"Of all the forms of inequality, injustice in health care is the most shocking and most inhumane". Martin Luther King Jr (March 25, 1966, National Convention of the Medical Committee for Human Rights, Chicago). HEALTH CARE SECURITY FOR ALL. A moral, ethical, social & religious good
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Martin Luther King Jr(March 25, 1966, National Convention of the Medical Committee for Human Rights, Chicago)
TWO TRILLION DOLLARS
AND STILL RISING
15% OF GNP
Source: Norton's Bankruptcy Advisor, May, 2000
Source: Health Affairs 2000; 19(3):44
Disabled, Early retirees
Source: Himmelstein & Woolhandler - Tabulation from 1999 CPS
Disparities in mortality across the eight Americas are enormous by all international standards.
Policies aimed at reducing fundamental socioeconomic inequalities are currently practically absent in the US.
Health disparities will have to be at least partly addressed through public health strategies that reduce risk factors for chronic diseases and injuries.
Probability of death between the ages of 15 and 59 years in the eight Americas from all causes.
Netherlands the eight Americas from all causes
% of Population Below Poverty LevelPoverty Rates, 1997U.S. and Other Industrialized Nations
Source: Luxembourg Income Study Working PapersNote: U.S. figure for 1997, other nations most recent available year
83 the eight Americas from all causes
GERMANYLife Expectancy For Women, 1999
Source: OECD, 2002 - Data on Italy are for 1998
Note: 11.1% of pregnant women failed to get timely prenatal care despite knowing they were
Source: MMWR 5/12/2000; 49:393
$7 billion of the
WI healthcare dollar
is spent on administration
New England Journal of Medicine 8/03
Bills not paid
services not met
CEO the eight Americas from all causes
Thomas Frist Jr.
$445CEO Pay and Stockholdings, 1998
Source: Jenks Healthcare Business Report 7/24/99
100% the eight Americas from all causes
U.K.Percent of Population withGovernment-Assured Insurance
Note: Germany does not require coverage for high-income persons, but virtually all buy coverageSource: OECD, 2002 - Data are for 2000 or most recent year available
In the end, we all pay the total bill, but we
all don’t have coverage for our own care
Source: NEJM 1999; 340:109; Health Affairs 2000; 19(3):150
We have the brains, resources and ability to resolve these problems so let’s do it.