Showing posts with label MORE. Show all posts
Showing posts with label MORE. Show all posts

Sunday, September 28, 2025

UFT Healthcare Vote at the DA: Lots of Reasons to Vote NO or Table Till We Get Further Info - Role of United Health's 32% Denial Rate

BREAKING - ADAMS HAS DROPPED OUT AS I HAVE PREDICTED - HE WAS JUST WAITING FOR THE OFFERS FROM BILLIONAIRES TO KEEP GOING UP! ADAMS VOTERS - SWITCH YOUR VOTES TO CURTIS - I'D LOVE TO SEE HIM FINISH AHEAD OF CUOMO!  

  • According to the lead consultant pushing this plan, even inside the Downstate 13, the standards remain UHC’s standards. Emblem may process the paperwork, but the rules—the criteria, or standards, that decide whether your care is approved or denied—are UHC’s. This means the entire system, for every member, retiree, and family, is governed by UHC’s standards. That’s the Trojan horse in this plan.

YES VOTERS ON UFT HEALTHCARE  TOWING THE LINES

 

The 9 a.m. Shady Deal, Explained by Leah Lin: What every UFT member needs to know before the Delegate Assembly vote. --- The 4 Myths of Michael Mulgrew - and still counting


Sunday, Sept. 28, 2025

I notice that a batch of retiree delegates who are under 65 will be voting Yes because they think they will be protected if they move away from the metro area. Did they buy a broken used car from Mulgrew? And then there is the issue of AI determining denials. 

It is bullshit fear mongering from the leadership to claim turning this down will put an end to negotiations. Remember The Maine  - I mean the two rounds of Mulgrew's perfect and then more perfect Medicare Advantage - until they faded to awful.

Marianne on Friday night: https://www.youtube.com/live/ChY8_05d_80?si=MAH2fM2AQ9_J5LjT

My last piece had some info:

EONYC has done more research. 

Why UFT Delegates Must Vote 'No' on the NYCEPPO Plan if UnitedHealthcare Standards Are Applied To All

Trust in this plan continues to be frayed as union leadership refuses to share the unredacted contract and related documents. Now, the leading consultant pushing the plan shares a shocking revelation

Sep 28, 2025
 

A Trojan Horse in Our Healthcare?

The newly proposed NYCEPPO healthcare plan is being sold to active UFT members and pre-Medicare retirees as a way to improve benefits and save money at the same time. Union leadership and the city’s negotiating committee are distributing FAQs to calm legitimate concerns about the role UnitedHealthcare (UHC) will have in this plan given its well-documented record of claim denials.

The UFT’s FAQ in particular craftily tells members not to worry:

  • “EmblemHealth will do all prior authorizations in the Downstate 13 counties in New York State, which represents 90% of claims.”

  • “UnitedHealthcare, which will process the remaining 10% of claims, will follow the exact same standards that EmblemHealth adheres to, ensuring that prior authorizations are handled uniformly nationwide.”

This framing makes it sound like most members are protected from UHC—and only a small fraction of claims (10%) will ever touch them.

But this is deeply misleading.

  • Thousands of retirees and their families live outside the Downstate 13. For them, UnitedHealthcare will be their direct administrator and gatekeeper—not Emblem.

This is strange, even morbid, “double speak” because another selling point from the UFT leadership’s paid operatives is that retirees living out of state will have more options for doctors and providers. Yet, they seem to think UHC’s 32% denial rate is somehow not going to be a big deal for most of us since it’s only going to be experienced by the 10%, mostly retirees, who don’t live locally.

  • Some active members and other city workers also live and work outside these counties—they too will fall under UHC administration.

  • According to the lead consultant pushing this plan, even inside the Downstate 13, the standards remain UHC’s standards. Emblem may process the paperwork, but the rules—the criteria, or standards, that decide whether your care is approved or denied—are UHC’s.

This means the entire system, for every member, retiree, and family, is governed by UHC’s standards.

That’s the Trojan horse in this plan.


The Shocking Revelation

Buried within this proposal is a devastating emerging reality: if UnitedHealthcare (UHC) standards for care, prior authorizations, and denials are applied across the board, every member—active or retired, teacher or paraprofessional, therapist or counselor—will be subject to one of the most notorious denial machines in the insurance industry.

Is this speculation? No!

It’s written plainly in the leaked transcript from September 10th MLC healthcare presentation meeting. There we read and hear testimony and a Q&A between MLC leaders, the paid “independent” lead healthcare consultant from Segal, Chris Calvert, and other union leaders.

In this meeting, the lead consultant informs those gathered that even in regions where EmblemHealth is technically the administrator, the standards being enforced will be UHC’s standards.

In other words: every city worker and retiree will live under UnitedHealthcare’s rules, no matter where they live.

Here is one of the exchanges where Calvert admits to the UHC standard being applied to all:

Here’s what’s being said:

  • Alan Klinger, the MLC and UFT lawyer, who also is the MLC’s appointee to the joint tripartite committee with the City, interrupts Calvert seeking to clarify that in the downstate 13 region, prior authorizations (the approvals you need before certain care or procedures are covered) will go through Emblem. He goes on to say, that if a union local’s administrators have concerns, they go through Emblem, which manages this process locally.

  • Chris Calvert responds by emphasizing that the standards being applied will be UnitedHealthcare’s standards—so no matter where a member lives, the rules are the same. But for downstate 13 specifically, the actual reviews and management of those prior authorizations will be carried out by Emblem, not directly by UnitedHealthcare.

In short:

  • Standards = UnitedHealthcare rules (applied to everyone).

  • Administration in downstate 13 = handled by Emblem (the local entity).


UnitedHealthcare’s Track Record: Profits Over Patients

UnitedHealthcare is not a neutral player or some benevolent caretaker. It is the largest corporate health insurer in the United States and has a documented, checkered history of putting profits above people. It leads private insurers with a 32% denial rate. According to an American Medical Association survey, doctors have ranked UHC as the insurer with the most prior authorization hassles, with 72% of physicians giving UHC a “high” or “extremely high” burden rating.

  • AI-Driven Denials: Investigations and lawsuits show UHC uses algorithms to prematurely cut off rehab, skilled nursing, and home care—even when doctors say patients need more time.

The same MLC meeting revealed that AI is very much part of this new agreement.

