single payer healthcare saves money, saves lives!

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SINGLE PAYER HEALTHCARE Saves money, saves lives! Slide 2 Dr Bill Honigman, drbillhonigman@gmail.com Full time ER physician Orange County over 30 years Board Certified Emergency Medicine Long Time activist and volunteer for many local and regional community groups Campaign for a Healthy California, Steering Committee Member, OC Region Co- coordinator Slide 3 Savings to Employer Groups Calif SB 921 April 2004 Slide 4 SINGLE PAYER: Saves money, saves lives! June 2009, City of Santa Monica studies savings under US HR 676, est. $6 million per year http://www.mckeown.net/Universal_Single-payer_Healthcare_- _Santa_Monica_Councilmember_Kevin_McKeown.html May 2011, Vermont legislature passes and governor signs Green Mountain Care, est. savings $500 million per year http://www.leg.state.vt.us/jfo/healthcare/Hsiao%20Proposal%20-%20public.pdf Slide 5 PHYSICIANS FOR A NATIONAL HEALTH PROGRAM 29 EAST MADISON SUITE 602 CHICAGO, IL 60602 TEL: (312) 782-6006 WWW.PNHP.ORG Slide 6 The Uninsured Slide 7 Slide 8 18,314 Adult Deaths Annually Due to Uninsurance Slide 9 Financial Suffering Among the INSURED or UNDERINSURED Slide 10 Slide 11 Slide 12 Slide 13 Slide 14 Slide 15 Slide 16 MANDATE MODEL: Keeping Private Insurers In Charge Slide 17 Mandate Model for Reform Proposed by Richard Nixon in 1971 to block Edward Kennedys NHI proposal Slide 18 Mandate Model for Reform Government uses its coercive power to make people buy private insurance. Slide 19 The U.S. Trails Other Nations Slide 20 Slide 21 Slide 22 Slide 23 Slide 24 Slide 25 Slide 26 Slide 27 Canadas National Health Insurance Program Medicare (for All) Slide 28 Slide 29 Slide 30 Slide 31 Slide 32 Slide 33 Slide 34 Slide 35 Slide 36 PHYSICIANS FOR A NATIONAL HEALTH PROGRAM 29 EAST MADISON SUITE 602CHICAGO, IL 60602 TEL: (312) 782-6006 WWW.PNHP.ORG Slide 37 Slide 38 Slide 39 ACA vs. MFA Covered CaliforniaMedicare for All How many Californians are covered? The expansion of MediCal and private insurance will provide millions of Californians with insurance. However, it is estimated there will still be 3 to 4 million uninsured by 2019. Guaranteed healthcare for all. Every Californian receives a single standard of quality care, including immigrants. Is my health coverage continuous? Complicated administrative structure. Depending on employment status and income, you can be forced to change insurance companies several times a year. Needless paperwork, and you may lose access to your current provider. Even if you are unemployed, or lose or change your job, your health coverage goes with you. Slide 40 ACA vs. MFA Covered CaliforniaMedicare for All How is preventive care covered? Prevention must be covered benefit at no cost. However, high copayments for follow-up treatments, labs, xrays are barriers to getting needed care. By removing financial roadblocks, encourages preventive and follow-up care, reduces costs in over- utilized ERs and spread of communicable diseases. What are my out-of-pocket costs? Annual costs could range from $2,250 for an individual earning just above federal poverty level, up to $13,000 for family at 4 times poverty level. Higher costs if dont use in-network provider. Uniform benefits. One level of comprehensive care, no matter what size of your wallet. Slide 41 ACA vs. MFA Covered CaliforniaMedicare for All How are locations of healthcare facilities determined? Currently, facilities built in high-income, high-profit areas. Access will continue to be poor for poor and rural communities. Significant cause of racial health disparities, MFA plans facilities built where needed. Access to care improves disparities and outcomes. Can I choose my own healthcare provider? Private insurers continue to determine what care is received, and which providers you can go to. Access to specialists only through gatekeepers. Patients choose their own providers and all providers are assured fair payment. Slide 42 ACA vs. MFA Covered CaliforniaMedicare for All How is administrative overhead reduced? Attempts to limit overhead spending by health insurance companies 15- 20% from current 30%. Minimizes administrative waste to public insurance levels, currently 3% under Medicare. Every academic study for a Single Payer system concludes: Everyone is covered Quality is improved Money is saved Lives are saved Slide 43 SINGLE PAYER HEALTHCARE Saves money, saves lives!