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Uninsured HAS 4320
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The quiz http:www.pbs.org/newshour/health/uninsuredwww.pbs.org/newshour/health/uninsured
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1. How many Americans were uninsured in 1998? A. 18 million B. Around 25 million C. Around 44 million D. 53 million
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A. Full-time employed B. Part-time employed C. Unemployed 2. Are Most Uninsured:
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3. Which age group represents the most uninsured people? A. Age 18 and under B. Age 19-24 C. Age 25-34 D. Age 35-44 E. Age 45-54 F. Age 55-65
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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
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5. How many children age 18 and under are uninsured? A. 1 million B. 3.6 million C. 8 million D. 12 million
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6. How does health insurance influence the care people get?
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7. What is the primary reason people say they don't people have health insurance? A. Don’t know how to get coverage B. Too expensive C. Job doesn’t offer benefits D. Unemployed
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The Problem 42.6 million uninsured Health premiums continue to rise Job loss Inadequate Medicaid
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Demographics Full-time workers Poor or low income More minorities Charts…
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Utah’s Uninsured 270,000 (non-elderly) 14.4%
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Causes and Consequences Small employers Premiums American beliefs Reduced access Life style Anxiety
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Financial Consequences Medical bills More needs Debt Collections Courts Bankruptcy Uninsured are overcharged
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Day-to-day Struggles Cost-benefit analysis Home remedies What would you give up?
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Expectations and beliefs Learned hopelessness Stigma Contradictions
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Children without Insurance 1/3 Most breadwinners employed Medicaid issues Receive less care
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Social Policy Targeted services Employer-sponsored insurance Public programs Universal Coverage
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National Health Insurance Production efficiency Consumption efficiency Equity
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Proposals Single-payor Employer-mandated Refundable tax credits Medical savings accounts (MSA) Healthcare Act of 2003 The Health Coverage, Affordability, Responsibility and Equity Act of 2003
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CHIP (Utah) Children’s Health Insurance Program Who is eligible 2003 Income guidelines When/How do I apply? How is CHIP paid for? What services?
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Medicaid Introduction Who is covered? Children Adults Elderly Disabled
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What services are covered? Inpatient and outpatient hospital Physician, midwife, certified NP Lab and X-ray Nursing home and home health Screening, diagnosis and treatment for children Family planning Rural health clinics
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How is it spent 50% + on acute care services 35% on long-term care
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How is it delivered? Managed care…
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