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Health Care

Health Care. 4/10/2012. Learning Objectives. Use knowledge and analyses of social problems to evaluate public policy, and to suggest policy alternatives, with special reference to questions of social justice, the common good, and public and individual responsibility.

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Health Care

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  1. Health Care 4/10/2012

  2. Learning Objectives • Use knowledge and analyses of social problems to evaluate public policy, and to suggest policy alternatives, with special reference to questions of social justice, the common good, and public and individual responsibility. • Critically analyze social problems by identifying value perspectives and applying concepts of sociology, political science, and economics;

  3. Opportunities to discuss course content • Today-11-2 • Wednesday 10-2

  4. Readings Required • Health and Welfare (Chapter 5 pp 97-115) Dye • American Dilemmas Handbook pp. 27-38 Optional • Health Care: Problems of Physical and Mental Illness (Chapter 10) Kendall

  5. Paper 2

  6. About Paper 2 • What it Contains • Revised Paper I paper • A critical analysis and a moral analysis of the Controversial Policy Solution • 9-11 TOTAL Pages- 15 Works Cited • Due in class on 4/12 • Rubric

  7. You must also Use Turnitin • Log into Blackboard • Go to the CULF 2321 Page • DO NOT GO TO TURNITIN.COM

  8. Click on Assignments Click on Assignments

  9. Click on View/Complete Click on View/Complete Click on View/Complete

  10. Step 1 in Submitting the Paper • Fill out all the parts • You must have a title for your paper • Browse for your file • Choose Upload

  11. Step 2 In Submitting the Paper • Preview the Paper • Make sure everything is ok • Choose Submit

  12. Step 3 in Submitting the Paper • If you do it right, you will get the following message

  13. Health Care

  14. Is it a Constitutional Right • No • Not Mentioned in the Constitution • Not wanted by the States • It therefore belongs to the people • Yes- Patient Protection and Affordable Care Act (PPACA 2010)

  15. This Will Be Determined Shortly • Will the individual mandate stand? • Will the entire law be unconstitutional if parts are deemed unconstitutional?

  16. Health Care Has Multiple Goals • Being Healthy • Living a Long Life • Having Good Medical Care • Making sure Everyone has this These goals make policy difficult

  17. How Much do We Spend • 2.6 Trillion Dollars • 8000 Per person

  18. Percent of GDP

  19. A Hybrid System of Public and Private • 46% is paid for by the government • The Rest is from employers, and individuals

  20. Where the Money Comes From

  21. How We Get our Health Care

  22. What the Government Covers • Medicaid • Medicare • SCHIP • Veterans Administration • Government Employees

  23. Medicaid • Health Care as Welfare • Single Largest Welfare program for the poor

  24. Medicare • Non-Means Tested • Increasingly Expensive • Fraught with Problems

  25. Who is on Medicare?

  26. Medicare Coverage and Cost

  27. Medicare’s Financial Woes

  28. SCHIP • Health Care for Children on the Bubble • Increasingly Expensive

  29. Private Insurance • Fee For Service • Managed Care- 90% of all private insurance

  30. Terms of Health Care • Premium • Deductable • Copayment

  31. Strengths of the System • Best Doctors and Hospitals • Most Advanced Treatment • Most Research and Development • People with Health Care are satisfied With it.

  32. The Problems of the System • Access • Cost • Quality

  33. The Problem of Access

  34. The Problem of Access • Not 50 Million Americans • But 50 million in America

  35. The Problem of Access

  36. Why People do not have insurance • Health Care is historically been a private choice • Health Care is an opportunity cost

  37. Options for the Uninsured • E.R. • Self Medicate • Do Nothing

  38. Problem 2 Quality • Quality is maldistributed • We focus on sickness, not health • We are overspecialized

  39. Problem 3: Cost • Outpacing Inflation • Why

  40. Cost- Technology • MRI’s • Bypass surgery • Fake Knees and Hips • These help us live longer

  41. Cost- Labor • 5.5 People per patient (the old days) • Jobs that require skill and education • Recession Proof

  42. Cost- Malpractice • Actually not the suits themselves • Defensive medicine • High Insurance- just in case

  43. Cost- Greedy people • We want to get our benefits back • We do not realize the actual costs • A “Tragedy of the Commons”

  44. Cost- An Older Population • Our last years of life consume much of our health care dollar • We are living longer and there are more of us • More Care means more $

  45. Cost and Prescription Drugs • Average cost is $2400 • 9 in 10 Seniors use a drug • Direct to Consumer Ads

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