  • Ongoing Litigation: Class actions accuse UHC of violating federal law by systemically denying medically necessary care. Testimony from insiders revealed denial quotas built into policy. It also is under multiple investigations for fraud and overbilling.

  • A Pattern of Abuse: Reports nationwide show seniors denied cancer drugs, patients forced out of hospitals too soon, and families buried in appeals.

  • Multiple Federal Investigations: UnitedHealth Group is currently facing both civil and criminal investigations by the U.S. Department of Justice (DOJ) for fraud and overbilling.

UnitedHealthCare is not who we want controlling our care, nor setting the criteria.


What This Means for Members and Retirees

If delegates approve this plan:

  1. Doctors and patients lose authority. UHC’s criteria, not medical judgment, will determine treatment.

  2. Retirees are exposed. Thousands living outside Downstate 13 will deal directly with UHC—and face its merciless denial machine without a buffer.

  3. Everyone potentially faces the same denials. Inside Downstate 13, Emblem is only administering UHC’s rules. Members will still suffer the same rejections and delays.

  4. Vulnerable populations are targeted. Retirees, post-surgical patients, lowest paid city workers and children with special needs will be most harmed by premature cut-offs and denials.

  5. Members drown in bureaucracy and red tape. Appeals, phone calls, and paperwork, stress will replace care. Those without stamina or know-how will simply go without.


Real Lives, Real Consequences

This isn’t abstract. Imagine:

  • A retired teacher recovering from hip replacement is cut off from rehab after just a week, even though her doctor prescribes three. She either pays thousands out of pocket or risks lifelong mobility issues.

  • A child of a UFT paraprofessional loses access to speech therapy because UHC’s standard says “progress plateaued.”

  • A city worker battling cancer is forced to switch procedures mid-treatment because UHC refuses to cover the one that her doctor believes will work for her.

These are not “hypotheticals.” They are documented cases from UHC’s history. And they could be our reality if this plan is approved.


The Bigger Issue: Trust and Transparency

Equally troubling is how this plan is being sold.

  • Leadership knows UHC’s record.

  • They know thousands of retirees live outside Downstate 13.

  • They know even within Downstate 13, UHC’s standards will rule.

And yet, instead of being upfront, they’ve chosen to spin, minimize, and mislead. That erodes trust. And it betrays the union’s responsibility to protect its members’ and their families’ health.


UFT Delegates’ Responsibility

Delegates are not voting on a simple healthcare plan change. They are voting on whether to hand the criteria of members’ care to UnitedHealthcare.

It’s one of the most consequential votes they will cast.

They are voting on whether retirees and families must fight an insurance giant for every day of rehab, every specialist visit, every procedure, every medication.

They are voting on whether to let leadership’s spin override the lived reality of denials, lawsuits, and suffering.

This is not about numbers on a spreadsheet or “cost savings”. It is about people’s lives.

It cannot be overstated: being under UHC’s standards is, indeed, A MAJOR CHANGE.

We did not have their standards dictating our city premium-free plan for the last several decades. This is not keeping things virtually “unchanged” while making improvements and saving money as the paid operatives for Michael Mulgrew’s Unity leadership caucus tell us.


A Better Path Forward

Rejecting this plan does not mean rejecting cost savings or efficiency. It means demanding a plan that:

  • Keeps doctors and patients—not insurers or city bureaucrats —at the center of decision-making.

  • Provides transparency and honest communication with members.

  • Protects retirees, especially those outside Downstate 13.

  • Respects the union’s duty to safeguard both wages and health benefits.


Bottom Line: Vote NO

The NYCEPPO plan is being presented as a step forward. But it is, in fact, a step backward—a Trojan horse that hands our care to UnitedHealthcare.

  • UnitedHealthcare sets the standards for everyone.

  • Retirees and active members outside Downstate 13 are fully exposed.

  • Inside Downstate 13, Emblem, the local regional administrator, simply enforces UHC’s rules for care.

  • The FAQ spin is a distraction, not a protection.

Delegates must see through the misleading promises and protect the membership.

For the teachers recovering from surgery. For the retirees fighting cancer. For the families raising children with special needs. For every member who depends on the union to safeguard their health.

  • Vote NO on the NYCEPPO plan if UHC’s standards apply. Because our health is not negotiable.


  •  

    And so has Wanda Williams 

 

A risky City Hall health care change



By WANDA WILLIAMS

PUBLISHED: September 24, 2025 at 5:00 AM EDT


I’ve spent decades fighting for New York City’s municipal workers, and let me tell you something every New Yorker should know: the city can’t function without us.

Municipal workers are the cops, firefighters, and EMTs who respond in an emergency. They are the teachers who educate your kids and the social workers and health professionals who connect people to care. They’re the sanitation workers who keep streets clean, the crews who maintain our parks, and the staff who operate our public libraries.

They are New York’s most vital organ. And right now, City Hall is trying to gut our health care.

For decades, nearly 750,000 city employees, retirees, and their families have depended on the comprehensive health care plan New York City provides.

But the city wants to dramatically change the health care coverage we rely on and push everyone into a new “self-insured” plan with zero input from the people who will live with the consequences of these changes.

Officials claim this change will save $1 billion a year. But here’s the truth: you can’t cut that much money without cutting care. The math doesn’t add up.

City leaders promise workers won’t lose anything. They even claim there will be a broader network of providers, less out of pocket costs and improved benefits. Too good to be true? It is. Every retiree who lived through the recent fight over Medicare Advantage knows better. When the city tried to force retirees onto private plans, we saw the potential consequences: smaller doctor networks, higher copays, more prior authorization hurdles, and fewer hospitals willing to take the plan.

That’s not savings, that’s just cost shifting. And it means municipal workers and their families will pay more for less. They claim that the $1 billion in savings will come from cutting payment to hospitals. Many NYC hospitals can’t afford reduced reimbursement and those that can are dealing with dramatic cuts in federal funding. What happens when the hospitals don’t agree? Do they go out of network? Does the city increase out of pocket costs?

Even worse, by “self funding” the coverage the new plan strips away the protections of New York State law, which guarantee coverage standards, state oversight and enhanced consumer rights. Under the new plan, if something goes wrong, workers and retirees won’t have the same appeal rights or oversight that they have today.

