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

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Presentation on theme: "Disclosure: Dr. Steffie Woolhandler MD MPH has no relevant financial relationships with commercial interests."— Presentation transcript:

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

2 What Dick Taught Me About Power

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5 Source: Dickman et al, Unpublished analysis of MEPS, NHES, NMES

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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

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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

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28 Hospital Consolidation Rising

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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


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