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Transcript of healthcare
Richard Morrow What is healthcare? How is it organized? Private Insurance Medicare Medicaid Other Public Systems Japan Do all people have equal access to healthcare? The Problem? Capitalist Systems Health Insurance - Who Has it? What does that mean for the uninsured? The question of whether healthcare
is a human "right," as opposed to a
"privilege" or "reward," is highly
debated by people throughout the world. Unfortunately, the answer is no. Many factors affect why people may or may not have access to proper healthcare Health Insurance Status
Life Expectancy and Mortality Rates
Infant Mortality and Low Birthweight Rates
Availability of Health Care Providers Geographic Accessibility and Transportation Issues More Likely: Less Likely: Delay seeking care
Report not receiving needed care
Admitted for chronic conditions
Report inability to see a doctor due to cost
Report poor overall health Have a regular source of care
Report recent visit to a physician
Utilize preventative services
Receive routine check-ups What recent measures has the government taken
to improve healthcare? Affordable Healthcare Act "Obamacare" Implementation in Massachusetts What does it do? "Offers clear choices for consumers and provides new ways to hold insurance companies accountable" The responsibility of regulation of healthcare lays greatly in the hands of the government Increased coverage for young adults
Affordable prescription drugs for seniors
Coverage for preventative services - reduced/no cost
Regulation of unnecessary premium price hikes
New coverage options for individuals with preexisting conditions
Increased support for community health centers
State support for programs in public health -US= $$$, but under-perform -Universal Healthcare? Germany GKV-Finanzierungsesetz "The maintenance and improvement of physical and mental health through the provision of medical services. Public vs. Private VA/Tricare - Veterans and military members,
VA system of hospitals
S-CHIP - State Children's Health Insurance
Not qualified for Medicaid, but can't
afford private insurance Not age specific Assists with those with disability
or low economic standing Jointly administered by states and fed. gov.
Jointly funded by states and fed. gov. Age 65 and older Federal funding
Premiums Parts A, B, C, and D PREVENTION!! -birthplace of social insurance -$750/mo premium
-10 euros per quarter
-non-profit companies bargain w/ doctors (limits gov't intervention) Germany -no GK doctors
-but, free med school!
-wealthy can afford private companies -$280/mo premium -30% of procedure co-pay -dental/mental/surgery ~$100 per MRI! Japan -Ministry of Health -affordable = people taking advantage -10% do not have healthcare -high CT/MRI utilization is getting expensive -doctors have a much lower income -underspending = lack of new technologies The US Stands Alone Most developed nations have universal health care Universal Health Care is Not "One-Size Fits All" how much of a share of GDP is allocated to health care costs?
funded by governmental/ state based programs, the private sector, or the individual? Julio Frenk & Seguro Popular "Improve the health of a population, not an individual." Are ethics part of the reward system?
Should employment determine insurance access? "People are the Heart of Health Systems" Seguro Popular has decreased infant mortality rate from 30% to 2%
prior to its installment, healthcare was the #1 cause of poverty and bankruptcy in Mexico
self-employed, underemployed, and unemployed now have access Profit Motive,
No Accountability Steven Brill- Time Magazine article, "Bitter Pill: Why Medical Bills are Killing Us"
what things cost vs what the consumer pays for them
there is no marketplace for healthcare
health care companies make 75% profit Often provided by employers
Variations in coverage
Denial based on preexisting conditions Consumer driven healthcare, Managed Care,
Medical underwriting 67% 15%