To make matters worse, they have picked UnitedHealthcare, the poster child for excessive claim denials, delays in payments, and smaller networks, to take over. Among other atrocities, UnitedHealthcare is under criminal investigation by the federal government for Medicare fraud and overbilling. While it is being portrayed as an Emblem-United partnership, make no mistake, this is a United contract and their goal will be maximizing their profits.

This new plan will be bad for municipal workers, and the way the city is handling the transition has been even worse.

There was transparency about how the decision was made and no clear explanation of how the city expects to save a billion dollars without gutting benefits. Just a backroom deal and a press release.

This isn’t the first time City Hall has tried to balance its budget on the backs of workers. And it’s not the first time New Yorkers have said “no.”

In the 1970s, workers fought against dangerous hospital conditions. Recently, retirees successfully pushed back against the forced switch to Medicare Advantage. Time and time again, when the city has tried to chip away at health care, New Yorkers have stood up and stopped it.

Why? Because we know what’s at stake. Health care isn’t just a line in a budget. It’s life and death.

If the city wants to talk about health care savings, it needs to do so in the open and with public input. It needs comptroller oversight, input from the people whose lives will be affected, and above all else, it needs to stop pretending that slashing $1 billion won’t result in less access to health care.

Changing the health care plan for 750,000 people is no small undertaking. The city plans to implement this change in the next 4 months, a dangerously tight timeline.

The city may see numbers on a balance sheet. But I see people: the sanitation worker clearing snow at 3 a.m., the teacher staying late to help a student, the EMT racing to save a life. They have earned comprehensive health care.

The city needs to honor their commitment and maintain the plan that municipal employees rely on.

Williams is a former union leader and a board member of HandsOffNYCare.

 

 

Friday, September 26, 2025

A Better Contract on the Proposed UFT Healthcare Deal - UFT Members Need Transparency On Healthcare

We demand the full contract language, every single detail, and a chance to hear directly from the negotiators who cut this healthcare deal in our name. This is our healthcare, our families, and our shared future. We cannot allow Unity to gamble with our lives in backroom deals ... Be informed, be independent of what Michael Mulgrew and Unity Caucus tell you to think and do, and make the choice that protects you and the UFT members you serve..... ABC

Healthcare is not an abstract policy issue or some political football. It is not a bargaining chip. It is not a spreadsheet of “savings.”It is life and death for us, for our families, for our dependents.... Educators of NYC

  • A Pig in a Poke: What's in the new health plan?- Arthur Goldstein - Unity, who’s lied to us before, is asking us to trust them.

     Is anyone insisting that those who can’t attend the meeting be allowed to view on zoom especially since they say the meeting is at capacity? Maybe we should have this meeting at a larger venue so everyone who wants can come. Why don’t the use the rooms upstairs like they used to for DA overspill and observers? The Union leadership wants to discourage this vote... a retiree 

    From a retiree: I just listened to a Marianne update. She said Mulgrew is going to an MLC meeting at 9 to vote on the healthcare contract. But the DA is not until the afternoon.  What's up with that? See Marianne video on Monday MLC Steering Meeting   
Friday, Sept. 26, 2025

Yeah, what's up with that? Will Mulgrew cast a UFT vote BEFORE the DA at the MLC? 
 
And I'm hearing from retired delegates who tried to register immediately and were told it was full. I did get in in person and will do a head count of all the staffers who got in, including some so-called high school exec bd members who won election with 35% of the vote, the lowest "winning" total in UFT history.
 
It's the proud fear mongerer here, preparing for Monday's Delegate Assembly vote on the new healthcare issue. 
 
After almost a month of internal debate, ABC has come up with a statement that reflects the variety of opinions on the healthcare issue within the broad group, while any individual - like me - is free to disagree - and I say vote NO. 
 
As does Daniel Alicea from Educators of NYC: 

The 3 big reasons to vote NO!!! 

Why UFT Chapter Leaders and Delegates Must Vote “NO” on the NYC Employees PPO Plan

Taken together, these three reasons — the missing contracts, the reckless self-funded gamble, and Mulgrew’s record of betrayal — all point to one unavoidable conclusion: this plan cannot be trusted.

https://thewire.educators.nyc/p/why-uft-chapter-leaders-and-delegates

There's lots of fodder in the ABC statement to justify a NO vote and MORE has also taken a NO vote position for its chapter leaders. MORE (Why are UFT Chapter Leaders and Delegates in the Delegate Assembly Voting No on the Proposed Changes to Our Healthcare?
 
Now here is where member-driven ABC differs from a proclamation like MORE made, as evidenced below: LET YOUR CHAPTER DISCUSS AND VOTE. Yet how do they do that without at least having access to the entire document which has redacted parts from what I hear (what are they hiding.)
 
But retiree delegates are in a different situation and Retiree Advocate's 300 delegates have been chiming in, with the ABC crew leaning a strong NO while the other caucuses represented - have been more ambivalent, as I wrote about this the other day: 
A number of the 300 retiree delegates are not associated with a caucus or organized group - in the case of ABC, semi-organized - and there is a large group of delegates who have been associated with NYC Retirees and Marianne Pizzitola and they seem a definite NO. Some others in the leadership of RTC want to be seen as the "responsible" opposition who do not automatically question a UFT leadership presentation like so many of us do. 
 
The PSC summary:  
Here is the entire ABC statement - click on the title to take you to the site if you want to leave a comment. 

UFT Members Need Transparency On Healthcare- A Statement from A Better Contract on the Proposed UFT Healthcare Deal

Sep 25, 2025

The proud educators and UFT members, both in-service and retirees, who ran with A Better Contract (ABC) are not so careless or reckless as to tell UFT Chapter Leaders and Delegates how to vote on this proposed healthcare deal. That is not our job — and it certainly should not be the job of Unity Caucus leadership, the political machine that has controlled our UFT for over 60 years and now serves only the whims of Michael Mulgrew.

Our job is to stand up for rank-and-file educators and demand real transparency, something Mulgrew and Unity have avoided for years. Every UFT member deserves all the facts before any vote — not just Unity’s scripted talking points and social media propaganda.

