13b+Health+Care+Finance

13b+Health+Care+Finance - INTA 1200American Government The...

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INTA 1200—American Government The Politics of Health Care Finance
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The Problem I: Who is Covered?
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How Do Americans Fund Their Health Care? ►Though their employers (usually large firms) From US government (Medicare/Medicaid or military) From private insurance plans
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Health Insurance Coverage (millions, 2008) Military 11,560 (3%) Direct Purchase 26,777 (8%) Medicaid 42,641 (12%) Medicare 43,029 (12%) Not Covered 46,340 (13%) Employment Based 176,332 million (52%)
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Who has coverage? 87% of Americans: ►very poor (Medicaid) ►age 65+ (Medicare) ►wealthy (Private) ►workers at large firms (Employer-based) ►soldiers and veterans (Military) ►blind, end-stage renal disease, etc. Who Doesn’t Have Coverage? 13% of Americans: ►lower-middle class, not impoverished ►temporary workers and interns ►small companies and their employees ►illegal immigrants Hospital Emergency Rooms So who pays for these guys?
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The Problem II: How Much Does it Cost?
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In 2008, U.S. health care spending was about $7,681 per resident How Much Does Health Care Cost Me?
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Education 4% Net interest 5% Health Care 21% Welfare 18% Other* 8% Transportion 3% Veterans 3% Defense 19% Social security 19% US Federal Budget, Outlays (2010) $3.7 Trillion Source: http://www.gpoaccess.gov/usbudget/fy11/hist.html *Excise Taxes = Alcohol, Tobacco, Oil, Highway, etc.
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Spending on Health Care as % of GDP (1960-2005) Source: CBO http://www.cbo.gov/ftpdocs/87xx/doc8758/MainText.3.1.shtml
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US National Health Expenditures, 2008
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13b+Health+Care+Finance - INTA 1200American Government The...

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