State Health Reform. Part 2 By Laura Tobler Program Director, Health Program National Conference of State Legislatures 303-856-1545 [email protected] Recent state actions/proposals. Reduce the number of uninsured. Focus on quality initiatives.
Compared with Australia, Canada, Germany, New Zealand and the United Kingdom, the U.S. health care system ranks last or next-to-last on five dimensions of a high performance health system: quality, access, efficiency, equity, and healthy lives.
Source: K. Davis, C. Schoen, S. C. Schoenbaum, M. M. Doty, A. L. Holmgren, J. L. Kriss, and K. K. Shea, Mirror, Mirror on the Wall: An International Update on the Comparative Performance of American Health Care, The Commonwealth Fund, May 2007
Web site is http://www.mainequalityforum.gov
Distribution of health expenditures for the U.S. population,by magnitude of expenditure, 2003
Source: S. H. Zuvekas and J. W. Cohen, “Prescription Drugs and the Changing Concentration of Health Care Expenditures,” Health Affairs, Jan./Feb. 2007 26(1):249–57.
Source: Elizabeth McGlynn et al., “The Quality of Health Care Delivered to Adults in the United States,” The New England Journal of Medicine (June 26, 2003).
Obesity Trends* Among U.S. Adults their conditionsBRFSS,1990, 1998, 2006
(*BMI 30, or about 30 lbs. overweight for 5’4” person)
<10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Source: The Centers for Disease Control's Behavioral Risk Factor Surveillance System
For a 50 state list, please go to http://www.ncsl.org/programs/health/obesity.htm#Cost
Source: U.S. Department of Health and Human Services. The Surgeon General's call to action to prevent and decrease overweight and obesity. [Rockville, MD]: US GPO, Washington. Wolf AM, Colditz GA. Current estimates of the economic cost of obesity in the United States. Obesity Research.1998;6(2):97–106. Wolf, A. What is the economic case for treating obesity? Obesity Research. 1998;6(suppl)2S–7S.
*Nutrition standards may also be set by the Department of Agriculture within a state and not legislated.
For more information on state wellness initiatives, see the NCSL web site at: http://www.ncsl.org/programs/health/WellnessOverview.htm
Sources: Milken Institute An Unhealthy America: The Economic Burden of Chronic Disease Charting a New Course to Save Lives and Increase Productivity and Economic Growth
"Unless we can contain costs, responsibility…
while maintaining quality care, access to coverage will be unsustainable."
—Senator Richard T. Moore, one of the major architects of the Massachusetts' health reform law.