UFT members must be told:

  • Why did the Delegate Assembly of PSC-CUNY — the union representing professors and staff at the City University of New York — commit to vote NO on this deal? Why did PSC-CUNY not have access to “the financial elements of the plan, the exact cost-reduction targets, and whether the City will seek to make changes after 2026.”?
    PSC-CUNY: Union-Wide Forum on Proposed Health Plan

  • The serious concerns raised by Marianne Pizzitola, president of the NYC Organization of Public Service Retirees, who has been fighting tirelessly to stop City Hall and Unity from forcing retirees into private Medicare Advantage plans. Marianne has raised the issue of a tiered network of hospitals within this proposed healthcare plan.
    NYC Organization of Public Service Retirees: Proposed Health Plan for NYC Active Workers & NON MEDICARE Retirees

  • Why should we trust Unity Caucus to negotiate a fair deal after years of failed leadership and backroom deals? It is Unity Caucus that stood by and allowed Tier 6, continues to allow paraprofessionals to be underpaid (where is the promised $10,000?), and even attempted to cut retiree healthcare without a membership vote.
    The Chief Leader: The City’s Medicare Advantage Ruse

  • How can we trust the Municipal Labor Committee (MLC), of which Michael Mulgrew is Executive Vice Chair, to effectively run this new self-funded healthcare plan in partnership with the City? The MLC and the City recently bankrupted the Healthcare Stabilization Fund (HSF), which existed for decades to protect our healthcare costs. This has impacted all City employees, and has even left 9/11 widows and orphans without critical medical payments. If the City and MLC cannot even protect 9/11 families, why should we believe they will effectively protect us?
    NY Daily News: NYC Stiffing 9/11 Widows and Orphans of Critical Medical Payments

Instead of providing real answers to these questions and concerns, Mulgrew sends his district reps and “special assistants to the president” — Unity loyalists whose main skills are propagandizing in our union hall and on social media — to pressure UFT members into a yes vote.

Let us be clear: these Unity loyalists are political operatives, not healthcare experts. They have no business telling anyone how to vote on something this important.

We demand the full contract language, every single detail, and a chance to hear directly from the negotiators who cut this healthcare deal in our name. This is our healthcare, our families, and our shared future. We cannot allow Unity to gamble with our lives in backroom deals.

UFT members, form your own judgement. Talk with your chapter, your colleagues, and your family. Ask hard questions and demand straight answers. Tell your Chapter Leader and Delegate(s) how to best represent you at the UFT Delegate Assembly on September 29. This is where the vote will be taken to approve or deny the proposed healthcare plan.

If you are a UFT Chapter Leader or Delegate, engage with the UFT members of your chapter. Hold a chapter meeting to provide information and answer questions and concerns of the membership. Follow the will of your chapter members. When the time comes to vote on September 29 at the UFT Delegate Assembly, vote with full knowledge and in the best interest of the UFT members you represent — not with fear, spin, or pressure from Unity Caucus insiders.

Be informed, be independent of what Michael Mulgrew and Unity Caucus tell you to think and do, and make the choice that protects you and the UFT members you serve.

Wednesday, September 24, 2025

UFT New Healthcare Pushback - Members comment and the overall sense is VOTE NO, While Lack of UFT/Unity Support for Bill 1096 Causes Suspicion

As a chapter, we support 1096,” retiree chapter President Bennett Fischer, elected in June 2024 on the Retiree Advocate slate, tells Work-Bites. The chapter passed a resolution backing the bill, but the UFT legal department, he explains, told him he could not use any union platform, such as the chapter’s UFT.org email address, to support a position that’s not the union’s official stance, such as providing information about how to lobby Councilmembers for 1096.“Everything I write on official union email is vetted,” Fischer says, including review by Mulgrew’s office. ...Under My Thumb: UFT Head Keeps a Lid on Retirees’ Push for Intro. 1096

Wednesday, Sept. 24 - Happy Rosh Hashanah 

On the surface, the city council 1096 bill and the new UFT healthcare plan have no formal relationship but under the surface they are linked. Retirees think that if the UFT opposes a bill to protect us, why trust them on the new healthcare plan?

I've been trying to follow the back and forth over the new healthcare system. I've been too busy to dig into the details, so I count on trusted people to fill in. Among the oppo groups there is also come confusion. But I am voting NO at the Sept. 29 DA and don't need no stick'n details about the plan. I have no confidence the leadership is dealing in good faith.

MORE took a VOTE NO position: MORE (Why are UFT Chapter Leaders and Delegates in the Delegate Assembly Voting No on the Proposed Changes to Our Healthcare?

New Action didn't endorse the new healthcare but took a wait and see attitude of further study: (Some Initial Thoughts and Questions About the New Healthcare Proposal)  

While the dozen member Retiree Advocate caucus, which dominates the 25-member Retiree UFT Chapter Executive Board, didn't take a formal position, 4 members who attended the August 28 healthcare committee meeting which voted unanimously to accept the plan, have caused some consternation within the retiree community where mistrust of Mulgrew and the Unity leadership has been intense for the past 4 years. At the Sept. 16 RTC 25 member Exec Bd meeting, there was some push back but two key members of RA and NAC made an impassioned defense of their YES Vote, claiming they were defending the younger than 65 retirees who would be covered under the plan and would now get national coverage if they lived out of state. Chapter Leader Bennett Fischer was more neutral in his position, trying to point to the good, the bad and the ugly. No one expressed much confidence in the UFT leaders.

What about ABC? While there has been intense internal debate on the chats since the August 28 sketchy release of the plan, and though the overwhelming majority of people commenting are for a NO vote, there has been no formal position taken. That is more due to the fundamental lack of structure withing the ABC community at this point where lots of people get to chime in but we have not yet decided on formalities or norms. I'm still the only Norm. 

As I write, some ABCers are working on producing some leaflets with a variety of points of view -- a key point being made is that a lack of full info from the UFT should lead to a No vote, a version of SHOW US THE MONEY. 

I have gathered some of these comments and links to article to offer a flavor of some of the thinking and will follow up with a deeper dive on all the group dynamics.

Please share this valuable stream that Marianne just conducted. She discusses the history and role of the MLC, how it's been diminishing all our municipal benefits, and why the recent active & pre-Medicare healthcare full contract must be scrutinized.

