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Pennsylvania Looks at Universal Health Care

Pennsylvania Looks at Universal Health Care. Scott L. Tyson M.D. Pediatrics South Pennsylvania House of Representatives February 27, 2007. Universal Health Care means 100%. Incremental steps - who do we leave out and why? Giant step - leave no one out, but do we have the political will?.

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Pennsylvania Looks at Universal Health Care

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  1. Pennsylvania Looks at Universal Health Care Scott L. Tyson M.D. Pediatrics South Pennsylvania House of Representatives February 27, 2007

  2. Universal Health Care means 100% • Incremental steps - who do we leave out and why? • Giant step - leave no one out, but do we have the political will?

  3. Different approaches to Universal Health Care • Employer based - pay or play? • Individual mandates - those who can afford private insurance must buy insurance • Public financing (single payer)

  4. How Should We Decide? • Quality, Affordable Health Care for All Pennsylvanians • Getting Value for our Money • Framework for Lasting fix • Predictable Costs • Easy to Understand

  5. Private Insurers? • Include them? • Major middleman in health care financing • Multiple payers, increased bureaucracy • 15-25% administrative overhead • Exclude them? • Major administrative savings • Bulk purchasing • Stronger cost control • Universal coverage

  6. What Do Americans Want?

  7. Do you think it's the government's responsibility to make sure that everyone in the United States has adequate health-care? Quinnipiac University Poll, Feb. 22, 2007

  8. Are you willing to pay more in federal taxes to provide health care to all Americans? Quinnipiac University Poll, Feb. 22, 2007

  9. Does Business Want Universal Health Care?

  10. Does Business Want Universal Health Care? YES!!

  11. Retiree Health Benefits!

  12. GM retiree cost is $60 Billion! Source: Wall St. Journal, March 11, 2004

  13. GM Lays Off 30,000 Source: NY Times, Nov. 21, 2005

  14. Ford Cuts 25,000 Jobs Source: USA Today, Jan 2006

  15. Chrysler is in trouble due to health care • Chrysler faces $21.1 billion in future retiree health care liabilities . . . and the majority of the obligation is not funded. The massive liability is one of the key hurdles DaimlerChrysler is seen facing as it tries to sell its US unit. Wall St. Journal, Feb 26, 2007

  16. Financial Accounting Standards Board Rule #158 • Employers Accounting for Defined Benefit Pension and Other Postretirement Plans • Requiring an employer to recognize the … status of a defined benefit postretirement plan as an asset or liability in its statement of financial position . . . • Starts Dec. 15, 2006

  17. Standard and Poor 500 have $321 Billion Health Care Liability! Source: Wall St. Journal, June 6, 2006

  18. $1 Trillion Public Retiree Obligation Source: USA Today, May 18, 2006, Reuters June 13, 2006

  19. Gov’t Sticker Shock-$600 Billion to $1.3 Trillion Wall St. Journal, Nov. 9, 2006 Source: WSJ, Nov. 9, 2006

  20. Only 100% Universal Health Care • Discounts future health care costs • Dramatically eliminates retiree health liability on balance sheet

  21. Looking at Malpractice

  22. Allegheny County vs. Quebec malpractice premiums, 2004 Source: PA Medical Society, Canadian Medical Protective Assoc, US Dollars, 2004

  23. Allegheny County vs. Quebec by high malpractice specialties, 2004 Source: PA Medical Society, Canadian Medical Protective Assoc, US Dollars, 2004

  24. Possible Reasons for Less Malpractice Fees in Canada • Access to preventative services for all • Under universal coverage, all future health care costs covered by health care system

  25. Harrisburg, We Have A Problem . . .

  26. 12 Phila. hospitals have closed from 1994-2003 Source: Delaware Valley Healthcare Council

  27. One More Hospital Closed

  28. Despite a Full Hospital . . . . Phila Inquirer, Feb. 17, 2007

  29. We Have A Health Crisis in Pennsylvania • 900,000 - 1.3 million uninsured • More Hospital Closures • Inadequate SCHIP funding • Impending retiree health benefit crisis • Inadequate funding of public health workforce

  30. SB 300 vs. Governor’s Plan

  31. Independent analysis for California shows single payer saves billions $8 billion Lewin Group, Jan. 19, 2005

  32. Independent analysis for Conn. shows single payer saves $500 million, adds 6-11,000 more jobs Universal Health Care Foundation of Conn., Jan. 30, 2007

  33. Independent analysis of single payer for America would save a trillion dollars! National Coalition on Health Care, Aug 1, 2005

  34. Single Payer Health Insurance • Universal Health Care • Saves the most money • Fixes Distortions in Health Care Financing • Solves the Malpractice Crisis • Quality is Directly Proportional to Funding

  35. Government is the “swing” vote Business People Government

  36. Questions?

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