Improving Medicare and Medicaid – An Imperative. Group 2 Sara, Dave, Paul, William. Agenda. Background Quality Issues Cost Issues Access Issues Conclusion. An Introduction. National Health Care Spending In 2005, US health care expenditures: Reached $2 trillion
Sara, Dave, Paul, William
National Health Care Spending
In 2005, US health care expenditures:
Reached $2 trillion
Projected to reach $4 trillion by 2015.
4.3 x the amount spent on national defense.
Gross domestic product (GDP) in 2005:
16% of GDP in the United States
10.9% of GDP in Switzerland
10.7% in Germany
9.7% in Canada
9.5% in France
Nearly 47 million Americans are uninsured.
3 Key Measures
Why is the number of uninsured people increasing?
1/3 of firms in the U.S. did not offer coverage in 2005.
38% of workers are employed in smaller businesses,
Rapidly rising premiums cited for not offering coverage.
The employees can't always afford their portion of the premium
Coverage is unstable during life's transitions
Losing a job or quitting can mean losing affordable health coverage
Employer-sponsored coverage cut by a change from FT to PT work, or self-employment, retirement or divorce.
COBRA continuation out of reach
How does being uninsured harm individuals and families?
For about 20% of the uninsured (vs. 3% of those with coverage) - usual source of care is the emergency room.
Nearly $100 billion per year is spent to provide uninsured residents with health services - Hospitals provide about $34 billion worth of uncompensated care a year.
Preventable deaths among uninsured adults age 25-64 is in the range of 18,000 a year.
Uninsured are 30 to 50% more likely to be hospitalized for an avoidable condition.
Over 1/3 of the uninsured have problems paying medical bills.
Getting Everyone Covered through Medicare and Medicaid will Save Lives and Money
The impacts of going uninsured are clear and severe.
Many uninsured individuals postpone needed medical care:
Resulting in increased mortality
Resulting in billions of dollars lost in productivity
Resulting in increased expenses to the health care system.
We are all vulnerable to the potential loss of health insurance.
Every American should have health care coverage, participation should be mandatory, and everyone should have basic benefits.