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PHYSICIANS FOR A NATIONAL HEALTH PROGRAM

PHYSICIANS FOR A NATIONAL HEALTH PROGRAM. 29 EAST MADISON SUITE 602 CHICAGO, IL 60602 TEL: (312) 782-6006 WWW.PNHP.ORG. The Uninsured. 18,314 Adult Deaths Annually Due to Uninsurance. Financial Suffering Among the INSURED. Persistent Racial Inequalities. Rationing Amidst a Surplus of Care.

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PHYSICIANS FOR A NATIONAL HEALTH PROGRAM

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  1. PHYSICIANS FOR A NATIONAL HEALTH PROGRAM 29 EAST MADISONSUITE 602CHICAGO, IL 60602TEL: (312) 782-6006WWW.PNHP.ORG

  2. The Uninsured

  3. 18,314 Adult Deaths Annually Due to Uninsurance

  4. Financial Suffering Among the INSURED

  5. Persistent Racial Inequalities

  6. Rationing Amidst a Surplus of Care

  7. Variation in Medicare Spending: Some Regions Already Spend at Canadian Level

  8. Half of Americans Live Where Population Is Too Low for Competition A town’s only hospital will not compete with itself Source: NEJM 1993;328:148

  9. Profit-Driven HMOs: A Problem, Not a Solution

  10. Investor-Owned Care:Inflated Costs, Inferior Quality

  11. For-Profit Hospitals’ Death Rates are 2% Higher Source: CMAJ 2002;166:1399

  12. For-Profit Hospitals Cost 19% More Source: CMAJ 2004;170:1817

  13. For-Profit Dialysis Clinics’ Death Rates are 9% Higher Source: JAMA 2002;288:2449

  14. High Deductible Insurance:Except for the Healthy and Wealthy, It’s Unwise

  15. Mandate Model Reform:Keeping Private Insurers In Charge

  16. Proposed by Richard Nixon in 1971 to block Edward Kennedy’s NHI proposal “Mandate” Model for Reform

  17. Government uses its coercive power to make people buy private insurance. “Mandate” Model for Reform

  18. “Mandate” Model for Reform • Expanded Medicaid-like program • Free for poor • Subsidies for low income • Buy-in without subsidy for others • Employer Mandate +/- Individuals • Managed Care / Care Management

  19. “Mandate” Model - Problems • Absent cost controls, expanded coverage unaffordable • Computers, care management, prevention not shown to cut costs • Adds administrative complexity and cost; retains wasteful private insurers • Impeccable political logic, economic nonsense

  20. The Massachusetts Reform: Headed Towards Failure

  21. Massachusetts: Required Coverage(Income > $30k) • Premium: $4,080 Annually (56 year old) • $2000 deductible • 20% co-insurance AFTER deductible is reached

  22. Crimes and Punishments in Massachusetts

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