1. Uninsured H Edu 5100

2. The quiz http:www.pbs.org/newshour/health/uninsuredwww.pbs.org/newshour/health/uninsured

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

4. Private Non Group Medicaid/Other Public Uninsured Employer-Sponsored Total = 255.1 million

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

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

7. 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

8. Adults 35-64 Adults 19-34 Children under 19

9. 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

10. Whites Hispanics & Native Americans African Americans Asian Americans

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

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

15. 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

17. 8. What size business is most likely to insure workers?  A. 3-9 workers  B. 10-24 workers  C. 25-49 workers  D. 50-199 workers  E. 200+ workers

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

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

21. 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

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

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

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

25. Expectations and beliefs  Learned hopelessness  Stigma  Contradictions

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

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

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

29. Other Access Issues… % of low-income patients with “access” problem who reported type of reason Reason or problem6-mos- 17 yrs 18-64 yrs All ages Not up to going5.136.129.2 Problems with child care32.814.318.2 Too nervous or afraid10.233.828.6 Not sure provider would understand needs 22.49.112.2 Unable to get free time to get care 8.127.222.9 Had to wait too long to get an appointment 20.320.4

30. 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?