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Affordable Quality Healthcare: Path to Universal Care for All Americans

Dive into survey data from the Dartmouth Class of 1962 Pre-Reunion Healthcare Program focusing on Medicare, long-term care, affordability, and public opinion on healthcare rights. Uncover insights and suggestions for improving the healthcare system, including cost reduction strategies and addressing root causes of high costs. Compare various healthcare proposals such as single-payer systems, negotiated drug pricing, and government-based healthcare services. Gain a comprehensive view of the healthcare landscape and potential reforms for achieving accessible, sustainable, and high-quality care for all Americans.

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Affordable Quality Healthcare: Path to Universal Care for All Americans

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  1. Dartmouth Class of 1962Pre-Reunion Healthcare Program Survey “Affordable Quality Health Care for All Americans: How Do We Get There?” Sandy Apgar ‘62

  2. Objective Today: Summarize ‘62 Healthcare Survey Data Highlight Survey Insights / Suggestions

  3. Summary Data From Survey (I): ~90% on Medicare; <30% have Long-term Care “Wish List”: Long-term, Home, Dental 83% pay <$10K p.a. out-of-pocket 96% think it’s affordable / sustainable 95% have a trusted primary care provider ~90% have a “living will”

  4. Employer-sponsored Medicare Parts A+B Medicare Part D (Drug Coverage) Medicare Supplemental Gap Long-term Care Other

  5. Long-term Care Home Care Supplemental Prescription Drugs Dental Care Medical-related Travel Other

  6. Summary Data From Survey (II): ~70% think Healthcare is a “right” (vs. “privilege”) +50% favor single-payer “Medicare for All” 46% favor negotiated pricing for drugs

  7. Comprehensive government-based single-payer (ʺMedicare for allʺ) National health service with salaried and private physicians The current Republican “repeal and replace” proposal A “premium-support” or voucher system Individual state-run private insurance plans Elimination of fee-for-service payments/Adoption of value-based performance fees Price controls/price negotiations for drugs, medical services, devices No major reforms – work with the current (Obamacare) system Other

  8. Insights / Suggestions From Survey Q14: ENDS Lower costs / Less waste Lifetime “care for all” Service ethos MEANS Comprehensive national strategy Proven “best practices” Transparent costs / resources

  9. Cost Reduction: Mayo Program Reduce turnover time / eliminate “white space” Cut equipment costs / limit variety Leverage purchasing power / concentrate vendors Lower “hospital” charges / shift to “hotel” stays Reduce overtime / stagger operating hours Increase flexibility / compress variability …..preserving capacity for complex cases.....

  10. Root Causes of High Costs: Specialization: Turf motives / weak accountability Complexity: Multiple / overlapping layers Awareness: Consumers / Suppliers

  11. Key Insights From Survey: Cost drivers / structure? Universal coverage? Institutional vs. Home long-term care? Profit- vs. Non-Profit economics?

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