1 / 103

PHYSICIANS FOR A NATIONAL HEALTH PROGRAM

PHYSICIANS FOR A NATIONAL HEALTH PROGRAM. 29 EAST MADISON SUITE 602 CHICAGO, IL 60602 TEL: (312) 782-6006 WWW.PNHP.ORG. The Uninsured. Financial Suffering Among the INSURED. Persistent Racial Inequalities. Rationing Amidst a Surplus of Care. Variation in Medicare Spending:

leongj
Download Presentation

PHYSICIANS FOR A NATIONAL HEALTH PROGRAM

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. PHYSICIANS FOR A NATIONAL HEALTH PROGRAM 29 EAST MADISONSUITE 602CHICAGO, IL 60602TEL: (312) 782-6006WWW.PNHP.ORG

  2. The Uninsured

  3. Financial Suffering Among the INSURED

  4. Persistent Racial Inequalities

  5. Rationing Amidst a Surplus of Care

  6. Variation in Medicare Spending: Some Regions Already Spend at Canadian Level

  7. Half of Americans Live Where Population Is Too Low for Competition A town’s only hospital will not compete with itself Source: NEJM 1993;328:148

  8. Profit-Driven HMOs: A Problem, Not a Solution

  9. Medicare HMOs:A Cautionary Tale About Competition Between Public and Private Plans (AKA Public Plan Option)

  10. Despite Medicare’s Lower Overhead, Enrollment of Medicare Patients in Private Plans Has Grown

  11. Private Medicare Plans Have Prospered by Cherry Picking

  12. Investor-Owned Care:Inflated Costs, Inferior Quality

  13. For-Profit Hospitals’ Death Rates are 2% Higher Source: CMAJ 2002;166:1399

  14. For-Profit Hospitals Cost 19% More Source: CMAJ 2004;170:1817

  15. For-Profit Dialysis Clinics’ Death Rates are 9% Higher Source: JAMA 2002;288:2449

  16. High Deductible Insurance:Except for the Healthy and Wealthy, It’s Unwise

  17. Mandate Model Reform:Keeping Private Insurers In Charge

  18. Proposed by Richard Nixon in 1971 to block Edward Kennedy’s NHI proposal “Mandate” Model for Reform

  19. Government uses its coercive power to make people buy private insurance. “Mandate” Model for Reform

  20. “Mandate” Model for Reform • Expanded Medicaid-like program • Free for poor • Subsidies for low income • Buy-in without subsidy for others • Employer Mandate +/- Individuals • Managed Care / Care Management

  21. “Mandate” Model - Problems • Absent cost controls, expanded coverage unaffordable • Computers, care management, prevention not shown to cut costs • Adds administrative complexity and cost; retains wasteful private insurers • Impeccable political logic, economic nonsense

  22. The Massachusetts Reform: Headed Towards Failure

  23. Massachusetts: Required Coverage(Income > $31k) • Premium: $4,800 Annually (56 year old) • $2000 deductible • 20% co-insurance AFTER deductible is reached

  24. Crimes and Punishments in Massachusetts

More Related