And If you fast-forward to ~33:05, Marianne reports how it was just revealed through DC37 minutes that the MLC intends to re-bid GHI Senior Care after the active & pre-Medicare gets settled 
From Marianne:
Join me speaking with Council Member Chris Marte about his run for Council Speaker and his platform. You can find it on his website as well:https://www.marte4speaker.com/ We need #democracy and #transparency in government! The B Block of our show has Guest Joe Maniscalco, an independent journalist from Work-Bites https://www.work-bites.com/support speaking about the latest articles he produced on Labor in NY and nationwide
-----

Workbites https://www.work-bites.com/view-all/mulgrew1096lid?ss_source=sscampaigns&ss_campaign_id=68d173396139817a383b5247&ss_email_id=68d1756cb6bc5272583667d7&ss_campaign_name=Under+My+Thumb%3A+UFT+Head+Keeps+a+Lid+on+Retirees%E2%80%99+&ss_campaign_sent_date=2025-09-22T16%3A12%3A37Z

Despite Mayor Adams abandoning the Medicare Advantage push—at least for now—DC37 Executive Director Henry Garrido and UFT President Michael Mulgrew continue to oppose the bill protecting the Medicare benefits retirees earned on the job. New York City municipal retirees are seen here rallying outside the offices of District Council 37 this past December in support of Intro. 1096—legislation sponsored by Council Member Chris Marte. 

By Steve Wishnia

More than a year after United Federation of Teachers members angry about being switched into profit-driven Medicare Advantage plan unseated the union’s dominant Unity caucus from leading its retirees chapter—the chapter’s ability to advocate for preserving their traditional Medicare has been tightly-restricted.

President Michael Mulgrew and the UFT leadership have backed away from wanting for-profit Medicare Advantage plans to be the only premium-free health-care option for retirees—but the union continues to oppose Intro 1096, a bill in the City Council that would require the city to keep offering retired city workers a premium-free combination of Medicare and supplemental insurance to cover the 20% of bills Medicare doesn’t pay.

“As a chapter, we support 1096,” retiree chapter President Bennett Fischer, elected in June 2024 on the Retiree Advocate slate, tells Work-Bites. The chapter passed a resolution backing the bill, but the UFT legal department, he explains, told him he could not use any union platform, such as the chapter’s UFT.org email address, to support a position that’s not the union’s official stance, such as providing information about how to lobby Councilmembers for 1096.

“Everything I write on official union email is vetted,” Fischer says, including review by Mulgrew’s office.

The UFT opposes the bill, a spokesperson said in a statement, “because it is illegal. It would violate the state Taylor Law and potentially interfere with labor contract negotiations. It has the potential to cause great harm to city employees rather than help them.” They did not go into details on other issues.

Mulgrew called ‘dictatorial’

Many retirees and active union members criticize Mulgrew’s leadership style as “dictatorial.” Since he won re-election as union president in May with 54% of the vote, he’s fired at least 10 union staffers, including Amy Arundell, who’d come in second with 32% of the vote, running on the ABC (A Better Contract) slate. Another dissident slate, ARISE, got 14%.

“It was a purge,” Arundell says. “They don’t want freethinkers in the UFT.” Two of the staffers fired, she says, were her close colleagues, but had not been involved in the election.

Another was Migda Rodriguez, vice chair of the union’s paraprofessionals chapter, who’d also run on the ABC slate.

Arundell was Queens borough representative until October 2023, when she was ousted after a dispute over the wording of the union’s resolution on the Oct. 7 Hamas massacre, which she felt was too one-sided in favor of Israel. She was moved to what she calls a “fake job” as assistant to the president for member organizing.

She says she’s long been a target of Mulgrew’s “wrath,” going back to 2020 when she questioned his decision to have the UFT’s advice hotline outsourced to a Salesforce call center, which she says made it “very difficult to talk to knowledgeable people.” Teachers with specific school-based questions had to talk to foreign operators working from a script.

The union’s decision to switch retirees to Medicare Advantage was unilateral, Arundell adds. “He didn’t discuss this with anyone on staff,” she says. “We all found out about it through the [article in the] Chief.”

After the retirees chapter “overwhelmingly” passed the resolution endorsing Intro 1096, the normal procedure would have been to bring it to the full union’s Delegate Assembly, says Gail Lindenberg, one of the 300 retiree delegates. But Mulgrew “has arranged that it never gets heard,” she continues: He runs the meetings, and “he never calls on certain people.”

Dissidents also say that in August, when the UFT’s health committee approved the city’s recent health-care proposal for active members and retirees not yet old enough for Medicare, its members got only minimal information about what was actually in the plan.

Dissident criticisms

Opposition to Unity, however, is divided among several groups, including Retiree Advocate, ABC, New Action, the more leftist MORE, and ARISE, some of which have aligned with Unity in the past.

Several people involved in organizing against Medicare Advantage feel that Retiree Advocate leadership has not been aggressive enough. Marianne Pizzitola, whose New York City Organization of Public Service Retirees spearheaded the litigation to preserve traditional Medicare, calls it “very disappointing.”

“We were elected to preserve the rights of retirees. That’s got to be paramount,” says Arthur Goldstein, a retired high-school teacher aligned with the ABC caucus. The retiree chapter, he argues, could have filed an amicus brief in the Bentkowski case—in which the state Court of Appeals in June reversed a lower-court ruling that the city had made a “clear and unambiguous promise” to its employees that it would cover their Medicare supplemental insurance for life. (The decision sent the case back to the lower courts to determine whether any of the plaintiffs’ other claims are valid.)

Goldstein has dismissed the UFT leadership’s claims that a city law preserving retirees’ Medicare would violate the state Taylor Law and interfere with collective bargaining as “absurd.” Retirees, he wrote on Substack in June, obviously can’t violate the Taylor Law’s ban on public employees striking, and they also “have neither voice nor vote in collective bargaining.”

The new retiree leadership “struggled with the union not cooperating,” says Arundell. “They’re conflict-averse and didn’t know how to handle the UFT’s hostility to them, so they took a more conciliatory approach.”

“I’m concentrating on doing the best job I can for our chapter,” Fischer responds. That means “opposing Unity when we have to, but also working with them when we find areas of agreement.”

Fischer says that the chapter got the UFT leadership to reverse its stance on Medicare Advantage, although he feels it’s trying to neutralize opposition. They also have an open mic for questions at meetings. “We don’t control it the way Unity does,” he says.

He also contends that their winning control of the retirees chapter in last year’s election made it untenable for mayoral candidates to support Medicare Advantage. On the other hand, Pizzitola, Goldstein, and Lindenberg all criticize Democratic candidate Zohran Mamdani for not endorsing Intro 1096, and not meeting with retiree groups opposed to it.

