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Health Care in Obama’s 1st Year or More of the Same is not Health Care Reform. Leonard Rodberg, PhD Urban Studies Dept., Queens College/CUNY and NY Metro Chapter, Physicians for a National Health Program Teach-in New York City July 25, 2009 www.pnhpnymetro.org.
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Leonard Rodberg, PhD
Urban Studies Dept., Queens College/CUNY
NY Metro Chapter, Physicians for a National
Teach-in New York City
July 25, 2009
Average Annual Premiums for Single and Family Coverage, 1999-2008
Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2008.
Average spending on health per capita ($US PPP*)
* PPP = Purchasing Power Parity.
Data: OECD Health Data 2008, June 2008 version.
None rely on private for-profit insurance,
all have a strong role for government.
National Average for Employer-provided Insurance:
Single Coverage $ 4,704 per year
Family Coverage $12,680 per year
Median household income = $50,233
Source: Kaiser Family Foundation/HRET Survey of Employee Benefits, 2008;
U.S. Census Bureau, 2008
Number of people spending more than 10% of income on health care (Millions)
Source:Too Great a Burden, Families USA, December 2007
Source: Health Tracking Poll, Kaiser Family Foundation, April 2008
This Year’s Underinsured
Source: Medical Expenditure Panel Survey, US Agency for Healthcare Research and Quality, 1999
While millions are underinsured,
millions more don’t think there’s a problem!
-- “A New Era of Responsibility,” President’s Budget, Feb. 26, 2009
* “each eligible individual must enroll in an applicable health plan for the individual and must pay any premium required with respect to such enrollment.” (S.1775)
** “you can choose to enroll in the new public plan”
-- Employers can still change coverage
-- Insurers can still change networks
-- Employees still locked into jobs
* Also physician & hospital co-pays
Source: www.mahealthconnector.org (Boston Area, Jan 2009)
Source: Jacob Hacker, Healthy Competition, Berkeley Law and Institute for America’s Future, April 2009, Howard Dean, Barack Obama
From supporters of private insurance –
From single payer supporters –
The Congressional Plan
The 800-pound gorilla has turned into
The Congressional Budget Office says these will (1) not cut costs significantly and (2) not limit the continuing rise in cost.
$1 Trillion/seven years = $130 billion/yr
Number of Uninsured Covered: 37 million
Number of Uninsured Remaining: 17 million
[ Source: Congressional Budget Office, Letter to Rep. Charles Rangel,
July 17, 2009]
Number of Underinsured: 50 million+
Even a Trillion dollars is not enough!
Total cost of making health care affordable:$200-300 billion/year
Single Payer can provide it!
Senate Finance Committee Considers How to Pay for Health Care Reform
Pot of Gold!
If it does pass in some form, it would:
Make the world’s most expensive system even costlier.
Not achieve universal coverage
Not improve coverage for the average person.
Not make affordable insurance available.
Not contain the continuing growth in cost.
Not achieve President Obama’s goals.
It doesn’t really reform the system.
It just won’t work!
(existing Medicare, Medicaid, other)
Out of pocket
State and Local Government
(existing Medicaid, other)
Other private funds
Source: Health Affairs, Feb. 2008; data for 2006
Covering the uninsured and poorly-insured +6.4%
Elimination of cost-sharing and co-pays +5.1%
Reduced hospital administrative costs -1.9%
Reduced physician office costs -3.6%
Reduced insurance administrative costs -5.3%
Bulk purchasing of drugs & equipment -2.8%
Primary care emphasis & reduce fraud -2.2%
Total Costs +11.5%
Total Savings -15.8%
Net Savings - 4.3% - 73
Source: Health Care for All Californians Plan, Lewin Group, January 2005
We don’t need more money.
We need a new system.
-- Arnold Relman & Marcia Angell
Source: American Family Physician, November 14, 2005