June Oberlander, GHID_PRACTIC Pentru Cresterea Copilului Pana La 5_ani-Partea 3
Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy &...
-
Upload
eunice-richardson -
Category
Documents
-
view
219 -
download
0
Transcript of Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy &...
![Page 1: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/1.jpg)
Health Reform and the 2008 Presidential Election
Jonathan Oberlander
Department of Health Policy & Administration
Department of Social Medicine
UNC-Chapel Hill
![Page 2: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/2.jpg)
The Real Election
![Page 3: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/3.jpg)
Roadmap
I. The U.S. Health Care System
II. Health Reform & The 2008 Election
III. What’s Next?
![Page 4: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/4.jpg)
Sicko & The Terminator
![Page 5: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/5.jpg)
Health Reform Fever
Contracted by otherwise politically healthy
American adults every 10-20 years.
Symptoms include delusional belief that
health reform is inevitable or just around the
corner, and misplaced faith in the American
political process. Only known cure is a
harsh dose of political reality, to be applied
repeatedly to prevent relapse.
![Page 6: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/6.jpg)
I. The U.S. Health Care System
![Page 7: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/7.jpg)
Number of Noneldery Uninsured, in Millions: 1998-2006
43
41
3938
40
4243
4445
47
30
35
40
45
50
Source: US Census Bureau, Changed methods in 1999
![Page 8: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/8.jpg)
Percentage of Firms Offering Health Benefits: 2000-2007
69% 68%66% 66%
63%60% 61% 60%
30%
40%
50%
60%
70%
2000 2001 2002 2003 2004 2005 2006 2007
Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2000-2007
![Page 9: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/9.jpg)
![Page 10: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/10.jpg)
![Page 11: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/11.jpg)
Beyond the Numbers
![Page 12: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/12.jpg)
When Health Insurance is Not a SafeguardNew York Times, October 23, 2005
“Zachery Dorsett's parents thought their son was an average child who was having trouble getting over a passing illness. He was 7 months old, and it was his second case of pneumonia… But Zachery, who was eventually found to have an immune system disorder, kept getting sick, and the expense of his treatment - fees for tests, hospitalizations, medicine - kept mounting, eventually costing the family $12,000 to $20,000 a year… Earlier this year, the Dorsetts stopped making mortgage payments on their ranch house, because they could not afford them. In March, they filed for bankruptcy.”
![Page 13: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/13.jpg)
Blue Cross Cancellations Called IllegalLos Angeles Times, March 23, 2007
“ The state investigation found that Blue Cross used computer programs and a dedicated department to systematically investigate and cancel the policies of pregnant women and the chronically ill regardless of whether they intentionally lied on their applications to cover up preexisting medical conditions - a standard required by state law for canceling individual policies.”
![Page 14: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/14.jpg)
II. Health Reform & The Election
![Page 15: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/15.jpg)
Candidates’ Reform Plans
Attention All North Carolina Voters.Read These Plans at Your Own Risk.Telling the Truth is Politically Risky (askWalter Mondale). Plans May ChangeWithout Notice When Candidate Entersthe White House.
![Page 16: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/16.jpg)
Clinton Health Plan
![Page 17: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/17.jpg)
Obama Health Plan
![Page 18: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/18.jpg)
Obama-Clinton Plan
• Modified employer mandate (small business exemption)
• Creation of purchasing pools • Establishment of new public insurance
program • Regulation of insurance industry• Financing through repeal of tax cuts for
those making over $250,000
![Page 19: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/19.jpg)
Obama-Clinton Feud: Individual Mandates
''You know,'' Mrs. Clinton said, ''when I proposed a universal health care plan, as did Senator Edwards, we took a big risk, because we know it's politically controversial to say we're going to cover everyone. And you chose not to do that. You chose to put forth a health care plan that will leave out at least 15 million people. That's a big difference.”
![Page 20: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/20.jpg)
McCain Health Plan
• Tax credits ($2500 and $5000)
• Replace tax exclusion for employer-sponsored insurance
• Encourage individual purchase of insurance
• Deregulate insurance market
• Health Savings Accounts
![Page 21: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/21.jpg)
Common Ground on Cost Control
• Prevention
• Disease Management
• Coordination of Chronic Care
• Electronic Medical Records
![Page 22: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/22.jpg)
Political ChallengesDemocrats Republicans
• Universal Coverage• Employer mandate• Regulate insurers• Create new Medicare-
like government plan• Establish purchasing
pools• Individual mandate• Raise taxes to cover
the uninsured
• Tax health insurance benefits
• Move away from employer-sponsored insurance
• Convince people they currently have too much insurance
![Page 23: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/23.jpg)
Obstacles to Reform
• Power of the Status Quo
• Stakeholder Opposition
• Congress & 60 Votes
• Agenda Competition (Iraq, Taxes etc.)
• Budget Deficit & PAYGO
• Limits of Consensus
• Ideological & Partisan Divide
![Page 24: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/24.jpg)
III. What’s Next for Health Reform?
![Page 25: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/25.jpg)
“Mr/s. President. I Know It’s 3AM. But Here’s How to Pass Health Reform.”
![Page 26: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/26.jpg)
Memo to the Next President
• Time is not on your side
• Make the economic case
• Persuade the insured
• Explain costs of not reforming the health care system
And don’t forget….
![Page 27: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/27.jpg)
The Improbable is Not The Impossible
![Page 28: Health Reform and the 2008 Presidential Election Jonathan Oberlander Department of Health Policy & Administration Department of Social Medicine UNC-Chapel.](https://reader030.fdocuments.net/reader030/viewer/2022032604/56649e675503460f94b62a70/html5/thumbnails/28.jpg)