1. Some Choices Don’t Really Matter!

2. Public Support – Single Payer Polls from 2009 1 April, Kaiser Family Foundation 2 January, Grove Insight Opinion Research 3 January, New York Times/CBS News ☤ 49% favor coverage from a single govt. plan 1 ☤ 59% prefer a system like Medicare for all 2 ☤ 59% say government should provide national health insurance 3

3. Obama on Single Payer  “A single payer plan is what I would like to see.” - addressing an AFL-CIO group in Chicago, 2003  “If I were starting from scratch, if we didn't have a system in which employers had typically provided health care, I would go with a single payer system.” - January 22, 2008, and many times after that

11. Kidney Transplants OECD, 2004 (2002 Data, Canada and Sweden are 2001)

14. Rampel, US Health Spending Breaks From the Pack, NYT 7/8/09 National Health Spending % GDP

15. WORLD’S TOP 10 DRUG COMPANIES AND PRESCRIPTION DRUG SALES 2008 Total: 5 American, 5 European, $310 billion Source: IMS Health “Top 15 Global Corporations” www.IMSHealth.com, accessed 8/27/09

16. Copyright ©2004 by Project HOPE, all rights reserved. Uwe E. Reinhardt, Peter S. Hussey, and Gerard F. Anderson, U.S. Health Care Spending In An International Context, Health Affairs, Vol 23, Issue 3, 10-25

17. Nancy Swigonski, MD, MPH Unnecessary Procedures

18. Nancy Swigonski, MD, MPH Trouble Getting Needed Care Source: Commonwealth Fund Survey, 1998

19. Nancy Swigonski, MD, MPH P Indiana Source: Centers for Medicare and Medicaid Services Health Expenditure Data, Health Expenditures by State, 2007 Expenditures –In 2004, $33 billion on health care –14.4% gross state product –$5,295 for every man, woman and child Outcomes –Age-adjusted mortality rate 6.2% higher than national average –Excess mortality in diabetes and cancer

20. Nancy Swigonski, MD, MPH P Indiana Source: Centers for Medicare and Medicaid Services Health Expenditure Data, Health Expenditures by State, 2007 Hospita l Nursin g HomeDrugsPhysicia n Other Indiana$2,051$461$796$1,264$723 US$1,931$392$757$1,341$861 Per Capita Health Expenditure, by Type, Indiana and US, 2004

21. Nancy Swigonski, MD, MPH 1/2 U.S. deaths occur as a result of preventable causes Yet > 95% of our health-care spending is committed to diagnosis and treatment as opposed to prevention

22. Nancy Swigonski, MD, MPH More “Productive” Physicians Provide Poorer Care Source: Arch Int Med 1999; 159:294 Fast physicians = those seeing more pts./hour than average Slow Physicians = those seeing fewer pts./hour than average

23. Taming the Deficit, Rosnick and Baker, CEPR Dec ‘09

25. “Kids, your mother and I have spent so much money on health insurance this year that instead of vacation, we’re all going in for elective surgery.”

27. Milton Friedman “Few trends could so thoroughly undermine the very foundations of our free society as the acceptance by corporate officials of a social responsibility other than to make as much money for their shareholders as possible.” Capitalism and Freedom, 1962