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Transcript of US Healthcare
Provide medical coverage to all Americans even those that are uninsured (expand coverage to about 32 million Americans)
Help low income families by forcing employers to provide affordable coverage or pay fines
Republican Position-Conservative Opposed the bill due the fear that it will raise taxes
Cost: $900 billion for the first 10 years (Wall Street Journal)
Decrease in Patient Flexibility
Fear that it will force Americans to lose existing insurance coverage
Businesses and small companies will face bankruptcy
The health care bill was passed into law on March 21, 2010. The House of Representatives approved the Senate reform bill (H.R.3590) and the Reconciliation Act of 2010 (H.R.4872).
Allows children to stay on their parent’s insurance until the age of 26.
All Medicare beneficiaries will get $250 rebate
Expand Medicaid coverage to low-income families
Benefits Costs Offers tax credits to small businesses
No one can be turned down due to pre-existing conditions
Helps Seniors-cheaper prescriptions, early retirees
Provides investment in training programs to increase Primary Care doctors
Everyone must purchase health insurance or they will have to pay a yearly fine ($695). Some exceptions for low-income families
High income families will have an increase in taxes
Canada has the universal health care system as opposed to the United States.
Pro: They are allowed to see any doctor without co-pays or deductibles. As a result, Canada’s life expectancy is higher than the United States.
Con: Health Care costs are paid through taxes so they are much higher than the United States. Canadians have long waits for surgery or therapy due to the lack of physicians.
http://www.nytimes.com/interactive/2009/07/19/us/politics/20090717_HEALTH_TIMELINE.html The U.S. Healthcare Reform bill
H.R.3962 - Affordable Health Care for America Act 1912 – President Theodore Roosevelt promises National Health Insurance on the Progressive Party Ticket
1934 - President Franklin Roosevelt signs New Deal that omits Health Insurance
1945 – President Harry Truman attempts for healthcare, but criticized for “socialized medicine” attempt. He quits due to Korean War.
1962 – President Kennedy takes the issue of health benefits once again.
1965 – President Johnson signs Medicare and Medicaid programs.
1976 – President Carter calls for “comprehensive national health insurance & mandatory coverage”
1993 – President Clinton starts campaigning for universal coverage with managed competition of private insurers and health security identification cards
2003 – President Bush expands Medicare to cover prescription drugs
2010 – President Obama signs bill for Universal Health Coverage
Philip Davis •France ranked #1 in healthcare by WHO in 2000
•French: Male life expectancy is 77 yrs & female life expectancy is 84 yrs
•Non-socialized system (public-private mix of healthcare)
•French people are happier with their healthcare compared to Americans
•Some cons are medical tourism, physician boycotts, financial issues
•United Kingdom ranked #18 in healthcare by WHO in 2000
•UK: Male life expectancy is 77 yrs & femal life expectancy is 81 yrs
•Socialized medicine “National Health Service”
•America: The life expectancy of healthy males in America is 67 years while it is 71 years for females in 2003
•Expansion of Medicaid and Medicare
•Senior citizens get smaller doughnut holes, cheaper drugs, and discounts on brand name drugs
•More federal funding for US territories
•Increase in funding to fight health healthcare fraud
•More aid for students’ education
•Increase in taxes
•Possible longer wait times for doctor visits & surgeries
•Less funding for research towards new medical innovations
•Formularies will possibly provide only cheap drugs
•Illegal immigrants will not be allowed to buy health insurance
•Bill not enforced until 2014, Can people wait that long?
HMO (Health Maintenance Organization) or PPO (Preferred Provider Organization)
Health Insurance companies : Kaiser, BC/BS, Cigna, United Healthcare, Medicare & Medicaid, Tricare, Aetna, Caremark
$900 Billion over the next 10 years? The Cost of Health Care in America Health Care Spending of Americans What We Spend on 1. Health Care and 2. Food/Clothing/Shelter Combined
% GDP America: A Land of Health, Wealth, and Prosperity
Small Businesses and Employees
Lifesaver or Tidalwave?
