Of all the forms of inequality, injustice in health care is the most shocking and most inhumane

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"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)
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HEALTH 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

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NEGATIVE 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

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47 Million Uninsuredand RisingAnother 50
million under-insured
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Most of the Uninsured Work
Students18, Homemakers, Disabled, Early
retirees
Source Himmelstein Woolhandler - Tabulation
from 1999 CPS
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Illness 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
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18,314 Adult Deaths Annually Due to Uninsurance
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Life Expectancy For Women, 1999
Source OECD, 2002 - Data on Italy are for 1998
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High Infant Mortality
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Prisons Jails are our biggest mental health
facilities
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Health Care Costs for business
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Employers Health Benefit Costs US vs. Canada
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B. 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

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Growth of Administrative Personnel
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The US Health Care System! Uwe Reinhardt
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(No Transcript)
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Americans 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
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Percent 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
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Health 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
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Cost 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
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CEO Pay and Stockholdings, 1998
Source Jenks Healthcare Business Report 7/24/99
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C. COSTS OF DRUGS,

• DRUG COMPANY PROFITS,
• ADVERTISING
• RESEARCH DEVELOPMENT

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Drug Companies Cost Structure
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D. WE ALREADY PAY FOR IT WHY DONT WE HAVE IT?
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CORPORATE 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

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WELL 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

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E. WE CAN AND MUST CHANGE

• TO MAKE THE MOST EFFECTIVE USE OF OUR EXCELLENT
  HEALTH CARE RESOURCES AND ASSOCIATED NEW
  KNOWLEDGE TECHNOLOGY

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LETS DO IT!
We have the brains, resources and ability to
resolve these problems so lets do it
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THREE PROPOSALS held up in state legislative
committees

• Legislation
• WICONSIN HEALTH PLAN
• WISCONSIN HEALTH CARE PARTNERSHIP PLAN
• WISCONSIN HEALTH SECURITY ACT

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HEALTHY 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

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NO 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!

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(No Transcript)
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Growth 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
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Corporate 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.