1. Health Care

2. Is it a Legal Right No –Not Mentioned in the Constitution –Not wanted by the States –It therefore belongs to the people We view it, however, as a right

3. Health Care Has Multiple Goals Being Healthy Living a Long Life Having Good Medical Care Making sure Everyone has this These goals make policy difficult

4. How Much do We Spend 2.2 Trillion Dollars 8000 Per person 16.2% of the GDP

5. A Hybrid System of Public and Private Modern Health Care is a product of the 1930’s. 46% is paid for by the government The Rest is from employers, and individuals

6. Where the Money Comes From

7. What the Government Covers Medicaid Medicare SCHIP Veterans Administration Government Employees

8. Medicaid Health Care as Welfare Single Largest Welfare program for the poor Fraught with problems

9. Medicare Health Care for Seniors How it worksworks

10. Medicare Non-Means Tested Increasingly Expensive Fraught with Problems

11. Private Insurance Fee For Service Managed Care- 90% of all private insurance

12. SCHIP Health Care for Children on the Bubble Increasingly Expensive

13. Terms of Health Care Premium Deductable Copayment

14. How We Get our Health Care

15. Strengths of the System Best Doctors and Hospitals Most Advanced Treatment Most Research and Development People with Health Care are satisfied With it.

16. The Problems of the System Access Cost Quality

17. The Problem of Access

18. It is not “46 Million Americans”, but 46 Million in America

19. The Problem of Access

22. Why People do not have insurance Who are they?they Health Care is an opportunity cost

23. Options for the Uninsured E.R. Self Medicate Do Nothing

24. Problem 2 Quality Quality is maldistributed We focus on sickness, not health We are overspecialized

25. Problem 3: Cost Outpacing Inflation Why

26. Cost- Technology MRI’s Bypass surgery Fake Knees and Hips These help us live longer

27. Cost- Labor 5.5 People per patient Jobs that require skill and education Recession Proof

28. Cost- Malpractice Actually not the law-suits themselves Defensive medicine High Insurance- just in case

29. Cost- Greedy people We want to get our benefits back We do not realize the actual costs A “Tragedy of the Commons”

30. Cost- An Older Population Our last years of life consume much of our health care dollar We are living longer and there are more of us More Care means more $

31. Cost and Prescription Drugs Average cost is $2400 9 in 10 Seniors use a drug Direct to Consumer AdsConsumer

32. Health Care Reform Insuring more people by changing the number The 46-47 Million number is gone46-47 Million

33. Expanding Federal Programs Getting those eligible on programs they are eligible for – Expanding Medicare Eligibility –Expanding COBRA health insurance –Expanding SCHIP Program

34. Making Changes to Private Insurance Cannot Deny for Pre-Existing Conditions Cannot remove people who use up their coverage The Slackers mandateSlackers Subsidies to purchase insurance

35. Individual Mandates People will be required to have health insurance –Just as we are required to have health insurance This is the tricky parttricky part

36. What if I have Insurance In theory it should not change Your employer, however, can just you off

37. When does it start Mandates begin in 2014 Costs should be lowered over time as people have insurance

38. How can we afford this 1 Trillion over first 10 years –Tax on TansTans –Higher medicare taxes on wealthy and Medicare cuts –Taxes on High-end insurance –Fees on Health Care Industry