Health care in the u s and the world
Download
1 / 74

Health Care US and Worldwide - PowerPoint PPT Presentation


  • 303 Views
  • Updated On :

Health Care in the U.S. and the World Martin Donohoe Determinants of Health Era Socioeconomic status Sex Race Location Environment Genetics Health Habits Access to Care Health Care Prevention Diagnosis Treatment The State of U.S. Health Care 45 million uninsured

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Health Care US and Worldwide' - Gabriel


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

Determinants of health l.jpg
Determinants of Health

  • Era

  • Socioeconomic status

  • Sex

  • Race

  • Location

  • Environment

  • Genetics

  • Health Habits

  • Access to Care


Health care l.jpg
Health Care

  • Prevention

  • Diagnosis

  • Treatment


The state of u s health care l.jpg
The State of U.S. Health Care

  • 45 million uninsured

    • 45,000 deaths/year due

  • Millions more underinsured

    • Remain in dead-end jobs

    • Go without needed care and/or prescriptions

    • Marry


The state of u s health care8 l.jpg
The State of U.S. Health Care

  • US ranks near the bottom among westernized nations in overall population health (#24), life expectancy (#42), infant and maternal mortality, etc.

  • 20-25% of US children live in poverty


Health care expenditures per capita l.jpg
Health Care Expenditures per Capita

  • U.S. = $8,160

  • Canada, Australia, Japan, Europe: $3,000 to $6,000

  • Typical poor African/Asian country = $5-$50


Who pays for health care l.jpg
Who Pays for Health Care?

  • Government (federal, state, and local)

    • Medicare, Medicaid, VA, IHS, jails and prisons

  • Private insurance

    • Primarily employer-based

  • Out-of-pocket


Health insurance industry l.jpg
Health Insurance Industry

  • Delisting

  • Cherry picking

  • Pre-existing conditions

  • High administrative costs

    • 15-30% (vs. 2-3% for Medicare and Medicaid)

  • Large profit margins

  • Loyalty: shareholders (not patients)

  • Corruption



Some reasons for rising health care costs l.jpg
Some Reasons for Rising Health Care Costs

  • Aging population

    • Chronic diseases

  • Technological advances

  • Exploding drug costs

  • Procedural variability

  • Administrative costs


Slide26 l.jpg

Drug Companies’ Profits

(“Drug companies prices barely cover R &D costs and risks.”)

3rd rank

Fortune Magazine



Innovation published research leading to drugs l.jpg
Innovation:Published Research Leading to Drugs


Lobbying l.jpg
Lobbying

  • 15,000 full-time lobbyists

  • Health insurance, pharmaceutical, and organized medicine spend huge sums of money to influence legislation and policy


The global economy l.jpg
The “Global Economy”

  • 53 of the world’s 100 largest economies are private corporations; 47 are countries

    • Wal-Mart is larger than Israel and Greece

    • AT&T is larger than Malaysia and Ireland


Major contributors to illness and death l.jpg
Major Contributors to Illness and Death

  • 40% of US mortality due to tobacco, poor diet, physical inactivity, and misuse of alcohol

  • Every $1 invested in programs covering above items saves $5.60 in health care costs


Poverty and hunger l.jpg
Poverty and Hunger

  • US: 13% of residents and 18% of children live in poverty

  • Rates of poverty in Blacks and Hispanics = 2X Whites

  • Poverty associated with worse physical and mental health


Economic disparities l.jpg
Economic Disparities

  • Women 60ȼ/$1 Men

  • Median income of black U.S. families as a percent of white U.S. families approximately 60% (no change since late 1960s)


Racial disparities in health care african americans l.jpg
Racial Disparities in Health Care:African-Americans

  • Higher maternal and infant mortality

  • Higher death rates for most diseases

  • Shorter life expectancies

  • Less health insurance

  • Undergo fewer diagnostic tests / therapeutic procedures


Racial disparities in health care african americans35 l.jpg
Racial Disparities in Health Care:African-Americans

  • Equalizing the mortality rates of whites and African-Americans would have averted 686,202 deaths between 1991 and 2000

    • Medical advances averted 176,633 deaths


Outside the us l.jpg
Outside the US

  • One billion people lack clean drinking water and 3 billion lack sanitation

    • 13,000-15,000 deaths per day worldwide from water-related diseases

  • Hunger kills as many individuals in two days as died during the atomic bombing of Hiroshima


