1. Uninsured HAS 4320

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

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

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

9. Utah’s Uninsured 270,000 (non-elderly) 14.4%

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

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

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

13. Expectations and beliefs Learned hopelessness Stigma Contradictions

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

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

16. National Health Insurance Production efficiency Consumption efficiency Equity

17. 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

18. 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?

19. Medicaid Introduction Who is covered?  Children  Adults  Elderly  Disabled

20. 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

21. How is it spent 50% + on acute care services 35% on long-term care

22. How is it delivered? Managed care…