Transcript

Single Payer 101 Training

http://masscare.org

Universal Health Care for Massachusetts

What’s Wrong With Our Health Care System?

(the easy part)

U.S. Has Lowest Life Expectancy in the Industrialized World

OECD, 2011

U.S. Has Among HighestInfant Mortality Rates

Health, United States, 2007

U.S. Has Among HighestMaternal Mortality Rates

OECD, 2011

Rising Uninsured Population

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

Insurance Coverage Better in Massachusetts, but Unsustainable

Rapid Growth of “Underinsured” Households

Insurance Not Protection Against Health Care Costs (2010)

Most Medically Bankrupt Had Insurance at Onset of Illness

No Change in Mass. Medical Debt and Medical Bankruptcies

Rising Share of Mass. Residents with High Deductibles ($1,000+)

Large Inequities Remain in Mass. Insurance Coverage

Little Change in Mass. Inequities in Cost Barriers to Care

U.S. Spends Almost Double Next Highest Spending Country

U.S. Health Care System the Sixth Largest Economy in the World

Country 2010 GDPUnited States $14,447,100China $5,739,358Japan $5,458,873Germany $3,280,334France $2,559,850U.S. Health Care System $2,542,690United Kingdom $2,253,552

Health Care Spending Will Consume the Entire Economy by 2052

Health Care Costs Responsible for the Federal Deficit

State Health Spending is Edging Out All Other Public Programs

City of Boston Salaries Falling, Health Care & Pension Costs Rising

City of Boston Salaries Falling, Health Care & Pension Costs Rising

1,105 (6.5%) jobs cut from January 2009 to 2012

100% of Minimum Wage Salary to Pay for a Family Health Plan

Growing % of Mass. Families with Unaffordable Health Care Costs

Over Half of Home ForeclosuresDue to Medical Causes

Why Are U.S. Health Care Costs So High?

(the hard part)

Common Explanations forHigh Health Care Costs

Common Explanations forHigh Health Care Costs

Common Explanations forHigh Health Care Costs

Common Explanations forHigh Health Care Costs

Disease Prevalence:U.S. vs. Peer Countries

Disease Prevalence:U.S. vs. Peer Countries

Disease prevalence

=$57 to $70

billion savings

What’s Driving U.S. Prices?

(the easy partthat’s hard to win)

Nations With UniversalHealth Care Coverage

How Single Payer Health Care Is Paid For

You Government Fund

Health Care Providers

Fixed Payroll Tax Negotiated Budget

How U.S. Health CareIs Paid For

YouHealth Care Providers

Medicaid

Tufts Medical Insurance

Blue Cross

Medicare

Out-of-Pocket Costs

Premiums

TaxesSeparate contracts

OECD Data, 2010

Insurance Administration Costs

Hospital Administration Costs

OECD, 2010

Brox. et. al. Arch Internal Medicine, 2003

Aortic Aneurysm Repair Costs

U.S. Pays Higher Prices forthe Same Drugs

mt.gov.com, 2010


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