The Trump regime, Fischer notes, has just introduced a pilot program to have Medicare require prior authorization— “the worst part of Medicare Advantage”—for certain procedures in six states. Two of those six, New Jersey and Arizona, have significant numbers of UFT retirees.

Pizzitola says Intro 1096 is still crucial because it “would truly protect us” — unlike Mayor Eric Adams’s statement that he won’t implement Medicare Advantage “at this time.”

“We can’t wait forever. We’re sick,” says Lindenberg.

 

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King Mike's Used Cars

They're better than new!

Sep 24, 2025

It’s election time, folks, and I am dealing. I have to unload these babies, and I’ll do whatever it takes . You came at the right time. I am moving tin like never before! Now sure, a lot of you are saying oh, that I bankrupted the health stabilization fund, and that I tried to sell the retirees a real lemon. Sure they kind of rose up against me, but those times are over with.

I have a real doozy of an auto to sell rank and file, along with retirees under the age of 65. I’ll get to that, but let me just help these folks here. Every minute at King Mike’s Used Cars is another surprise.

You look like paraprofessionals, and here’s a real beauty, folks. This one is called the Respect Car. It contains ten thousand dollars in cash. All you have to do is vote for Unity and it’s yours. And hey, summer’s coming. You could take a fabulous vacation for ten thousand bucks. No, it doesn’t come with a pension.

We did have a model that came with a pension, and you’d have it now. Only we decided to share that model with everyone. So everyone got three thousand bucks. But because you make so little money, it would seem like more to you. Do you see how that works? You see? Less is more. To you, anyway. And after taxes, three thousand bucks is two thousand bucks. But maybe, because you make so little money, you pay less taxes. So you get more! You see? It’s a WIN-WIN?

Yes, I passed on that model with the pension, but this is a much better deal. Do you think I’d lie to you just to keep my job? What possible motivation would I have to do that?

Now you look like a retiree. Now another car salesman might hate you sons of bitches for voting against me last year. Another salesman might call you a conspiracy theorist, or an enemy of the union, or say you’re spouting fairy tales. But once I lost the election, I saw the light. Hallelujah. That’s why I stopped calling this baby here Medicare Advantage. Instead, I’m calling it a bill of goods, and I’m ready to deal. I’ve got some extras I will throw in just for you.

Hey, I know you don’t like those co-pays I sold you last time. I feel really bad about it. I know, I said they were temporary, and I lied. But I don’t lie all the time. So hey, live a little. Take a chance! And if you buy today, I’ve got a very special deal for you. I’ll give you refunds on seven, seven of them. That’s more than five! It’s more than six! It’s more than 6.5! And that 105 bucks in your pocket!

Now sure, there’s a mountain of paperwork involved. Because this is such a special deal, you can’t simply send the bill and a receipt. We’re gonna need an itemized list of exactly what was treated. Screw HIPPA regs. We’re gonna need to know every embarrassing personal detail. And trust us, we won’t giggle about it in the office, as far as you know. Also, it won’t show up in a Unity Substack, probably.

Oh, and online receipts are not acceptable, so we’ll need to see your credit card bill. Don’t worry, we won’t do anything with it. After all, we’re a business. If you’re too nervous to share that with strangers, tough noogies. Just because we don’t trust you is no reason for you to assume that you can’t trust us.

I’ve got a very special deal for you today, folks. This is the one I call the new health care plan. What’s great about this deal is we’ve already made it for you. No, you can’t test-drive it. No, you can’t see inside of it. No, you can’t have an independent mechanic check it out. No, you don’t get to decide anything whatsoever about it. That’s the beauty of it. It’s all been decided for you.

Here at Mike’s Used Cars, we make deals no one else would. Instead of having you look at the car, we have a committee that looks at it for you. You’ll be pleased to know that my Unity employees hand-picked the committee, and approved of absolutely every member. That’s how we made sure this was a quality committee.

Everyone on the committee decided that this car was excellent, the best car ever. Why, we even let them look at parts of the car. Now sure, they won’t get to see the whole care until they own it, but hey, parts of cars are private, and no one should get to see them until they frigging own them. Here at King Mike’s Used Cars, we have Very Smart People, and they all agree no one should see the whole car until it’s sold.

And hey, this car has an excellent warranty, good for one full year. If the car manages to save the city a billion dollars the first year, then it stays as is. If it does not, we’ll have to take some parts away. However, you’ve never seen the whole car anyway, so you surely will not notice.

Now depending on which neighborhoods you drive the car in, we may have to charge extra. Some neighborhoods are more expensive than others. But if you only drive in neighborhoods we recommend, you’ll do just fine.

And hey, this car is self-funded, which means we aren’t bound by state or national safety requirements. However, we plan to observe all of them. Unless, of course, the city doesn’t save that billion by year’s end, in which case, all bets are off.

And hey, don’t fret over that, because our hand-picked committee voted 100% to sell you this car. This should give you a lot of confidence. We only had Very Smart People on this committee, and if they decide to sell you this car, then this is the car you will be driving.

And we have to warn you—if you don’t take this car, we can’t guarantee that hunk of junk you’ve been driving. You’ll probably be stuck with huge repair bills you never had before. But with this car, we promise you one full year of carefree driving, paying only the expenses you’ve been paying already.

Now who’s gonna make a better deal than that? If you want to check our credentials, come to our website. We wrote the credentials ourselves, and they look excellent. The only place you should be buying used cars is King Mike’s.

And anyway, I personally fired everyone who tried to buy a car anywhere else. So basically your choice is take it or leave it. Also, if you choose to leave it, too bad for you. Only King Mike’s Used Car Delegate Assembly gets to vote on it, and I’ll fire anyone who votes no. You don’t get a vote, so stop demanding one.

Here at King Mike’s, we know what’s best for you. And if you get any of our employees to ask real questions about this car, the one we aren’t allowing you to see, we’ll fire their asses too.

Remember, we value your business. That’s why, when you call us, we direct your call to some frigging corporation and make you wait forever. Thank you for choosing Mike’s, whether you like it or not.

And remember, if you don’t buy our frigging car, we can always dump you old folks, the ones we openly ridicule, into Medicare Advantage again! Sure, we say we’re against it, but we’ve battled tooth and nail to make sure you couldn’t pass 1096, so we at King Mike’s retain that option. All we have to do is get our rubber stamp DA to vote for it.

