Uninsured H Edu 5100. The quiz

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Presentation transcript:

Uninsured H Edu 5100

The quiz

1. How many Americans were uninsured in 1998?  A. Around 18 million  B. Around 25 million  C. Around 45 million  D. Around 65 million

Private Non Group Medicaid/Other Public Uninsured Employer-Sponsored Total = million

 A. Full-time employed  B. Part-time employed  C. Unemployed 2. Are Most Uninsured:

No workers 1 or more full-time workers Part-time workers

3. Which age group represents the most uninsured people?  A. Age 18 and under  B. Age  C. Age  D. Age  E. Age  F. Age 55-65

Adults Adults Children under 19

4. Which race or ethnic group has the highest percentage of uninsured people?  A. White  B. Hispanic  C. Black, non-Hispanic  D. Asian-American  E. Other

Whites Hispanics & Native Americans African Americans Asian Americans

5. How many children age 18 and under are uninsured?  A. 1 million  B. 4 million  C. 7 million  D. 9 million

6. How does health insurance influence the care people get?

7. What is the primary reason people say they don't have health insurance?  A. Don’t know how to get coverage  B. Too expensive  C. Job doesn’t offer benefits  D. Unemployed

8. What size business is most likely to insure workers?  A. 3-9 workers  B workers  C workers  D workers  E workers

The Problem  42.6 million uninsured  Health premiums continue to rise  Job loss  Inadequate Medicaid

Demographics  Full-time workers  Poor or low income  More minorities  Charts…

Utah’s Uninsured  292,800 (2005 non-elderly)  11.6%  Young adults (19–26) = 23.3%  68.8% of uninsured live at 200% at or below poverty level

Causes and Consequences  Small employers  Premiums  American beliefs  Reduced access  Life style  Anxiety

Financial Consequences  Medical bills  More needs  Debt  Collections  Courts  Bankruptcy  Uninsured are overcharged

Day-to-day Struggles  Cost-benefit analysis  Home remedies  What would you give up?

Expectations and beliefs  Learned hopelessness  Stigma  Contradictions

Children without Insurance  1/3  Most breadwinners employed  Medicaid issues  Receive less care

Social Policy  Targeted services  Employer-sponsored insurance  Public programs  Universal Coverage

Non-Economic Issues  Race/Ethnicity  Resources  Other issues

Other Access Issues… % of low-income patients with “access” problem who reported type of reason Reason or problem6-mos- 17 yrs yrs All ages Not up to going Problems with child care Too nervous or afraid Not sure provider would understand needs Unable to get free time to get care Had to wait too long to get an appointment

Case Study  You are the governor of a midsize industrial state. You have just studied this material and have decided you want to take on the “health reform/health care access” issue. How would you proceed? How would you staff the effort? Who are the stakeholders? How would you obtain input from stakeholders? How would you limit inappropriate influence by stakeholders? What is the likely nature of the problem in your state? What are the realistic range of solutions/reforms that might be considered? What is the likelihood of meaningful reform?