Water l.jpg
Water

  • Amount of money needed each year (in addition to current expenditures) to provide water and sanitation for all people in developing nations = $9 billion

  • Amount of money spent annually on cosmetics in the U.S. = $8 billion






Overpopulation l.jpg
Overpopulation day

  • World population - exponential growth

  • 1 billion in 1800

  • 2.5 billion in 1950

  • 6 billion in 2000

  • 6.8 billion in 2009

  • est. 8-10 billion by 2050


Status of women l.jpg
Status of Women day

  • Women do 67% of the world’s work

  • Receive 10% of global income

  • Own 1% of all property


Worldwide every minute l.jpg
Worldwide, every minute day

  • 380 women become pregnant (190 unplanned or unwanted)

  • 110 women experience pregnancy-related complications

  • 40 women have unsafe abortions

  • 1 woman dies from childbirth or unsafe abortion

  • Reason: Lack of access to reproductive health services


Deaths in war l.jpg
Deaths in War day

  • 18th Century = 19/million population

  • 19th Century = 11/million population

  • 20th Century = 183/million population

  • Civilian Casualties:

    • 10% late 19th Century

    • 85-90% in 20th Century


Contemporary wars l.jpg
Contemporary Wars day

  • 250 wars in the 20th Century

  • Most conflicts within poor states

    • Many over oil



Inverse care law l.jpg
Inverse Care Law day

Those countries that need the most health care resources are getting the least


The medical brain drain l.jpg
The Medical Brain Drain day

Five times as many migrating doctors flow from developing to developed nations than in the opposite direction


Tobacco l.jpg
Tobacco day

  • Cigarettes most heavily marketed products in the world

    • $2 billion/year in the U.S.

    • U.S. leading exporter of cigarettes


Consequences of environmental destruction l.jpg
Consequences of Environmental Destruction day

  • Global warming: 160,000 deaths and 5.5 million disability-adjusted life years lost per year (will double by 2020)

  • Air pollution: 60,000 - 75,000 premature deaths/yr. (U.S.); 1.8 million worldwide


Consequences of environmental destruction52 l.jpg
Consequences of Environmental Destruction day

  • Pesticides in food → 1,000,000 deaths over the last 6 years; 1 million cancers in current generation of Americans

  • Lead and mercury exposure multi-billion dollar problems

  • Other toxins – linked with heart disease, asthma, cancer, infertility, Parkinson’s disease, Alzheimer’s, autism, etc.


Toxic pollutants l.jpg
Toxic Pollutants day

  • ¼ US citizens live within 4 miles of a Superfund site

  • Environmental Racism

    • Waste dumps/incinerators more common in lower SES neighborhoods

    • e.g., “Cancer Belt” (Baton Rogue to New Orleans)


Extinction species loss l.jpg
Extinction/Species Loss day

  • Mass Extinction

  • More than 1/2 of the top 150 prescription drugs from plants, other living organisms

  • More than 250,000 known flowering species

    • <0.5% surveyed for medicinal value


Overconsumption affluenza l.jpg
Overconsumption (“Affluenza”) day

  • U.S. = 6.3% of world’s population

    • Owns 50% of the world’s wealth

  • U.S. responsible for:

    • 25% of world’s energy consumption

    • 33% of paper use

    • 72% of hazardous waste production


Slide56 l.jpg

New Remote Control Can Be Operated by Remote: No More Leaning Forward To Get Remote From Coffee Table Means Greater Convenience For TV Viewers


But are we happier l.jpg
But Are We Happier? Leaning Forward To Get Remote From Coffee Table Means Greater Convenience For TV Viewers

  • Average American works 200 more hrs/yr than in 1960 (#1 in world)

  • Vacations shorter

  • 8/10 Americans want a new job

  • Fewer close friends

  • More loneliness/depression

  • Pharmaceutical fixes


Worldwide health can aid help l.jpg
Worldwide Health: Can Aid Help? Leaning Forward To Get Remote From Coffee Table Means Greater Convenience For TV Viewers

  • US ranks 21st in the world in foreign aid as a percentage of GDP (0.7%)

  • Foreign Aid:

