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Health Care Reform

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Facing Up: Health Care Reform in America – PowerPoint PPT presentation

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Title: Health Care Reform


1
Facing Up
  • Health Care Reform
  • in America

2
Madison Federalist 10
  • According to Madison Federalist 10, what is the
    number one cause of FACTION???
  • WHY IS OUR GOVERNMENT SO DEEPLY DIVIDED?
  • IS OUR SYSTEM DESTINED FOR FAILURE?
  • HEALTH CARE REFORM?? (3800)

3
What is Insurance?
  • is the equitable transfer of the risk of a loss,
    from one entity to another in exchange for
    payment.
  • It is a form of risk management primarily used
    to hedge against the risk of a contingent,
    uncertain loss
  • WHAT??? In English? What does this mean?

4
President Obama and Healthcare Reform
  • Health care reform is no longer just a moral
    imperative, its a fiscal imperative. If we want
    to create jobs and rebuild our economy and get
    our federal budget under control, then we have to
    address the crushing
    cost of health
    care this year, in this
    administration.
  • President Obama,
    White House
  • Forum on Health Care Reform

5
Healthcare Economics Terms to Know
  • Gross Domestic Product (GDP) - the total market
    value of all final goods and services produced in
    a country in a given year
  • U.S. healthcare spending 15.2 of the GDP
  • Opportunity Cost - the cost of an alternative
    that must be foregone in order to pursue another
    action
  • Ex. Affordable healthcare for all Americans will
    be expensive
  • Scarcity - the tension between our limited
    resources and our unlimited wants and needs

6
Healthcare Economics More Terms to Know
  • Fiscal Policy - the use of government spending,
    taxes and borrowing to influence the economy
  • Mandatory Spending - budgetary spending on
    certain programs like Medicare that is required
    by law
  • Constitutes 2/3 of the federal budget
  • Discretionary Spending - annual appropriations
    levels made by decisions of Congress i.e.
    spending is optional
  • Examples defense spending, NASA

7
Entitlement Programs
  • Social Programs like Medicare, Medicaid and
    Social Security are known as entitlement programs
  • Entitlements guarantee that Americans receive
    benefits by federal law.
  • Entitlement programs are part of the federal
    budget labeled mandatory spending that must be
    funded by law.

8
Federal Spending for Mandatory and Discretionary
Programs
9
Medicare, Medicaid and Social Security Spending,
of GDP, 2000-2080
10
Growth in Healthcare Spending Health Care
Spending as Percentage of GDP
11
The Healthcare Problem
  • The rising costs of health care and health
    insurance pose a serious threat to the future
    fiscal condition of the U.S.
  • Medicare and the federal share of Medicaid are
    projected to be
  • 4 of GDP in 2009
  • 6 of GDP in 2019
  • 12 of GDP by 2050

12
The Healthcare Policy Dilemma
  • Policymakers will face difficult
  • trade offs between two objectives
  • Expanding insurance coverage WHILE
  • Controlling both
    total and federal costs
    for healthcare

13
Who Pays for Health Care?
  • Most Americans (85) have some form of health
    insurance
  • Health insurance - any program that helps pay for
    medical expenses
  • Americans fall into three general health care
    payment categories
  • private insurance
  • government programs
  • uninsured

14
Private insurance
  • Most Americans (59.3) receive their health
    insurance coverage through an employer under
    group coverage
  • Percentage of employer based health insurance is
    declining because of costs
  • Since 2001, family coverage premiums have
    increased by 28, while wages
    have only increased by 16

15
Health Care Costs
16
Government Programs
  • 27.8 of Americans (83 million) are covered by
    government health care programs
  • Federal law mandates public access to emergency
    services regardless of ability to pay
  • Public Programs
  • Medicaid
  • Medicare
  • Other programs State
    Childrens Health Insurance Program (SCHIP),
    military system, veterans affairs

17
Medicare
  • Social health insurance administered by the
    government
  • Provides health insurance for U.S. citizens over
    the age of 65
  • There is no means test (determination whether an
    individual can pay a portion of their debt)
  • Medicare is partially funded by payroll taxes
    a.k.a. F.I.C.A. tax

18
Medicaid
  • Health insurance program for low income adults,
    children, and people with certain disabilities
  • Means test is required
  • Jointly funded by the states and the federal
    government, but administered by the states
  • About 60 of the poor are not covered by Medicaid

19
The Uninsured
  • There are millions of Americans who have
  • insufficient or no health care insurance
  • 45.7 million (15.3 uninsured in America)
  • In 2007, nearly 70 of the uninsured
    lived in families headed by a
    full-time worker
  • 8.1 million uninsured children

Source http//www.hr-onesource.com/ppt/01-patton
_healthcare.pdf
20
Why Uninsured?
  • Rising healthcare costs force many employers to
    drop employee health insurance
  • Many working poor make too much to qualify for
    Medicaid, but cant afford health insurance
  • Unemployment
  • Some healthy people choose to go without health
    insurance
  • Some rejected by insurance companies because
    they have pre-existing conditions
  • Results
  • Many dont go to the doctor
  • Increase in emergency room care

21
Is it Constitutional?
  • According to the Supreme Courtthe Affordable
    Care Act is Constitutional!
  • The individual Mandate is a tax!

22
Mr. Franzyshenwhat????
  • Short video to sum up all the changes..

23
Healthcare in the U.S. Today
  • What do
  • the statistics tell us?

24
  • Graphical
  • Analysis

25
Sources of Financing of Personal Health Care1960
and 2003
1960 2003
Percent Funded By Percent Funded By
Private Insurance 21 36
Out of Pocket 55 16
Medicare -- 19
Medicaid -- 17
Other Private 2 4
Other Federal 9 4
Other State and Local 13 3
Consists of both federal and state
funding Source National Health Expenditures,
loc. Cit http//aspe.hhs.gov/health/MedicalExpendi
tures/index.shtml
26
Average Percentage Increase in Health
Insurance Premiums Compared to Other Indicators
1988-2007
27
World Health Report (2000)
  • The World Health Organization ranked 191
    countries regarding healthcare issues
  • The United States ranks 1 in healthcare costs
    and 1 in responsiveness
  • The United States ranks 1 in responsiveness
  • U.S. 37 in overall performance
  • U.S. 72 in overall level of health
  • Source http//www.who.int/whr/2000/en/annex01_en.
    pdf

28
National Healthcare Quality Report (2008)
  • The Commonwealth Fund ranked 19 developed
    countries regarding healthcare issues
  • The United States ranks last in terms of quality
    of health care
  • The United States 1 in medical innovation
    (producing new drugs medical devices,
    biotechnology)
  • U.S. had higher survival rates than most
    countries for many diseases including several
    kinds of cancer
  • U.S. had higher infant mortality rates
    than most other developed countries
  • Source http//www.commonwealthfund.org/

29
More Healthcare Factsfrom the Office of
Management Budget
  • Less than 4 cents of every health care
    dollar is spent on prevention and
    public health i.e. more money is spent on acute
    rather than preventative care
  • The U.S. spends over 2.2 trillion on health care
    each yearalmost 8000 per person.
  • Health insurance premiums have doubled in the
    last 8 years, rising 3.7 times faster than wages
  • One fourth of all medical spending goes to
    administrative and overhead costs

Source http//www.whitehouse.gov/omb/fy2010_key_h
ealthcare/
30
So....what do these stats mean?
  1. Based on the data presented, what are the major
    strengths of healthcare in the United States
    today?
  2. What are major weaknesses of the U.S. healthcare
    system?
  3. What conclusions can you draw about U.S.
    healthcare relative to other countries?

31
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