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Universal Healthcare andwhy it is not the answer By: Dennis De Almeida
Brief Overview of US Healthcare • 5 Predominant Bills in Congress • 46 Million Uninsured • #1 in Healthcare Spending • #37 in Healthcare Performance • 16% of US GDP H.R. 3962 – 2032 pages
Current Developments • H.R.3962 - Affordable Health Care for America Act – Passed the HR on Nov. 7, 2009 • Bill in the senate passes to debate on Nov. 22, 2009 • Senate will debate and vote the week of November 30th
Compare Bills Senate Democratic bill Patient Protection Affordable Care Act House of Representatives bill Affordable Health Care for America Act • 36 million would gain coverage • Estimated cost of ($848 billion) $848,000,000,000 .00 • Employer Mandate • Public Option • State-based purchasing pools • Increase Medicaid coverage • 31 million would gain coverage • Estimated cost of ($1.2 trillion) $1,200,000,000,000.00 • Employer Mandate • Public Option • Health Insurance Exchange • Increase Medicaid coverage
How they are financed Senate Democratic bill Patient Protection Affordable Care Act House of Representatives bill Affordable Health Care for America Act • $149.1 billion over seven years from a new excise tax on high-premium insurance • Cuts to Medicare and Medicaid • A fee on employers whose workers receive government subsidies to help them pay premiums • Fines on people who fail to purchase coverage • $54 billion over 10 years from a Medicare payroll • Tax hikes on high-income earners • $5 billion over 10 years from a new tax on elective cosmetic surgery • $102.3 billion over ten years from fees on insurance companies & drug makers • $460 billion over the next decade from new income taxes • More than $400 billion in cuts to Medicare and Medicaid • A new $20 billion fee on medical device makers • $13 billion from limiting contributions to flexible spending accounts • Fines on individuals and employers who don't obtain coverage and a mix of other corporate taxes and fees.
Effect on Business • Increases in taxes • 4.5% surtax on small businesses • Mandatory to cover employees or fined • Taxes on Private Insurance Companies, Medical Manufacturers • Low reimbursements for pharmacies and doctors
Effect On You • You are forced to buy insurance or pay a penalty • America’s youth will subsidize the elderly • Mammograms & Abortions • Quality & Efficiency of Healthcare
Pros Cons • Almost all legal Americans covered • Pre-existing conditions • No caps on medical treatment • “Affordable healthcare” • Less Doctors per patients • Worse quality healthcare • Bigger Government • More taxes • Extinction of private health insurance cos. • Bureaucrats making healthcare decision
Video Interview Current Seton Hall Student Majoring in Political Science
My Opinion • We need healthcare insurance reform • No Universal Healthcare or Public Option • Allow Inter-State competition • Put limits on malpractice lawsuits • Free Market Theory • Keep current healthcare no matter if you change or lose your job • Give small business tax credits if they provide health insurance • Allow dependents to stay under parents until 25 • Prevent insurers from dropping coverage
Using the N97 • Video & Sound Recording • Active Notes • Internet • Barcode Software • Podcasts • Facebook