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Uninsured

Uninsured. HAS 4320. The quiz. http: www.pbs.org/newshour/health/uninsured. 1. How many Americans were uninsured in 1998?. A. 18 million B. Around 25 million C. Around 44 million D. 53 million. 2. Are Most Uninsured:. A. Full-time employed B. Part-time employed C. Unemployed.

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Uninsured

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  1. Uninsured HAS 4320

  2. The quiz http:www.pbs.org/newshour/health/uninsured

  3. 1. How many Americans were uninsured in 1998? • A. 18 million • B. Around 25 million • C. Around 44 million • D. 53 million

  4. 2. Are Most Uninsured: • A. Full-time employed • B. Part-time employed • C. Unemployed

  5. 3. Which age group represents the most uninsured people? • A. Age 18 and under • B. Age 19-24 • C. Age 25-34 • D. Age 35-44 • E. Age 45-54 • F. Age 55-65

  6. 4. Which race or ethnic group has the highest percentage of uninsured people? • A. White • B. Hispanic • C. Black, non-Hispanic • D. Asian-American • E. Other

  7. 5. How many children age 18 and under are uninsured? • A. 1 million • B. 3.6 million • C. 8 million • D. 12 million

  8. 6. How does health insurance influence the care people get?

  9. 7. What is the primary reason people say they don't people have health insurance? • A. Don’t know how to get coverage • B. Too expensive • C. Job doesn’t offer benefits • D. Unemployed

  10. The Problem • 42.6 million uninsured • Health premiums continue to rise • Job loss • Inadequate Medicaid

  11. Demographics • Full-time workers • Poor or low income • More minorities • Charts…

  12. Utah’s Uninsured • 270,000 (non-elderly) • 14.4%

  13. Causes and Consequences • Small employers • Premiums • American beliefs • Reduced access • Life style • Anxiety

  14. Financial Consequences • Medical bills • More needs • Debt • Collections • Courts • Bankruptcy • Uninsured are overcharged

  15. Day-to-day Struggles • Cost-benefit analysis • Home remedies • What would you give up?

  16. Expectations and beliefs • Learned hopelessness • Stigma • Contradictions

  17. Children without Insurance • 1/3 • Most breadwinners employed • Medicaid issues • Receive less care

  18. Social Policy • Targeted services • Employer-sponsored insurance • Public programs • Universal Coverage

  19. National Health Insurance • Production efficiency • Consumption efficiency • Equity

  20. Proposals • Single-payor • Employer-mandated • Refundable tax credits • Medical savings accounts (MSA) • Healthcare Act of 2003 • The Health Coverage, Affordability, Responsibility and Equity Act of 2003

  21. CHIP (Utah) • Children’s Health Insurance Program • Who is eligible • 2003 Income guidelines • When/How do I apply? • How is CHIP paid for? • What services?

  22. Medicaid • Introduction • Who is covered? • Children • Adults • Elderly • Disabled

  23. What services are covered? • Inpatient and outpatient hospital • Physician, midwife, certified NP • Lab and X-ray • Nursing home and home health • Screening, diagnosis and treatment for children • Family planning • Rural health clinics

  24. How is it spent • 50% + on acute care services • 35% on long-term care

  25. How is it delivered? • Managed care…

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