (this is a great time to utilize "sphere of influence" information from your coalition members.)
  7. Communicate your expectations to your elected officials AND hold them accountable. For universal health care access to be adequately and comprehensively addressed, legislative action is necessary. Know the names of your elected officials and take every opportunity to meet and speak with them. While many elected officials take seriously the will of their constituents, they do not actively solicit the opinions of those who have elected them. Be certain the legislators who represent you are aware that you expect them to work for health care access and that you (and your group) will track their voting on legislation pertaining to this issue.
 
             
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