Title: Of all the forms of inequality, injustice in health care is the most shocking and most inhumane
1"Of all the forms of inequality, injustice in
health care is the most shocking and most
inhumane"
Martin Luther King Jr (March 25, 1966, National
Convention of the Medical Committee for Human
Rights, Chicago)
2HEALTH CARE SECURITY FOR ALL IS
- A MORAL, ETHICAL, SOCIAL AND RELIGIOUS GOOD
- A FAMILY VALUE
- AN ECONOMIC NECESSITY
- FISCALLY RESPONSIBLE and
- BUSINESS, COMMUNITY AND PERSON FRIENDLY
3NEGATIVE EFFECTS OF RISING COST OF COVERAGE FOR
INDIVIDUALS, FAMILIES, BUSINESSES AND GOVERNMENTS
- INCREASING NUMBER OF UN AND UNDER INSURED
- INCREASING NUMBER OF PERSONAL BANKRUPTCIES
RELATED TO HEALTH CARE COSTS - EXCESS DEATHS ASSOCIATED WITH INADEQUATE OR
NO-INSURANCE - BUSINESSES ARE HANDICAPPED OR FAIL
447 Million Uninsuredand RisingAnother 50
million under-insured
5Most of the Uninsured Work
Students18, Homemakers, Disabled, Early
retirees
Source Himmelstein Woolhandler - Tabulation
from 1999 CPS
6Illness and Medical Costs,A Major Cause of
Bankruptcy
- Over 50 of all bankruptcies involve a medical
reason or large medical debt - 326,441 families identified illness/injury as the
main reason for bankruptcy in 1999 - An additional 269,757 had large medical debts at
time of bankruptcy - 7 per 1000 single women, and 5 per 1000 men
suffered medical-related bankruptcy in 1999 - Loss of insurance and new bankruptcy laws are
worsening this.
Source Norton's Bankruptcy Advisor, May, 2000
718,314 Adult Deaths Annually Due to Uninsurance
8Life Expectancy For Women, 1999
Source OECD, 2002 - Data on Italy are for 1998
9High Infant Mortality
10Prisons Jails are our biggest mental health
facilities
11Health Care Costs for business
12Employers Health Benefit Costs US vs. Canada
13B. ADMINISTRATVIVE COSTS AND COMPLEXITY
- HOW HEALTH CARE DOLLARS ARE COLLECTED AND USED
- ARCHAIC, INAPPROPRIATE, WASTEFUL WAY OF FINANCING
THE SYSTEM - OVER 700 DIFFERENT INSURANCE COMPANIES IN
WISCONSIN - COST SHIFTING
- CEO SALARIES
14Growth of Administrative Personnel
15The US Health Care System! Uwe Reinhardt
16(No Transcript)
17Americans Pay Highest Taxes for Health CarePer
Capita Health Spending, 2002
OECD and Paying for National Health
Insurance_And Not Getting It Health Affairs
July/August 2003
18Percent of Population withGovernment-Assured
Insurance
Note Germany does not require coverage for
high-income persons, but virtually all buy
coverageSource OECD, 2002 - Data are for 2000
or most recent year available
19Health Care Administrative Costs in the U.S.
Administrative Costs
31
Clinical Care
69
7 billion of the WI healthcare dollar is spent
on administration
New England Journal of Medicine 8/03
20Cost shifting No end in Sight
Cost shift
Higher premiums
Deficit
Bills not paid
Fixed costs of healthcare
services not met
More uninsured
More underinsured
Get Care
21CEO Pay and Stockholdings, 1998
Source Jenks Healthcare Business Report 7/24/99
22C. COSTS OF DRUGS,
- DRUG COMPANY PROFITS,
- ADVERTISING
- RESEARCH DEVELOPMENT
23Drug Companies Cost Structure
24D. WE ALREADY PAY FOR IT WHY DONT WE HAVE IT?
25CORPORATE SOCIAL RESPONSIBILITY
- Few trends could so thoroughly undermine the
very foundations of our free society as the
acceptance by corporate officials of a social
responsibility other than to make as much money
for their shareholders as possible. - Milton Friedman, 1962
26WELL FUNDED ANTI- OPERATIVES
- WISCONSIN TEA PARTY Promoting Market Driven
Solutions in Health Care www.wisconsinteaparty.org
- WISCONSIN MANUFACTURE AND COMMERCE Stop
Government Health Care Takeover stop the
largest tax increase in state history.
www.wmc.org - WISCONSIN ASSOCIATION OF HEALTH UNDERWRITERS
-- There are a number of proposals that
challenge our livelihoods. There are people who
believe our profession is part of the health
care crisis. www.ewahu.org - SENSIBLE HEALTH CARE SOLUTIONS a coalition of
four major agents associations in Wisconsin
representing health insurance counselors, agents,
brokers and other professionals.
www.sensiblehealthcaresolutions.org
27E. WE CAN AND MUST CHANGE
- TO MAKE THE MOST EFFECTIVE USE OF OUR EXCELLENT
HEALTH CARE RESOURCES AND ASSOCIATED NEW
KNOWLEDGE TECHNOLOGY
28LETS DO IT!
We have the brains, resources and ability to
resolve these problems so lets do it
29THREE PROPOSALS held up in state legislative
committees
- Legislation
- WICONSIN HEALTH PLAN
- WISCONSIN HEALTH CARE PARTNERSHIP PLAN
- WISCONSIN HEALTH SECURITY ACT
30HEALTHY WISCONSIN
- AN AMALGAM OF THE OTHER THREE BILLS IN AN EFFORT
TO GET THE SUPPORT OF ALL DEMOCRATIC SENATORS
REPRESENTATIVES AND SOME REPUBLICANS - INTRODUCED IN AUGUST 2007 AS AN AMENDMENT TO THE
WISCONSIN STATE BUDGET - REJECTED BY THE REPUBLICAN ASSEMBLY
- TO BE REINTRODUCED AS A BILL WHICH MAY OR MAY NOT
GET OUT OF COMMITTEE AND PASSED
31NO END IN SIGHT?
- UNTIL WE HAVE PUBLIC FUNDING OF CAMPAIGNS
- UNTIL WE THE PEOPLE DEMAND IT FROM THOSE WE ELECT
- ENOUGH IS ENOUGH UNITED WE STAND, DIVIDED WE
FALL - YOU ARE THE MEDIA SPEAK UP!
32(No Transcript)
33Growth of Registered Nurses and
Administrators1970-2002
Administrators
RNs
2500
2000
1500
Growth since 1970
1000
500
0
1970
1975
1980
1985
1990
1995
2001
Source Bureau of Labor Statistics
Himmelstein/Woolhandler/Lewontin Analysis of CPS
data
34Corporate Social Responsibility?
Few trends could so thoroughly undermine the
very foundations of our free society as the
acceptance by corporate officials of a social
responsibility other than to make as much money
for their shareholders as possible. Milton
Friedman, 1962
Source Milton Friedman - Capitalism Freedom,
1962.