The Obama Plan Cedric K. Dark, MD, MPH Disclaimer: I’m not advocating for the plan, I’m just analyzing it...but you gotta admit...it’s a million times.

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Presentation transcript:

The Obama Plan Cedric K. Dark, MD, MPH Disclaimer: I’m not advocating for the plan, I’m just analyzing it...but you gotta admit...it’s a million times better than McCain’s

Scope of the Problem 47 million uninsured 9 million uninsured children

Rising Costs Source: Kaiser Family Foundation

How To Fix It

National Health Plan Guaranteed enrollment Comprehensive benefits (similar to FEHBP) Fair premiums & minimal co-pays Subsidies Simplifying paperwork Easy enrollment Portability and choice Quality & efficiency

National Health Insurance Exchange A “watchdog” & reformer of private market (creates rules and standards) All plans must at least be as generous as “public plan” Guaranteed issue & no risk rating

Employers Pay or play philosophy

Children Mandated coverage Expansion of S-CHIP

States Can continue to experiment as long as provide plans at least as generous as “public plan”

Re-insurance Government to re-insure for “catastrophic” coverage

Quality Comparative effectiveness research Pay-for-performance Care coordination & disease management Disparities Health information technology ($10B/5yr)

Insurers Need more competition

Pharmaceuticals Drug reimportation Generics Negotiation of Medicare D Rx prices

Prevention & Public Health Healthier workplaces Tackle childhood obesity Support health care providers

Malpractice Will be improved...but how?

What’s Your Take... Who are the winners? Losers? What’s easy to accomplish? Hard? Short term goals? Long term?

References “Barack Obama’s Plan for a Healthier America.” Accessed from: Obama’s Plan for a Healthier America.” Accessed from: Kaiser Family Foundation. “Employer Health Benefits 2006 Annual Survey” Accessed from: