The Linda Haskell Memorial Master Class 2006: Elderly Healthcare in Arizona

1. The Linda Haskell Memorial Master Class 2006 November 17, 2006 ASU at the Mercado

2. The Status of Health Care for the Elderly in Arizona November 17, 2006 ASU at the Mercado

3. Three Questions:Who are the Elderly?How is Your Health Care?Which Arizona? The Linda Haskell Memorial Master Class 2006

4. When does a person become elderly?*AARP-50 *IHOP-55*Pebble Creek-55 *Harkins-60*FAA-60 *Golden Age-62*SS-62 to 67 *Medicare-65 *Bismarck, FDR, LBJ-65 The Linda Haskell Memorial Master Class 2006

5. “The key to healthy aging is staying active and having a good sense of humor.”Art Linkletter (age 94), Nov. 11, 2006 The Linda Haskell Memorial Master Class 2006

6. Politics and Health Care 2006 The Linda Haskell Memorial Master Class 2006

7. Life can only beunderstood backwards;but it must belived forwards.Soren Kierkegaard

8. “For treating a Gentleman a doctor should receive 5 sheckles of silver.” The Code of Hammurabi 1750 B.C.

9. “For treating a Freed Man a doctor should receive 3 sheckles of silver.” The Code of Hammurabi 1750 B.C.

10. “For treating a Gentleman’sservant, a doctor should receive 1 sheckle of silver.” The Code of Hammurabi 1750 B.C.

11. Does that sound like Commercial, Medicare and Medicaid? The Code of Hammurabi 1750 B.C.

12. “If a Physician make a large incision with the operating knife, and kill him, his HANDS will be cut off.” The Code of Hammurabi 1750 B.C.

13. “Doctors cut, burn andtorture the sick, andthen demand of theman undeserved feefor such services.” Heraclitus 513 B.C.

14. “All that may come to my knowledge in the exercise of my profession not to be spread abroad, I will keep secret and never reveal.” Hippocratic Oath

15. “GOD HEALSANDTHE PHYSICIANSENDS THE BILL” Greek Aphorism

16. “Three shapes a doctor wears,At first we hail the Angel;Then the God, if he prevail.Last, when the cure complete,He asks his fee,A hideous Demon he appears to be.” Roman Poem 100 B.C.

17. “The role of the Physician is to entertain the patient while Nature takes it’s course.” Voltaire

18. G.B. Shaw “Each Doctor should die of a disease in his own specialty.” The Doctor’s Dilemma; 1906

19. 20th Century Health Care ReformIn The United States

20. The 1912 ElectionThe Bull Moose PartySocial Insurance Teddy Roosevelt

21. The Birth of the BluesPremium $6.00/Year Dallas, Texas December 20, 1929

22. The 1932 ElectionThe New DealSocial Security or aNational Health System? Franklin Roosevelt

23. WW IIWage Price ControlsEmployer Based Insurance Franklin Roosevelt

24. Hill-Burton 1946“Socialized Medicine”AMA/AHA 1947 Harry Truman

25. *Community Based Mental Health Services*Health Manpower Legislation1963 JFK

26. “The Compromise and theAfterthought” July 30, 1965Emily Friedman LBJ

27. “Medicare and Medicaid were supposed to last 5 or 6 years; they have lasted 40” Emily Friedman LBJ

28. A Forgotten Fact!In 1966, as a condition for receiving Medicare reimbursement, hospitals in America desegregated! LBJ

29. ADMINISTRATIVELY CONFIDENTIALTHE WHITE HOUSEEYES ONLY To: Secretary HEW “Review the report of the Task Force on Prescription Drugs and make recommendations relating to the inclusion of prescription drugs in Medicare and on ways to reduce the cost of drugs.” Joseph A. Califano, Jr. Special Assistant to the President August 21, 1967

30. “The Father of Managed Care”The HMO Act of 1973 Richard M Nixon

31. The Birth of Arizona’s Medicaid:AHCCCS (We are last) 1982 Ronald Reagan

32. EMTALA“…ensure public access to emergency services regardless of ability to pay.” HCFA 1986 Ronald Reagan

33. Medicare Catastrophic 1988-89 Reagan and Bush

34. Medicare Catastrophic*Drug Benefit in Part B*Premium; $4.00 per month*Income Tax increase for high-incomeSeniors*Catastrophic Coverage Reagan and Bush

35. Medicare Catastrophic“I love the benefit but I hate the financing. It should be a fair tax.”An Affluent Senior Reagan and Bush

36. The Clinton Plan*Security *Simplicity*Savings *Quality *Choice *Responsibility 1993-94 Bill and Hillary

37. The Clinton Plan *Medicare Rx under Part B*Premium; $11 per month *Deductible; $250*Annual Cap; $1000 Bill and Hillary

38. OBRA ’95“Transportation of the Medicaid program.” The Gingrich Plan

39. *The HIPAA*The BBA*The BBRA*The BIPA The Congress; 1996-2000

40. *Bush*Gore*Nader*And Hanging Chads The 2000 Election

41. The Medicare Prescription Drug Improvement and Modernization Act of 2003MPDIMA/MMA Medicare Reform; 2003

42. “Medicare is a Cadillac. Unfortunately a 1960’s Cadillac.”Senator John Breaux Medicare Reform

43. Only 3 things wrong with Medicare* Part A* Part B* The Benefit Package Medicare Reform

44. Medicare Rx;Part D began on January 1!Were You Ready? Medicare Reform

45. “The Tyranny of CHOICE”Scientific American; April 2004Barry Schwartz Medicare Reform

46. “Logic suggests that having options allows people to select precisely what makes them happiest. But, as studies show, abundant choice often makes for misery.” Barry Schwartz Medicare Reform

47. What did the 109th Congress do to Health Care? The U.S. Health Care System

48. They passed the Deficit Reduction Act (DRA) in February 2006! The U.S. Health Care System

49. *Chaotic *Costly*Inefficient *Inequitable*SuperbA Paradox The U.S. Health Care System

50. *Medical Errors*Tort Reform*Social Security Reform*The Uninsured*Workforce Shortages*Paying for Health Care*General Motors*Consumer Driven Health Care Other Hot Button Issues