Bill of Health

THE GOOD SHEET · N° 002 · September 18 - 24, 2008 · WWW.GOOD.IS/ CATEGORIES: O HEALTH SYMPTOMS: BILL OF HEALTH : DEPRESSED AND IN PAIN As of 2006, there were 47 million uninsured Americans, which is 16% of the population. In 2005, the most frequently prescribed therapeutic drug class was antidepressants. O Last year, the painkiller codeine was the most prescribed generic drug. O Currently, 70% of the money spent on health goes to treat chronic conditions. Of those uninsured, 39.4 million were in metropolitan areas, 7.6 million in rural ones. 13.9 million of the uninsured had household The prognosis for health care in America isn't positive. Many people are uninsured and many more lack the level of care they need. Collectively, we cough up trillions to keep citizens well, but our health indicators lag behind other nations that spend far less. Here is a detailed diagnosis of the problem. incomes less than $25,000 annually; 15.3 million had incomes between $25,000 and $49,999. HOW TO HEAL THE SYSTEM: In 2000, 64% of employers offered health benefits. By 2006, 60% of employers offered them. A LOOK AT WHAT'S WRONG: PROVIDER CHOICE: POPULATION COVERED PLAN -----.-.- CURRENT VARIABLE SITUATION CARE COST ADMINISTRATION SAMPLE: GOVERNMENT SPENDING HIGH ADMINISTRATIVE EMPLOYERS, STATE, AND LOCAL GOVERNMENTS PAY FEES AND OFFER PLANS DEPENDS ON INSURANCE PLAN 84% TREATMENTS $313 billion = cost of Medicaid + Medicare in 2001 EXPENSME FOR EMPLOYERS, STATE AND FEDERAL GOVERNMENT ALLOWED THE UNITED STATES SPENDS $2 TRILLION ON HEALTH CARE ANNUALLY HIGH CO-PAYS. $559 billion = cost of Medicaid + Medicare in 2007 1,000 INSURANCE COMPANIES ADMINISTER COVERAGE PREM $1.26 trillion = projected cost in 2017 THAT MEANS MORE THAN $6,700 IS SPENT ANNUALLY ON EACH AMERICAN'S HEALTH CARE. EXCLISION NOT USLUALLY PORTABLE PREEXISTING CONDITIONS UNFAIRLY BURDENED CHINA U.S. CUBA U.K DENMARK ISRAEL GERMANY NORWAY FRANCE SWEDEN PERCENTAGE BREAKDOWN BY SOURCE OF FUNDS: 21.16 |6.30 5.93 4.93 4.40 4.28 4.03 3.61 3.36 2.75 HANDATE ELIGIBILITY REQUIRE MENTS FOR THE CURRENT FEDERAL PROGRAMS FEE FOR SERVICE UNINSURED REQUIRED TO PURCHASE INSURANCE DEPENDS ON INSURANCE PLAN 2008 ESTIMATES 97% 36% 35% 15% 11% UNNSURED POOLED INTO INSURANCE EXCHANGES TO LOWER COSTS EMPLOYERS THAT DONT PROVIDE INSURANCE PAY FEE OR TAX INFANT MORTALITY RATES (DEATHS PER 1,000 BIRTHS) 2008 ESTIMATES "2005 FIGURES, MOST RECENT AVAILABLE NOT ENTIRELY PORTABLE OBAMA ENDORSED EXPANDED U.S. 16.0 SUBSIDIES FOR THE POOR OBAMA ENDORSED GERMANY 10.9 REQUIRES PAYROLL TAX LIFE EXPECTANCY (IN YEARS) FRANCE 10.5 3 .-------- INSURANCE COMPANIES AND FOR-PROFIT HEALTH CARE PROHIBITED SINGLE 100% UNFORM 8 COVERAGE OF BASIC MEDICAL NEEDS FEE FOR YES COST BREAKDOWN BY TYPE OF EXPENDITURE: NORWAY 9.7 SERVICE PAYER GOVERNMENT NEGOTIATES REDUCED COSTS FOR SWEDEN 9.1 HOW WE COMPARE TO OTHER COUNTRIES: $621.7 bilion Clinical services COVERNMENT ADMINISTERS CENTRALZED PLAN DENMARK 8.9 A$611.6 billion Hospital DALIGS AND ISRAEL SERVICES 8.4 PORTABLE 3 $338.6 billion Other REQUIRES INCREASED TAXES U.K. 8.3 McCAINE ANA WE SPEND MORE OF OUR GDP ON HEALTH CARE THAN ANY OTHER COUNTRY-WITHOUT THE RESULTS TO SHOW FOR IT. O $258.8 billin Medical products and drugs NCCAIN ENDORSED CUBA 7.6 O $169.3 billion Nursing homes EMPHASIS ON EXPERIMENTAL STATE-BASED INSURANCE HEALTH SAVINGS ACCOUNTS EMPLOYERS CONTINUE TO OFFER PLANS INITIALLY DEPENDS ON PLAN 87% AND UP INCRE- NENTAL CHINA 4.7 CO-PAYS AND PREMIUMS REMAIN INSURANCE COMPANIES REMAIN ENDS HEALTH- STATE RUN INSURANCE FXCHANGES OFFER A VARIFTY OF NOT ENTIRELY PORTABLE HOW WE GOT INTO THIS MESS: PERCENTAGE OF GDP SPENT ON HEALTH CARE INSURANCE-RELATED TAX BREAKS ROp EMPLOYERS" MCCAIN ENDORSED SHORT-TERM TAX BREAKS TO OFFSET THE COST OF COVERAGE 20e SSTIMATES CUBA OPTIONS 73.18 OBAMA ENDORSED ---.