We’ve got you coming and going. And remember, here at King Mike’s, we may be cheap, but we are most certainly for sale!.

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The PSC on the proposed health care plan: 


Bottom line from the PSC Summary: Current plan participants are likely to see little change in their coverage if the new plan is approved at least for 2026, the first year of the five-year contract. In most instances, participants will be able to access the same providers they currently see and will not experience a significant increase in costs, if any. However, without being able to review the financial elements of the plan, including the City's exact cost-reduction targets, we cannot know whether the City will seek to change the plan design after 2026. For that reason, the PSC Delegate Assembly voted that the union refrain from supporting the proposed plan at the September 30 MLC vote. What we will support, however, is ongoing member education so that current participants can make an informed decision during the Open Enrollment period. 

See the whole PSC meeting with members here: 


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What’s Happening to Our Healthcare?


New York City and Municipal Labor Committee (MLC) negotiators have proposed a replacement for the Emblem (GHI) - Anthem (Blue Cross) health benefits plan that currently covers medical and hospital services for about 70% of CUNY active employees (full-time and insured adjuncts and part-timers) and pre-65 retirees and their dependents. The MLC is the coalition of public-sector unions that negotiates healthcare with the City. Called the New York City Employees PPO, the new plan would be administered by Emblem and United Healthcare. It is slated to begin January 1, 2026, if it is approved by the MLC. 


If the proposed plan is implemented, employees enrolled in other health insurance plans offered by the City (e.g. HIP HMO plan) and retirees 65 and older on Medicare will not be affected. Prescription drug coverage, dental, glasses and hearing aids, and other supplementary health benefits provided by the PSC-CUNY Welfare Fund will not change. Like the current Emblem (GHI) plan, the NYCEPPO will be premium-free. Additional information about networks and copays, maximum in-network out-of-pocket costs, and more, are posted here on the PSC website, along with a new PSC summary, a chart from the MLC comparing the proposed plan and the current plan, and a form where PSC members can submit questions. We don’t have all the details yet. As we get answers to broadly applicable questions, we will post them on the website in an FAQs section.  An Open Enrollment period from November 1-30 will allow PSC members to change insurance plans as needed.


Bottom line from the PSC Summary: Current plan participants are likely to see little change in their coverage if the new plan is approved at least for 2026, the first year of the five-year contract. In most instances, participants will be able to access the same providers they currently see and will not experience a significant increase in costs, if any. However, without being able to review the financial elements of the plan, including the City's exact cost-reduction targets, we cannot know whether the City will seek to change the plan design after 2026. For that reason, the PSC Delegate Assembly voted that the union refrain from supporting the proposed plan at the September 30 MLC vote. What we will support, however, is ongoing member education so that current participants can make an informed decision during the Open Enrollment period. 

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Dear Friends

City Council Speaker Adrienne Adams, who has blocked many vital hearings, bills, and retaliated against City Councilmembers who disagree with her, is in a rush to change City Council rules before her term is up this January. 

As many of us have been learning, a City Council Speaker gets elected by City Councilmembers usually through a hushed process - which has kept most of us citizens in the dark until their replacements are announced.  And it seems this election will take place sooner than expected

It's thrilling that District 1 City Councilmember Christopher Marte has publicly thrown his hat into the race for Speaker.  He's running on a powerful platform to ensure transparency and empowering our lawmakers to advocate for issues that matter to their citizens instead of being at the mercy of a Speaker.

ICYMI, I've attached a NY Daily News opinion piece published today that reveals how Speaker Adrienne Adams is working fast to change City Council rules before a new Speaker takes office.  FYI: Her rules intend to diminish the autonomy of lawmakers, our voices, and make the passage of important bills like intro 1096 harder to achieve.  

Kindly share CM Chris Marte's phenomenal Speaker platform: https://www.marte4speaker.com/26for26

Listen in:  CM Marte will be live on Marianne Pizzitola's WBAI radio show "Labor and Healthcare Confidential" this evening at 5p:https://wbai.org/listen-live/  or you can listen to it at your convenience on their archives

ICYMI -- NY Daily News 9/22/25 Opinion piece 
  https://www.nydailynews.com/2025/09/22/speaker-adams-11th-hour-rules/?fbclid=IwY2xjawM-VGRleHRuA2FlbQIxMABicmlkETFCMVVteGVaT2Uybzc0NWZPAR5Q8ApJlv13oQCkRYsRqGKXFE6IqukiWwaUBL5bH-VbTv6OEjEJ29Igemvtdw_aem_hIGzbYAGimSzBaPHdXsaBw

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Speaker Adams’ 11th hour rules: City Council rules should not be changed in waning days

PUBLISHED: September 22, 2025 at 4:00 AM EDT

The City Council Rules Committee is set to have a hearing this morning on what they are calling “the most comprehensive revision of the Rules of the Council since 2014.” With only 100 days remaining for Speaker Adrienne Adams and Rules Committee Chair Keith Powers and other term-limited members, the matter should be tabled until the new Council, new speaker and new Rules chair take office in the new year.

The last big change in the Council’s rules was in May 2014, which occurred only after months of public debate. The impetus was the 2013 elections and a new speaker, Melissa Mark-Viverito, and Councilman Brad Lander as the new chair of the Rules Committee. During the five months following Mark-Viverito’s January installation, there was a great deal of back and forth and discussion led by Lander, as there should have been for such an important measure, regarding how the local legislature operates.

Adams wasn’t around for that, having first been elected in 2017 and taking office as a freshman in 2018, but if she was she would have seen the correct way to proceed.

Instead, the proposed rules were published just four days ago and go before the committee today. And the 44-page resolution and accompanying 141-page report have been placed by Adams on the Council’s agenda for this coming Thursday to finalize the changes. Such a rushed, slapdash procedure is no good.

Adams has been speaker for three years and nearly nine months, so why with just 100 days remaining in her tenure, is this happening now? Far better to leave it for the next Council and the next speaker.

If the staff of the Council is the answer to why now, sorry folks, the unelected staff is exactly that: unelected.

Adams and the Council staff, such as the top lawyer, Jason Otaño, already tried this month to get the Board of Elections to remove three questions meant to spur housing construction from the general election ballot and it was only the intervention of the governor that stopped them.

