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healthcare

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Nicole Lee

on 11 April 2013

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Transcript of healthcare

Catherine Feng
Clayton Fung
Ellen Gao
Michelle Kim
Nicole Lee
Varvara Semenova

Period 4 Healthcare Modern Healthcare & General Information
(Catherine) Statistics, Current Local Articles
(Ellen) Affordable Care Act Historical Background & Comparison
(Michelle) Money & Social Aspects
(Varvara) medications and treatments at hospital are extremely expensive without Medicare/other insurance
supposedly "non profit" hospitals
US has more expensive procedures, medications Medicare System: Reform or not?
(Clayton) Public's opinion
(Nicole) earlier this month:
-34% approve
-48% disapprove Medical
Insurance Patient Protection and Affordable Care Act
(aka Obamacare/ Affordable Care Act) What is Obamacare? a national health care plan aimed at reforming the American health care system What is its Focus? regulating the health insurance industry and reducing spending in health care. Medicare a national social insurance program that guarantees access to health insurance for Americans ages 65 and older and younger people with disabilities as well as people with end stage renal disease and persons with Lou Gehrig’s Disease. Medicaid a joint federal and state program that helps with medical costs for some people with limited income and resources Facts About the American Health System U.S. public and private expenditures on health came to almost 18% of U.S. GDP (Gross Domestic Product)
highly fragmented, with limited public health and primary care resources and a large uninsured population
a study suggests that 30 cents on every dollar spent on healthcare is waste
BECAUSE
OVERTREATMENT of patients
failure to coordinate car
ADMINISTRATIVE COMPLEXITY of the health care system
burdensome RULES AND FRAUD
fee-for-service system that rewards volume instead of value and QUANTITY of medical services instead of quality Takes effect in January 2014
Required to buy health insurance
or pay penalty
Subsidize families earning $92,000 or less CALIFORNIA First state to establish insurance exchange in 2010
Expansion of Medi-Cal
2 million low-income Californians newly eligible
Government subsidize first three years
550,000 low-income people signed up in a temporary program Kaiser Family Foundation Study Cost state 6.3 Billion in a decade
1.7% increase on Medi-Cal Medi-Cal California Medicaid Program
California Department of Health Care Services
Pays for Medical services for adults and children with limited income Who is Eligible? Cash Assistance Others Supplemental Security Income
State Supplemental Program California Work Opportunity and Responsibility to Kids
Refugee Assistance
Foster Care or Adoption Assistance Program. average room and board at a hospital is around $2,000 a night
For one man in California one day in ICU = $13,225 65 or older
Blind
Disabled
Under 21
Pregnant
Diagnosed with breast or cervical cancer
In a skilled nursing or intermediate care facility.
Refugee status during a limited period of eligibility.
Parent or caretaker relative of a child under 21 and
The child's parent is deceased or does not live with the child, or
The child's parent is incapacitated, or
The child's parent who is the primary wage earner is unemployed or underemployed. Basic Health Plan(considering) People who cannot afford insurance
Earn too much money to qualify
133% -200% of federal poverty level
$15,000-$21,800 a year Statistics Covers individuals earning up to 138% of federal poverty level. $15,415 a year
Subsidize cost for first three years, drops to 90% afterward UC Berkeley and UCLA study Conducted by: UC Berkeley Center for Labor Research, UCLA Center for Health Policy Research Special-Session legislation can add 240,000 to 510,000 people to Medi-Cal rolls by 2019 Proposal by Governor Jerry Brown Medi-Cal increased from 13% to 20% of the states budget in 6 years
Gov. Jerry Brown to negotiate with public employee unions
19 contracts affecting half of state's 350,000 workers Special Session Proposals for California to implement President Obama's Healthcare renovation Includes major expansion of Medi-Cal Make California the Nation's first adopter of the Affordable Care Act Healthcare bills that Gov. Jerry Brown signs can take effect within 90 days instead of the next year State Legislature called for a special session on healthcare, Monday January 28, 2013 State Funds
2013-14:
$45,245,561 on Health and Human Services Having Medicare Pays Off CT scan cost one patient about $8,000-with Medicare would have cost $500