---- GUARAN- SMALL CO-PAYS MEDICAID, MEDICARE, AND SCHIP PHASED OUT COVERAGE BASED ON CURRENT PLAN FOR MEMBERS OF CONGRESS YES 100%* late 1970s: Insurance Coverage peaks as 85% of Americans have some form of private health care coverage. 1901: The be r1945: President Truman's plan for a national health program is attacked by the AMA and piot -After WW II: For-profit insurers enter market i competition with Blue Cross, attracting young and healthy workers with low rates. 1965: Medicare and Medicaid are 1800s: Lumber, mining. and railroad companies offer health care to workers to keep up production. -1910s: Prognessive reformers argue for health insuránce and the American Association for egislat. 1930s: The 1935 National Labor Relations Act, requiring management to bargain r1935: The Social Security Act passes without any included health-insurance benelits. -1940s: During WW I, employers attract workers with health-insurance benefits in lieu of raises. 1946: The Blue Cross Commission, th 1950s: Nonprofit Blue d Blue 1955: Health insurance, which provided -1959: Congress enacts the federal EW's Act a signed into law. 1997: The State Children's The Medicare Health Insurance Program is launched to provide health coverage to uninsured children. 2003: organnning of médicine: The American Medical Association becomes the national organization of state and local associations the early national orgánization of Blue Cross Plans, is created. Cross and Shield organizations create a giant Modernization Act is signed, offering a préscription- drug subsidy NONCASH VOUCHER SYSTEM NO LONGER EMPLOYER ADMINISTERED Healh R Federal Employees Health Program open enrollment is held in 1960. FEHP now Covers more than 9 million employees, retirees, and fheir families. ACCESS coverage for less than 10% of the with labor over "wages and conditions," is enacted and soon becomes a catalyst for employer-based health benefits. population in 1940, covers early 70% in nearly. 1955. REQUIRES DEDICATED VALUE -ADDED GOVERNMENT INDEPENDENTLY EVALUATES TREATMENIS oing coste afo other s the national conference on "social linsurance." EXCLUSIONS FOR PREEXISTING CONDITIONS Communised a by a House of Representatives subcommittee. predictable and relatively low. ENDORSD PORTABLE * Estimated SOURCES CIA World Factbook: Congressional Budget Office; Healthcare, Guaranteed by Ezekiel J. Emanuel; Heritage Foundation; Jonathan Gruber; Kaiser Family Foundation; National Center for Health + NEXT WEEK'S GOOD SHEET: © 0eO Copyright © 2008 GOOD Worldwide, Inc. This exploration of health care is a collaboration between GOOD and KARLSSONWILKER. WATCH videos on health care at www.good.is/ GOOD Statistics; OECD Health Data; PBS.org: Physicians for a National Health Program; U.S. Census Bureau; U.S. Department of Health and Human Services; World Health Organization NOTE Percentages may Immigration Some rights reserved. GOOD is a U.S. registered trademark and trademark of GOOD Worldwide, Inc. not add to 100 due to rounding Prtivate healt government Other private ANCE SWEDEN 80.74 ISRAEL B0.61 ORWAY GERMAN 79. 10 78.85 DENMA 78.1 77.27 CHINA