Single Payer 101 Training http://masscare.org Universal Health Care for Massachusetts.

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<ul><li>Slide 1</li></ul> <p>Single Payer 101 Training http://masscare.org Universal Health Care for Massachusetts Slide 2 Whats Wrong With Our Health Care System? (the easy part) Slide 3 U.S. Has Lowest Life Expectancy in the Industrialized World OECD, 2011 Slide 4 U.S. Has Among Highest Infant Mortality Rates Health, United States, 2007 Slide 5 U.S. Has Among Highest Maternal Mortality Rates OECD, 2011 Slide 6 Rising Uninsured Population Slide 7 Human Toll of Uninsurance 1987 = Uninsured 25% more likely to die than the insured 2005 = Uninsured 40% more likely to die than the insured United States = 45,000 deaths due to lack of insurance in 2005 Slide 8 Insurance Coverage Better in Massachusetts, but Unsustainable Slide 9 Rapid Growth of Underinsured Households Slide 10 Insurance Not Protection Against Health Care Costs (2010) Slide 11 Most Medically Bankrupt Had Insurance at Onset of Illness Slide 12 No Change in Mass. Medical Debt and Medical Bankruptcies Slide 13 Rising Share of Mass. Residents with High Deductibles ($1,000+) Slide 14 Large Inequities Remain in Mass. Insurance Coverage Slide 15 Little Change in Mass. Inequities in Cost Barriers to Care Slide 16 U.S. Spends Almost Double Next Highest Spending Country Slide 17 U.S. Health Care System the Sixth Largest Economy in the World Country2010 GDP United States$14,447,100 China$5,739,358 Japan$5,458,873 Germany$3,280,334 France$2,559,850 U.S. Health Care System$2,542,690 United Kingdom$2,253,552 Slide 18 Health Care Spending Will Consume the Entire Economy by 2052 Slide 19 Health Care Costs Responsible for the Federal Deficit Slide 20 State Health Spending is Edging Out All Other Public Programs Slide 21 City of Boston Salaries Falling, Health Care &amp; Pension Costs Rising Slide 22 1,105 (6.5%) jobs cut from January 2009 to 2012 Slide 23 Slide 24 100% of Minimum Wage Salary to Pay for a Family Health Plan Slide 25 Growing % of Mass. Families with Unaffordable Health Care Costs Slide 26 Over Half of Home Foreclosures Due to Medical Causes Slide 27 Why Are U.S. Health Care Costs So High? (the hard part) Slide 28 Common Explanations for High Health Care Costs Inadequate Prevention Behavioral factors High obesity rate High smoking rate High levels of drinking Racial and Ethnic Makeup of the U.S. Aging population End of life care Chronic Illnesses High cancer rates High diabetes rates High heart disease rates Overuse of technology (e.g. MRIs, CT scans, etc) Use more prescription drugs Fee-for-service: overuse of tests and procedures Lower cost transparency More third party insurance payers More physician visits More ER and hospitals visits More Medical Malpractice lawsuits Worse electronic health records Higher Cost of drugs Higher cost of medical devices Too much hospital bargaining power More profits More administration/paperwork Higher physician/nurse pay Slide 29 Common Explanations for High Health Care Costs Inadequate Prevention Behavioral factors High obesity rate High smoking rate High levels of drinking Racial and Ethnic Makeup of the U.S. Aging population End of life care Chronic Illnesses High cancer rates High diabetes rates High heart disease rates Overuse of technology (e.g. MRIs, CT scans, etc) Use more prescription drugs Fee-for-service: overuse of tests and procedures Lower cost transparency More third party insurance payers More physician visits More ER and hospitals visits More Medical Malpractice lawsuits Worse electronic health records Higher Cost of drugs Higher cost of medical devices Too much hospital bargaining power More profits More administration/paperwork Higher physician/nurse pay Slide 30 Common Explanations for High Health Care Costs Inadequate Prevention Behavioral factors High obesity rate High smoking rate High levels of drinking Racial and Ethnic Makeup of the U.S. Aging population End of life care Chronic Illnesses High cancer rates High diabetes rates High heart disease rates Overuse of technology (e.g. MRIs, CT scans, etc) Use more prescription drugs Fee-for-service: overuse of tests and procedures Lower cost transparency More third party insurance payers More physician visits More ER and hospitals visits More Medical Malpractice lawsuits Worse electronic health records Higher Cost of drugs Higher cost of medical devices Too much hospital bargaining power More profits More administration/paperwork Higher physician/nurse pay Slide 31 Common Explanations for High Health Care Costs Inadequate Prevention Behavioral factors High obesity rate High smoking rate High levels of drinking Racial and Ethnic Makeup of the U.S. Aging population End of life care Chronic Illnesses High cancer rates High diabetes rates High heart disease rates Overuse of technology (e.g. MRIs, CT scans, etc) Use more prescription drugs Fee-for-service: overuse of tests and procedures Lower cost transparency More third party insurance payers More physician visits More ER and hospitals visits More Medical Malpractice lawsuits Worse electronic health records Higher cost of drugs Higher cost of medical devices Too much hospital bargaining power More profits More administration/paperwork Higher physician/nurse pay Slide 32 Disease Prevalence: U.S. vs. Peer Countries Slide 33 Disease prevalence = $57 to $70 billion savings Slide 34 Slide 35 Slide 36 Slide 37 Slide 38 Whats Driving U.S. Prices? (the easy part thats hard to win) Slide 39 Nations With Universal Health Care Coverage Slide 40 How Single Payer Health Care Is Paid For You Government Fund Health Care Providers Fixed Payroll TaxNegotiated Budget Slide 41 How U.S. Health Care Is Paid For You Health Care Providers Medicaid Tufts Medical Insurance Blue Cross Medicare Out-of-Pocket Costs Premiums Taxes Separate contracts Slide 42 OECD Data, 2010 Insurance Administration Costs Slide 43 Hospital Administration Costs OECD, 2010 Slide 44 Brox. et. al. Arch Internal Medicine, 2003 Aortic Aneurysm Repair Costs Slide 45 U.S. Pays Higher Prices for the Same Drugs mt.gov.com, 2010 </p>

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