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Health Care Reform: Weighing Our Choices

HEALTH CARE REFORM: WEIGHING OUR CHOICES The American health care system is the most expensive in the world, and still, millions are without coverage. The level of care that individuals receive varies -with instances throughout the country illustrating that greater cost does not equal greater health care quality. How can we weigh questions of cost, accessibility and quality as we seek to change the currently inefficient system? THE BALANCING ACT GDP SPENT ON HEALTH CARE INCREASE IN AVERAGE SHARED EXPENSE FOR EMPLOYER-BASED INSURANCE employer contribution worker contribution $10,944 in 2011. $4,129 in 2011 average of United Stares 30+ countries 17.9% 9.5% $5,269 in 2001 $1,787 in 2001 COST is unsustainable for gov't, employers, and individuals alike of Americans said they cut back on medical care in the past year because óf cost. over 300 million U.S. residents total HALF ACCESSis limited up to 30 million uninsured after ACA 8.7% 8.9% 17.9% portion of GDP spent on health care "There is a negative relationship between Medicare spending and the quality of care received by Medicare benefi ciaries." 82 78 life expectancy years years years QUALITY for all we spend, do we have the best quality of care? Japan Norway USA LOOKING AT OUR OPTIONS 1 Move to government-provided, universal health care Give consumers more choice in their health care A 3 Tweak the current system to make it gradually more affordable and accessible THE CHOICES AREN'T EASY Universal Coverage Consumer Choice Tweak Current System + It would SIMPLIFY the system + EVERYONE would have COVERAGE BUT + FREE CHOICE will give individuals RESPONSIBILITY + BEST PRACTICES.can help control COST & improve QUALITY + It will RELIEVE the BURDENED employer-based system BUT + Small steps will AVOID political GRIDLOC BUT - It DOES NOT necessarily CURB COST enough LESS FLEXIBLE means longer wait time for procedures - A PIECEMEAL approach of public & private is INCOHERENT 1 COMPETITION isn't enough, COSTS may still SOAR Even incremental CHANGE will still TAKE TIME - The number of UNINSURED could go UP FACING THE FUTURE $4,781 $2,593 It will likely be a number of years before it is clear whether the ACA With gains in life expectancy, Medicare will balloon in enrollment from 2021 succeeded in expanding coverage to tens of millions without greatly increasing costs. - Urban Institute Report? 2010 47-85 over National health. expenditures are projected to almost (in billions) DOUBLE over the next 10 years. to the next million 25 years million Have an idea? Want to lead a discussion in your community on health care reform? We invite the use of Public Agenda's "Health Care: A Citizens' Solutions Guide" as a resource for deliberative discussion. You can download this guide, as well as others on important national issues, online at 1 "Improving Health Care Quality and Values: Local Challenges and Local Opportunities." by Katherine Baicker and Amitabh Chandra (Harvard University) May 2009. PUBLIC AGENDA 2 "What are the Provisions in the New Law for Containing Costs and How Effective Will They Be?" by Stephen Zuckerman, Urban Institute, August 2010.

Health Care Reform: Weighing Our Choices

shared by megandonovan on Sep 05
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We face some difficult challenges and complicated decisions when it comes to health care in this country. How can we weigh cost, accessibility and quality as we seek to change the currently inefficient system?


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