Conversation Coalition For Health Care Reform Can we have comprehensive health care reform that provides all medically necessary care to all residents and saves money? HEALTH CARE HISTORY IN 2 SLIDES:
For Health Care Reform
Can we have comprehensive health care reform that provides all medically necessary care to all residents and saves money?
Health became a commodity,
patients became consumers
HEALTH CARE SYSTEM
AMONG INDUSTRIALIZED NATIONS THE U.S. HAS:
Percent of adults (ages 18+) who received all recommended screening and
preventive care within a specific time frame given their age and sex*
* Recommended care includes seven key screening and preventive services: blood pressure,
cholesterol, Pap, mammogram, fecal occult blood test or sigmoidoscopy/colonoscopy, and flu shot.
Data: B. Mahato, Columbia University analysis of 2002 Medical Expenditure Panel Survey.
Source: Commonwealth Fund National Scorecard on U.S. Health System Performance, 2006.
The number of preventable deaths (per 100,000) from treatable conditions in 19 leading industrialized nations (2002-2003):
(due to lack of access to care)
Journal of Health Affairs
Agency for Healthcare Research and Quality: National Healthcare Disparities Report, 2006.
Shortages in pediatrics, internal medicine and family medicine.
Decreased access to geriatricians and gynecologists.
Low interest by medical students because of:
high student loan debt
low starting salaries
Source: Bureau of Labor Statistics and NCHS
($2000 per person)
Source: Woolhandler, et al, New England Journal of Medicine, August 2003 & Int. Jrnl. Of Hlth. Services, 2004
80% uses less than $1000
of care per year
0% 0% 0%
1% 1% 2%
Source:Agency for Healthcare Research and Quality
Premiums are rising five times faster than inflation
Respect for human dignity demands that no one refrain from seeking medical care from fear of the consequences of doing so, and that no one suffer financial adversity as a result of having sought care. The moral foundations of universal coverage are as simple as that.
fundamental reform that reorganizes the funding, unifies the administrative process and creates a health care system that serves the whole community.
patchwork reforms that expand current health care programs, shift responsibility to the individual and/or subsidize the purchase of health insurance.
Percent of previously uninsured newly covered as of 11/1/07, calculated from CPS
THE UNITED STATES NATIONAL HEALTH INSURANCE ACT
(Expanded and Improved Medicare For All)
“We will never be able to control health care costs and provide quality health care to all Americans unless we establish a universal health care system with single payer financing.”
- Dr. Marcia Angell
To ensure that all Americans have:
BENEFITS/PORTABILITYPatients have unlimited choice of physicians, hospitals, and clinics regardless of locationUSNHI will cover all medically necessary services, including:
Covering the uninsured and poorly-insured +7.2%
Elimination of cost-sharing and co-pays +5.1%
Bulk purchasing of drugs & equipment -2.8%
Reduced hospital administrative costs -1.9%
Reduced physician office costs - 3.6%
Reduced insurance administrative costs -5.3%
Primary care emphasis & reduce fraud -2.2%
Source: Health Care for All Californians Plan, Lewin Group, 2005
Existing Revenue $1,305 billion
New Revenue $1,259 billion
TOTAL (Savings and Revenue) $2.951 trillion
TOTAL PROJECTED SPENDING $2.776 trillion
It is time to end the cruelty inherent in the failed U.S. health care system.
The opportunity exists to restore national dignity and do what every other civilized nation on earth does—take care of its people.
Margaret Flowers and Brigitte Marti
Physicians for a National Health Program
www.pnhp.org (local chapters in Washington, D.C. and Maryland).
Healthcare-Now of Maryland www.mdsinglepayer.org
Leadership Conference on Guaranteed Healthcare