    • 1/3 military

    • 1/3 economic

    • 1/3 food and development


Worldwide health can aid help59 l.jpg
Worldwide Health: Can Aid Help? Leaning Forward To Get Remote From Coffee Table Means Greater Convenience For TV Viewers

  • U.S charitable giving approximately $250 billion/year

    • 2.5% of income

    • 2.9% at height of Great Depression

    • Poor donate higher percentage of their incomes than rich; blacks more than whites

    • Most stays in US


Us charity care suffering l.jpg
US Charity Care Suffering Leaning Forward To Get Remote From Coffee Table Means Greater Convenience For TV Viewers

  • Public hospitals and ERs closing

  • Hospitals turning to lucrative initiatives to improve financial situation

    • Cosmetic surgery, luxury clinics, aggressive billing practices (including charging uninsured more than insured), recruiting wealthy foreign patients


Maldistribution of wealth l.jpg
Maldistribution of Wealth Leaning Forward To Get Remote From Coffee Table Means Greater Convenience For TV Viewers

  • Top 250 billionaires worldwide worth $1 trillion, the combined income of bottom 2.5 billion people (45% of world’s population)

  • U.S: Richest 1% of the population owns 50% of the country’s wealth -poorest 90% own 30%-widest gap of any industrialized nation


Income inequality kills l.jpg
Income Inequality Kills Leaning Forward To Get Remote From Coffee Table Means Greater Convenience For TV Viewers

Higher income inequality is associated with increased mortality at all per capita income levels


Maldistribution of wealth63 l.jpg
Maldistribution of Wealth Leaning Forward To Get Remote From Coffee Table Means Greater Convenience For TV Viewers

  • In countries with moderate levels of wealth, happiness is highest where income inequalities lowest

    • Major league baseball teams are more successful when players’ salaries are more equitably distributed


Maldistribution of wealth64 l.jpg
Maldistribution of wealth Leaning Forward To Get Remote From Coffee Table Means Greater Convenience For TV Viewers

Less than 4% of the combined wealth of the 225 richest individuals in the world would pay for ongoing access to basic education, health care (including reproductive health care), adequate food, safe water, and adequate sanitation for all humans


Health requires equality l.jpg
Health Requires Equality Leaning Forward To Get Remote From Coffee Table Means Greater Convenience For TV Viewers

  • “All men are created equal”

    • Declaration of Independence

  • “Some people are more equal than others”

    • George Orwell


Hudson river 2009 l.jpg
Hudson River, 2009 Leaning Forward To Get Remote From Coffee Table Means Greater Convenience For TV Viewers


U n declaration of human rights l.jpg
U.N. Declaration of Human Rights Leaning Forward To Get Remote From Coffee Table Means Greater Convenience For TV Viewers

“Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing and medical care”


Solutions l.jpg
Solutions Leaning Forward To Get Remote From Coffee Table Means Greater Convenience For TV Viewers

  • Pay as you go

  • Insurance

  • Government-run program

    • VA, IHS

  • Current Congressional Proposals


Slide69 l.jpg


Single payer l.jpg
Single Payer premiums, bring

  • Cradle to grave, portable insurance for everyone

  • All medically-necessary services covered

  • Free choice of doctor and hospital

  • Global and local budgeting determined by physicians, patients, other health professionals

  • Cost saving

  • Broad support


Single payer71 l.jpg
Single Payer premiums, bring

  • Not socialism any more than having a police force and fire department which serve everyone or offering free public education to children through grade twelve is socialism

    • Imagine if insurance companies ran the fire department


What you can do l.jpg
What You Can Do premiums, bring

  • Educate yourselves and others

    • “Information is the currency of democracy” (Thomas Jefferson)

  • Take care of your body – you only get one (no trade-ins)

  • Live, laugh, and love – life is short

  • Join groups working to improve health care


Act now l.jpg
Act Now! premiums, bring

"If you think you are too small to have an impact, try going to bed with a mosquito in your tent“

- Anita Roddick


Further info references l.jpg
Further Info/References premiums, bring

Public Health and Social Justice Website

http://www.phsj.org

Physicians for a National Health Plan

http://www.pnhp.org/

Kaiser Family Foundation

http://www.kff.org/

Martin Donohoe

[email protected]


ad