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U.S. Health System Reform Rhetoric vs. Reality

U.S. Health System Reform Rhetoric vs. Reality. Joseph M. Heyman, MD Chair, Board of Trustees. Where does insurance come from?. Employer-sponsored 61%. Private/ Non-group 5%. Uninsured 18%. Medicaid/ Public Health Insurance 16%. Family health coverage in MI. Cutting back on care.

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U.S. Health System Reform Rhetoric vs. Reality

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  1. U.S. Health System ReformRhetoric vs. Reality Joseph M. Heyman, MD Chair, Board of Trustees

  2. Where does insurance come from? Employer-sponsored 61% Private/ Non-group 5% Uninsured 18% Medicaid/ Public Health Insurance 16%

  3. Family health coverage in MI

  4. Cutting back on care

  5. U.S. Health Care Spending 2018: $4.4 Trillion 2008: $2.4 Trillion

  6. 5 American College of Physicians, Ann Intern Med 2008;148:55-7

  7. Percentage of national health expenditures spent on health administration, 2003 American College of Physicians, Ann Intern Med 2008;148:55-75

  8. Support for Health System Reform “We can no longer afford to put health care reform on hold.” ~ President Barack Obama, Feb. 24, 2009 “Rising health costs undermine our strength in the global marketplace.” ~ Sens. Baucus and Kennedy, Feb. 26, 2009 WSJ “We can achieve health-care reform in America . . . if we do it in a truly bipartisan basis.” ~ Sen. John McCain, Feb. 25, 2009, CNN

  9. Commitment “You have our commitment to play, to contribute and to help pass healthcare reform this year.” ~ AHIP Chief Executive Karen Ignagni, at the Obama health care summit, March 5, 2009

  10. AMA working closely with: • Obama Administration • Senate HELP and Finance • House Ways and Means; Energy and Commerce • Health Reform Dialogue Group • State attorneys general • State medical societies

  11. Health System Reform • Provide health care coverage for all • Improve quality • Promote wellness and prevention • Reform public programs • Reform health care delivery systems • Reduce cost and increase value

  12. 46 million uninsured Americans is a national disgrace

  13. The AMA Plan • Affordability • Choice • Fairness

  14. Promoting health and wellness

  15. Determinants of health

  16. www.ama-assn.org/go/lifesteps

  17. Annual costs of chronic disease • Heart disease and stroke $448B • Smoking and tobacco use $193B • Diabetes $174B • Obesity $117B • Cancer $89B • Arthritis $81B • Pregnancy complications $1B • (pre-delivery)Total = $1.1Trillion Source: http://www.cdc.gov/nccdphp/overview.htm

  18. The Medicare Dilemma Practice Costs Medicare Cuts

  19. Michigan physicians likely would…

  20. Stimulus Rhetoric vs. Reality • Health Information Technology (HIT) • Comparative Effectiveness Research (CER) • The first step toward health system reform • www.ama-assn.org/go/patients

  21. Together we are stronger.

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