1. The Impact of the Uninsured/Under- Insured on the Delivery of Health Care Services Gerald F. Kominski, Ph.D. Professor, Health Services Associate Director, Center for Health Policy Research UCLA School of Public Health February 25, 2005

2. The “Failure” of Managed Care Has Coincided with a New Era of Rapidly Rising Health Expenditures Source: Centers for Medicaid and Medicare Services, Office of the Actuary.

3. Since 2000, Employer Health Insurance Premiums Have Increased 61% in CA Sources: Kaiser/HRET Employer Health Benefits Survey, 2004. KFF/HRET California Employer Health Benefits Survey, 2000-2004.

4. Closing the “Gap” for the Uninsured in California is Costly, but Feasible Sources: California Health Interview Survey (CHIS), 2001; Medical Expenditure Panel Survey (MEPS) 1998-2000.

5. $4.5 billion spent by and for the uninsured in LA County in 2003  Gap between full insurance and current spending is about $1.9 Billion

6. Number of Uninsured Residents in LA County Declined by About 157,000 from 2001 to 2003 Source: California Health Interview Survey, 2001, 2003. Insurance status at time of survey.

7. Rate of Uninsured is Much Higher in Metro and South SPAs Source: California Health Interview Survey, 2003.