2. Excess cost growth in Medicare, Medicaid, and all other health care spending Source: CBO, A Federal Perspective on Health Care Policy and Costs, 2008.

4. the U.S. Spends More on Health Care Than ANY Other Developed Nation Source: Kaiser Family Foundation, Snapshots: Health Care Costs, 2007. Total Health Expenditures Per Capita, U.S. and Selected Countries

6. Employers and employees are spending more on premiums Source: Kaiser Family Foundation, Employer Health Survey, 2008.

7. Deductibles are rising Source: Kaiser Family Foundation, Employer Health Survey, 2008.

8. Higher copayments increase the burden on insured workers Source: Kaiser Family Foundation, Employer Health Survey, 2008. Distribution of Copayments for an office visit with a Primary Care Physician

9. Percentage of Americans Not Covered

10. Percent Under 65 Covered By Employers

11. Coverage Under Employer Insurance Is Flat…

12. …In a Growing Eligible Population Covered Population Under 65

14. Source: Kaiser Employer Health Survey, 2008. Small Firms Are Less Likely To Offer Health Benefits Percentage of Firms Offering Health Benefits

15. Workers Covered by Employers’ Health Benefits Source: Kaiser Employer Health Survey, 2008. Health-Insurance Coverage Is Lower in Small Firms

16. Employer Coverage Is Falling; Uninsured Percentage Is Rising Under 65, Covered By Employer Uninsured Source: U.S. Census Bureau.

17. Infant mortality rate in the U.S. is higher than in other developed countries Source: National Center for Health Statistics, Health, United States, 2007.

18. Few Private Employee-Enrollees Can Save By Choosing a Less-Expensive Insurance Carrier Source: Marquis and Long, “Trends in Managed Care and Managed Competition, 1993-97,” Health Affairs, 18, no. 6 (1999).

19. Source: Peter Orszag, CBO, Presentation to the Center for Public Health, Stanford University Medicare Spending per Beneficiary, by Hospital Referral Region, 2005

20. Source: Elliot Fisher, Dartmouth Medical School. Cost and Performance at Three High-Quality Medical Centers *Care Delivery and Spending Among Medicare patients in last 6 months of life. **CMS Composite Quality Score: an aggregate of all quality measures within each clinical area.

21. Source: The Dartmouth Atlas of Health Care, 1995-2005. Health Care Is Less Expensive in the Upper-Midwest