2007_Health_Care_in_the_US - This lecture material requires...

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This lecture material requires substantial updates and may be replaced by a PowerPoint presentation I. Health Care Issues in the United States. A. General Trends since WWII. 1. The Price of Health Care. Americans spend more money on health care than any other nation and yet are no healthier than any other industrialized country. Infant mortality in Detroit is higher than in many Third World Countries. a) As percentage of GNP (Gross National Product) health care costs have risen steadily from 4.5% in 1950-55 to 12% in 1990 and are climbing. b) The annual per-person cost of health care rose an average of 10% per year from $143 in 1960 to $2,500 in 1990 to $3,629 in 1993. c) Medical benefits costs for each worker were $3,161 in 1990, up 46% from 1988 (Bureau of Labor Statistics). (1) Major corporations are negotiating reduced rates with the insurance companies which are in turn are shifting costs to smaller employers and individual subscribers. (2) Employers are reducing benefits, coverage and requiring employees to pay for more of their insurance costs. 2. Shifting Health Care Costs. a) Transferring health care costs to the workers. (1) The number of companies offering plans for individual employees dropped from 75% in 1982 to 48% in 1989. (2) The number of companies offering plans for families of employees dropped from 50% in 1982 to 31% in 1989. b) Employees are paying more for their health insurance. (1) The employee contribution to individual insurance increased from $9 to $25 (178%)between 1982 and 1989. (2) The employee contribution to family insurance increased from $27 to $72 between 1982 and 1989. 3. Who is Uninsured? a) The number of uninsured has risen from 24.6 million in 1980 to 32.1 million in 1988 to 37.1 million in 1993. 840,000 uninsured in Michigan in 1991. b) In 1993, 51.3 million were without health insurance for all or part of the year. 22% for 1-3 months, 43% for 4-11 and 35% or 18.2 million were without insurance for the entire year or longer.
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c) Working uninsured. 80% of uninsured Americans are in working families and 40% of those work for very small firms (under 25 employees)and have incomes above the poverty level ($11,570 for a family of three). (1) Only 32% of firms with fewer than 25 employees offer insurance. (a) 81% for 25-99, (b) 95% for 100-999, and (c) 98% for 1000+. (2) Full-time, full year employees. In 1989, 11.82 uninsured employees. In 1991 12.09 million and 14 million in 1993 (52% of uninsured). (3)
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This note was uploaded on 03/19/2008 for the course ISS 315 taught by Professor Hussain during the Fall '08 term at Michigan State University.

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2007_Health_Care_in_the_US - This lecture material requires...

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