Medicare + supplementary insurance helped one man cut costs to close to $1,000 when it could have been hundreds of thousands. 1 Nexium pill - US=8FR
1 Lipitor pill-US=3AR
1 Appendectomy
US=$13,003
GR=$3,093 US prices 50% more than other countries
$280+ bill. -> 2013
-$94 bill. Prescription Drugs "Nonprofit Hospitals" University of Pittsburgh Medical Center Presbyterian-$769,700,054 CEO salary-$5,975,462 largest nonprofit hospitals actually make hundreds of millions In same hospitals, leaders paid millions Medicare unable to negotiate drug prices
Comparative Effectiveness 20% Republicans approve

56% democrats approve

48% of independents approve -85% favor requirement that insurance companies cover people with pre-existing conditions

-7/10 supports allowing children under 26 to stay on their parents' health plan

-77% supports discounts that reduced the Medicare prescription drug coverage gap Most opposed factor:
requirement that Americans must obtain health insurance 7/10 disapprove often referred to as "unconstitutional" Religious/Ethical Aspect 1940's - 1960's people with different beliefs (religion) opposed paying for insurance that covered contraceptive services (abortion, birth control, etc.) Can non-religious people decide that they do not want to pay for the same reasons as those who are religious? 1970's - 1980's: religious freedom?
people can claim that they are religious Obama changed policy. Main Points & Impact: Beneficial for the people? 1960's - 1970's 1980's - 2000's: purpose of insurance VS. mandatory cost of buying insurance Low income VS High Income those who approve: personal health expenditures increased dramatically and the GNP for medical care tripled ever since 1950 (increased 4% each year) people who needed more medical attention
extremely moralistic people who believe it is fair to provide nation-wide health insurance less than 10% of the nation had health care insurance both private and public roles of health care insurance increased dramatically: 82.5% of the population had health care insurance government expenditures, such as Medicare and Medicaid, grew fourteen-fold (from $2.5 to $37 billion) in 1984, insurance coverage for major health care costs covered 73% of U.S. population (previously only 23%) growth of expenditures on medical care was increasingly becoming a public concern by 1977, 82% of the population had employment-related health insurance (85% of insured employees and their families were covered by a major medical policy here) share of GNP dedicated to medical care added up to 4.4% or a little less in 1974, federal government created the Rand Health Insurance Experiment (HIE) to address concerns on insurance and prices premiums exceeded $17 billion and private health insurance grew (due to the tax treatment in 1970) sometime between the 1970's and 80's, healthcare insurance started becoming the big deal it is today What Are The Options? YES? NO? The national debt plays a huge role in the decision to reform and modify the health care system to be at its most beneficial state.

Obama's actions to rebuild the system have ultimately benefited the middle class, but the length of this benefit is unlikely to last. Why? Recently, a popular method to help aid in lessening the burden of the federal debt known as sequestration has risen as a possible solution.

Sequestration is the process of using spending cuts to help control the federal budget. In spite of hopes that sequestration will provide enough help to keep back the looming presence of the national debt, the process alone has detrimental consequences.

Sequestration alone will cost an estimated loss of jobs and weaken economic growth by at least half a percent. Behind The Scenes The Breakdown 700,000 Debt and Medicare The current sequestration methods have not been inciting change within entitlement programs such as Social Security, Medicaid, and Medicare. A Probable Solution! Considering these aspects, reform for Medicare would involve more meticulous managing of its spending costs, and cuts would have to be made to other entitlement programs as well to maintain economic stability if any benefit comes to place. Alongside these potential benefits, however, there are indeed negative outcomes that can surface. The Medicare system does not necessarily have to be "fixed" at this point in time.

Medicare spending has decreased to such a point that by 2020, spending would be about $126 billion less than what was previously predicted.

President Obama's Affordable Care Act has also caused many doctors to drop service fees for each visit. The Answer? Though both extremes have positive and negative consequences, what needs to be stressed is the idea of balance. Sequestration Cuts to Medicare Moderate Medicare Spending GOAL Moderate Cuts Interview: Willa Horton 1966: Medicaid and Medicare newly introduced by Lyndon Johnson in the 1940's until the 1970's, health care insurance was still a new, untested idea problems on health care insurance starting arising during the 1970's Case Manager at City of Hope the national system of public health insurance first introduced in Truman's administration (1945) between 1940's and 60's, number of people with health insurance plans was 7 times larger (75% people were covered) attempts made to assist the poor, unemployed, and elderly dating back to Truman's administration, the presidents are still fighting to enforce universal health care insurance Determines if a patient needs to stay at the hospital. "75% people are fully covered..." predicted cost of health care in the US in 2012... $2.8 trillion
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