"Nearly 47 million Americans without health coverage: is incremental reform working?" 2007 ACCI Annual Conference Esther Peterson Consumer Policy Forum.
"We have a tremendous responsibility to future generations to leave an accurate record of our history, one which lays bare not only the fact, but the process of change."
"AN ACCURATE RECORD OF OUR HISTORY" ... 2007
* 47 million Americans without any health coverage
* PRICE TAG: $65 and $130 billion annually (IOM)
* 18,000 people die/year in the US (preventable deaths) (IOM)
"AN ACCURATE RECORD OF OUR HISTORY".... 47 million people The Uninsured
* 80% in a family with at least 1 worker
* 2/3 are below 200% FPL
* 1 in 5 uninsured are kids
* 16+% of our population is uninsured (under age 65)
* In some states--TX: 1 in 4 people are without health insurance coverage (25% of the population)
"AN ACCURATE RECORD OF OUR HISTORY" ... uninsured and underinsured
* Medical problems/illness--leading cause of personal bankruptcy (majority had health insurance) (Warren 2006)
* $45 BILLION/year cost shifting to privately insured people--$1000/family in additional premium/year (Thorpe 2006)
"AN ACCURATE RECORD OF OUR HISTORY" .... the cost of health coverage (problems broader than the uninsured)
* Big 3 automakers spend more on health coverage than on steel
* Double-digit annual premium increases
* Cost-shifting (cuts in benefits, higher cost-sharing like deductibles, copay's etc.)
* Increases in the cost of health insurance outpaces inflation
"AN ACCURATE RECORD OF OUR HISTORY"
* Over 120 million people with chronic conditions
* Aging population
* Public insurance--financial pressures on programs (Medicare, and MEDICAID and SCHIP--state shortfalls--no $$)
* Industry: United CEO $1BILLION bonus
Process for change: Incremental Reform and Financing Medical Care
* Economic impact
* Impact on our communities
* Impact on our friends and neighbors
* American values
POLITICAL REALITY NEXT STEPS
"Process of change" ... political reality
LOBBYING $$ 2006:
* Pharmaceuticals/Health Products: nearly $167 million
* Insurance: $129 million
* Insurance: nearly $31million
* Health: $98.6 million
* Health #1/top issue or concern (public opinion)
* Lessons from history
* Cultural issues: "government"
* Cost-benefit to individuals: Will I be better off?
What will I have to give up? What will I get? Federalism: state v. federal Ideology
"You may have to fight a battle more than once to win it."
"We didn't intend to rock the boat ... We intended to sink the sucker."
Mila Kofman, J.D.,
Associate Research Professor
Health Policy Institute
"AN ACCURATE RECORD OF OUR HISTORY".... spending on health care ($) 2004: $1.878 Trillion (16% of GDP) 2000: $1.359 Trillion (13.8%) 1990: $717 Billion (12.4%) 1980: $255 Billion (9.1%) 1970: $75 Billion (7.2%) 1960: $28 Billion (5.2%) Access Problems Because of Costs in Five Countries, 2004 % of adults who had any of three access problems * in past year because of costs: * Did not get medical care because of cost of doctor's visit * Skipped medical test, treatment or follow-up because of cost * Did not fill Rx or skipped doses because of cost. UK 9 CAN 17 AUS 29 NZ 34 US 40 Note: Table made from bar graph. Life Expectancy at Birth in 2003 (source: Commonwealth Fund) Female Male Japan 85.3 78.4 France 82.9 75.8 Australia 82.8 77.8 Canada (a) 82.1 77.2 Germany 81.3 75.5 New Zealand (a) 81.1 76.3 OECD Median 81.1 75.5 Netherlands 80.9 76.2 United Kingdom 80.7 76.2 United States (a) 79.9 74.5 (a) 2002 Source: OECD Health Data 2005. Note: Table made from bar graph. "the process of change".... incremental 1965: MEDICARE AND MEDICAID 1974: ERISA 1985: COBRA 1996: HIPAA 1998: SCHIP 1996-8: MHPA, NMHPA, WHCRA 2003: MEDICARE PART D 2003: HSAs "AN ACCURATE RECORD OF OUR HISTORY" ... uninsured and counting 1990: 34.7 million people 2000: 39.8 million people 2005: 46.6 million people
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|Publication:||Consumer Interests Annual|
|Date:||Jan 1, 2007|
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