1. How to Reform Medical CareBy
Senator Steven Thayn
Idaho District 8
How to Reform Medical Care

2. Where we are in comparison to the rest of the world
USA
OECD
Singapore
Rank in world in outcomes and efficiency
20th or less
Some of the top nations
#1 or #2
% of GDP to pay for medical care
18% and climbing
9% average
4.7%
$/person
$9,500
$3,268
$2,400
Socialized
Mixed
Mostly
Free market with help for the poorest

3. National Comparisons https://mha. gwu
Rank*
Life expectancy
Income per person
Medical cost per person (2013)
Singapore #2 83
$76,850
$2,267
Japan #4 84
$41,275
$4,787
Australia #8
$48,899
$6,097
France
#14 82
$42,314
$4,644
Canada
#16
$46,437
$5,763
USA
Not listed 79
$53,960
$8,845
*Rankings based upon Business Insider 2017; only lists top 16
WHO ranks USA system #37

4. What would a 50% reduction look like?
Total
Per Person Per Year
Per Person Per Month
Tax Cut
$ ,000,000 $ $
50% Medical Cost Reduction
$5,500,000,000
$3,438.00
$286.50

5. What would a 50% reduction look like?
$750 million of the Idaho budget of $3.4 billion
Enough for roads
And drop the income tax from 7.4% to 5.7%

6. How to reduce costs? 5 areas of focus Focus on primary care -- 20%
Change the way primary care is funded -- 0%
Engage people in their own health care – 10%
Transparency tool – 15%
Help the poor with primary care – 5%
Total of 50% reduction

7. Singapore is a bright spot
USA
Insurance
High deductible
Pre-paid medical care
Primary care
Everyone has access
no focus
Transparency tool
Indirect No
People control spending
$20,600
Only 11% of total spend

8. Solutions
Have a DPC membership or pays cash for primary care ($500 per year)
Everyone pays the first $3,000 to $4,000 of annual medical expenses out of pocket
Access to a transparency tool
Care for the poor begins with primary care and is coupled with plans to help them move through poverty