1. Disclosure: Dr. Steffie Woolhandler MD MPH has no relevant financial relationships with commercial interests

2. What Dick Taught Me About Power

5. Source: Dickman et al, Unpublished analysis of MEPS, NHES, NMES

11. Minority Kids and Youth Get Little Psychiatric Care Outside of Prison Compared to whites kids and youths (age 0-34) Black and Latino kids and youths make about 50%fewer visits to psychiatrists; about 70 % fewer visits to psychologists; and about 70% fewer visits to social workers for mental health counselling. Source: Marrast, Woolhandler, Himmelstein – Prepublication Data based on analysis of MEPS – Numbers for each race and income group are combined in this slide

12. Investor Ownership

13. For-Profit Hospitals’ Death Rates are 2% Higher Source: CMAJ 2002;166:1399

14. For-Profit Hospitals Cost 19% More Source: CMAJ 2004;170:1817

15. For-Profit Dialysis Clinics’ Death Rates are 9% Higher Source: JAMA 2002;288:2449

21. Medicare’s “Software” 18.9 Million Seniors Enrolled Within11 Months

22. “Mandate” Model for Reform 1.Expanded Medicaid-like program  Free for poor  Subsidies for low income  Buy-in without subsidy for others 2.Employer Mandate +/- Individuals 3.Managed Care / Care Management

23. February 16, 1971

28. Hospital Consolidation Rising

36. “ I am firmly opposed to forced integration and I firmly believe that the doctrine of states’ rights should be maintained.” Source: Form letter to constituent, February 18, 1957 LBJ on Civil Rights, 1957

37. LBJ Video