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This is a training to introduce audiences to the problems with the health care system in Massachusetts, and to describe how a single payer health care system controls costs and saves lives elsewhere in the world.
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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
