Health Care - student - HealthCarePolicy MatisoffPOL1101

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Health Care Policy Matisoff – POL1101
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Heath Care Expenditures in the United States Health care expenditures are highest in U.S. as % of GDP (17.3%), and as absolute expenditure per capita ($8,000) in 2009 (source: Dept. Health $2.5 trillion spent in U.S. on Health Care (2009) Health care costs rising steeply at about 5% per year over past 10 years U.S. spends 2x more per person than OECD average & about 30% more than any other OECD country Growing faster than incomes Projected to be 20% of GDP in 2019
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Medicare trust fund insolvency: 2017 (now 2025ish?) #1 issue in federal debt; our budget problem is our health care problem Currently about 45 million (16%) people uninsured, growing rapidly By 2013 >1/4 of workers will not have health care Increasing costs will lead to fewer and fewer covered Huge business issue Health care costs are major factor in unemployment & competitiveness of U.S. industry
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How are we doing? U.S. ranks 38th in life expectancy U.S. ranks 33rd in infant mortality rate U.S. ranks 37th in health care system performance Places like Costa Rica get similar outcomes at ¼ of cost Patients get ‘right’ treatment only 55% of time 75% of expenditures are on chronic diseases 80% of these expenditures could be prevented Less than 5% of expenditures are on spent on
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Problems regarding health care Excessive costs Rising faster than income Over-consumption of “wrong” services Limited Coverage Many lack coverage, excessive burden on middle class workers 14.8% (45-47 million) of Americans uninsured (CDC) 9.3% of American children uninsured Poor covered by Medicaid, emergency rooms Under-insured
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Fundamental problems with for-profit Health  Care For profit corporations are corporations, which exist for making a profit There is nothing moral, or immoral about corporations – they are set up to make a profit, not deliver health care For profit health care model relies on denying treatment to increase profit Medical coverage is considered a “loss” HMOs Before treatment, HMO doctors send request for service through HMO administration, coverage & procedures routinely denied 1/3 of premiums are spent on executive salaries,
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Five Groups of Citizens in U.S. Poor - covered by Medicaid (15%)* Elderly - covered by Medicare (13.7%) Employer Insured - private health coverage through employers (62%)* Uninsured - paid by others, or go without (18%)* Self-insured: 6% * numbers do not include elderly - 96% of elderly receive Medicare
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Costs of Health Care (Private insurance) Average person’s health insurance costs $4,800, of which, average person pays $800 out of paycheck Average family care costs $13,500, pays $3,500 out of paycheck Increasing deductibles, etc
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Health care providers in U.S.
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Health Care - student - HealthCarePolicy MatisoffPOL1101

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