Who will benefit? Pushing America’s Health Care Bill
CBSNews. Obama’s Approval Rating Hits New Low”.CBSNews. [Internet]. 2010. [2010:04:04]. Available from:
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Available from: http://www.cms.gov/apps/media/press/release.asp?Counter=2935
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Hechtkopf, K. Republicans Compare Democrats to Ebenezer Scrooge. CBS News.
[Internet] 2009. [2010:03:03].Available from: http://www.cbsnews.com/blogs/2009/12/24/politics/politicalhotsheet/entry6018491.shtml
Higgins, H. Swing Districts Oppose Health Reform. The Wall Street
Journal. [Internet]. 2010. [2010: 03:15]. Available from: http://online.wsj.com/article/SB10001424052748704416904575121541779736742.html
Jackson, J and Nolen, J. Health Care Reform Bill Summary: A Look At What's in the Bill. CBS News. [Internet]. 2010. [2010: 03:28]. Available from: http://www.cbsnews.com/8301-503544_162-20000846-503544.html
Murray, M. Congress: What’s in the $940 Billion Bill. FirstRead. [Internet]. 2010. [2010:03:28]. Available from:
New York Times.Obama Hails Vote on Health Care as Answering the Call of History. New York Times. [Internet]. 2010. [2010:04:04]. Available from: http://www.nytimes.com/2010/03/22/health/policy/22health.html?pagewanted=2
Organization for Economic Co-operation and Development (OECD). OECD Health Data 2009. How does Canada Compare. [Internet]. 2009. [2010:03:28]. Available from:
Press Release. United States Representative from the Department of Treasury. [Internet]. 2010. [2010:04:04]. Available from: http://www.house.gov/apps/list/press/fl20_schultz/SmallBizHealthCare.html
Rodwin, V. (2003) The Health Care System Under French National Health Insurance: Lessons for Health Reform in the United States. American Journal of Public Health. 93.1 (2003): 31-37.
Schwartz, B. United States Health Care Ranking. Independence Institute: Patient Power. [Internet]. 2008. [2010:03:16]. Available from:
Shapiro, J. Health Care Lessons from France. National Public Radio (NPR). [Internet]. 2008. [2010:03:19]. Available from: http://www.npr.org/templates/story/story.php?storyId=92419273
USA Today.Obama: Give Health Care Law Time To Work.USAToday. [Internet]. 2010. [2010:04:04]. Available from: http://content.usatoday.com/communities/theoval/post/2010/04/obama-give-health-care-law-time-enough-to-work/1
U.S Department of Health and Human Services. The 2009 HHS Poverty Guidelines. [Internet]. 2010. [2010:03:28]. Available from:
Wall Street Journal. The End of Private Health Insurance. [Internet]. 2009. [2010:03:15]. Available from: http://online.wsj.com/article/SB123958544583612437.html
Whyte, S. How Mexico’s Health System Works.CBC News. [Internet]. 2009. [2010:03:03]. Available from: http://www.cbc.ca/health/story/2009/05/04/f-health-mexico-health-system.html
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Advanced Technology for Heart Disease
1970s-blood thinning agents (ex: lidocaine)
1980s-asprin, beta blockers
Mortality rate decreased from 345 to 186 per 100, 000 people between 1990-2004 The card contains all medical history of the patients
Payment occurs immediately using the patients card
Administration Costs: 2% (Lowest in the world; US over 30%)
Time Magazine (March 2009): Paperless technology offers $5000 a year to doctors if they write electronic prescriptions. Computerized prescriptions can save lives. Prescription errors cause at least 7,000 deaths each year (National Institute of Medicine).
Study showed prescribing software that can identify generic drug option and medication covered by patient’s insurer can save $845, 000 for every 100,000 patients per year (Brigham Women’s Hospital) Touch Technology (2010): Skinput working with Microsoft (CNN)