The speaker should not sully further the past four years by jamming through some changes to hand over to the new speaker.

What this Council and this speaker can, and should, do is pass a worthy transparency improvement to how the city handles Freedom of Information Law (FOIL) requests for public records.

Under the bill, which has more than two dozen cosponsors, the city Department of Records and Information Services would create a centralized FOIL request website to receive, track, update, and post responses to agency FOIL requests. Then the taxpaying public could easily see how agencies from Sanitation to the FDNY to the NYPD to every branch of city government are processing FOIL requests and how quickly (or slowly) they take to respond.

That is a far better way for Adams to wrap up her time as speaker, making government more open and accessible to the people it is supposed to be serving.

As for the Council rules changes, file them away and let the next speaker and the next Council, who take office on Jan. 1, debate and decide what should be the best way for them to operate instead of it being imposed on them. Four years ago, incoming Speaker Adams wasn’t given a new set of rules by her predecessor when she started, so why should her successor be so weighed down?

I am leaning more and more to the opinion that the proposed self funded  health plan cannot live up to the sales pitch that  1) the city will save $, 2) the health insurance companies will continue to profit, and 3) the premium free plan will be protected if not enhanced.  The claim is not a credible one but will likely be adopted by the UFT DA and the MLC who have presented this to the working  membership as a way to save premium free health insurance with the added bonus of an expanded network of doctors for out of state members under 65. If it sounds too good to be true, it likely is.  The alternative is outlined in the Chief article below although it still leaves out of state members under 65 without coverage.  
Sincerely,
Sean Ahern

Workers can strike back with the New York Health Act

Members of 1199SEIU United Healthcare Workers East, holding signs in support of Zohran Mamdani’s mayoral candidacy, marched up Fifth Avenue during the Labor Day Parade on Fifth Avenue Sept. 6.
Members of 1199SEIU United Healthcare Workers East, holding signs in support of Zohran Mamdani’s mayoral candidacy, marched up Fifth Avenue during the Labor Day Parade on Fifth Avenue Sept. 6.
Olga Fedorova/AP Photo
Posted Tuesday, September 16, 2025 1:32 pm
BY DAMIEN ARCHBOLD

Dr. Damien Archbold is an anesthesiologist at Elmhurst Hospital and a Doctors Council SEIU delegate. 

Carter Myers-Brown aptly describes how industry-sponsored authoritarians have pushed workers into a corner and intend to land the final blow on public health (“The final blow to American healthcare,” The Chief, Commentary, Aug. 29).

Have hope: New Yorkers aren’t defenseless. We have a muscular piece of legislation — the New York Health Act (NYHA) — that gets workers out of the corner and unleashes our power to fight back.

The NYHA would establish a single-payer health system in New York. Every resident would be covered, regardless of job status. It would end the stranglehold of employer-sponsored insurance, giving workers leverage that’s been stripped away for decades. No more fear of striking and losing coverage. No more job lock. No more bosses dangling health benefits to keep us quiet.

United Healthcare and Emblem, Eric Adams and the MLC have brokered a new health plan for 750,000 municipal workers and their families. United Healthcare is notorious for enriching CEOs and shareholders by denying and delaying care. The public response to a United Healthcare CEO being shot in broad daylight in Manhattan unbottled widespread disgust at health industry practices.

Now is the moment: municipal workers must demand that their union officials stop cutting backroom deals and instead force Albany to pass the NYHA.

The numbers are clear. A 2018 RAND study projected the NYHA would save New Yorkers an average of $2,800 a year while creating 180,000 jobs. It would replace premiums and out-of-pocket costs with a progressive tax, relieve employers of managing benefits and let health workers focus on patients instead of billing codes. Even Warren Buffett called healthcare costs the “tapeworm” of the American economy. The NYHA is the treatment.

As a doctor at a Queens public hospital since 2019, I see how chronic understaffing and defunding affects patients every day. One ER physician covering 50 patients. Surgeries delayed because of lack of capacity. Stretchers stacked in hallways. Moral injury and constant staff turnover. During the COVID19 surge, public hospitals - already weakened by decades of closures and privatization - were pushed past the brink. Patients who relied on NYC Health + Hospitals suffered and died disproportionately.

Now, the Adams administration, District Council 37 Executive Director Henry Garrido, and the United Federation of Teachers President Michael Mulgrew want to lock municipal workers into a new 5-year United Healthcare/Emblem plan claiming that it would save the city $1 billion a year in municipal healthcare costs. They’ve promised “premium-free” coverage, but we all know how this works: the MLC works with the city to suppress wages to maintain the illusion of free benefits, then degrades those very benefits. Workers pay twice — once in stagnant wages, again in worse care.

This is the quiet bargain our union officials have struck: lower wages in exchange for healthcare that is increasingly segregated, separate and unequal, but keeps them in charge. 750,000 municipal workers and their families crowded into a fragmented and declining public system, while the 1 percent retreat to concierge doctors and tax-exempt “non-profit” health systems, who lobby Albany to keep the status quo. Unless we change how healthcare is funded, conditions for both workers and patients will only spiral downward.

That’s why we need the NYHA now.

Politicians tell us they won’t back the bill because the city’s largest unions don’t support it. Mulgrew’s and Garrido’s refusals give Albany cover to stall. Meanwhile, municipal workers endure stagnant wages, eroded benefits and health schemes engineered by for-profit insurers and city hall to keep workers under their thumb.

But rank-and-file workers aren’t powerless. We’ve already seen cracks in the old order. DC37 members pushed the union to endorse Zohran Mamdani ahead of the Democratic primary — proof that grassroots organizing can push ossified unions. Mamdani ran on affordability; municipal workers can’t afford rent and groceries because raises are traded off for healthcare.

Passing the NYHA would take healthcare off the bargaining table entirely. That would empower us to fight for what truly matters: raises that beat inflation, safe staffing, real workplace democracy, and a resilient public health system that serves every New Yorker as a provider and employer of choice — not of last resort.

The choice is clear. Accept industry-backed deals that sell out our families’ health, or demand a system designed for workers, patients and the public. If municipal workers reject the MLC’s plan and organize for the NYHA, we can strike a decisive blow against the tyrants and billionaires who use employer-sponsored health benefits to weaken and divide us.

It’s time for city workers to get off the ropes and strike back with the New York Health Act.