- With health insurance: 243 mil

- With out health insurance: 50.7 million or 16.7% (main point: richest nation on earth yet 16.7% uninsured.

- in yr 2000 there were 199,000 uninsured. Now there are 222,000 uninsured (roughly the size of Boise propper!). this is an 11.6% increase since yr 2000.

- The Organization of Medical Services

- Types of Medical Services

- Notable fact

- About 80% of the population is covered by private insurance. (contradicts fct sheet). Only 25% are dirctly by consumers. 25% of that 80%?

- 1. Physicians in solo practice

2. Group outpatient settings (usually HMOs)

3. Hospitals: private non-profit or for profit and public

4. Public Health Services. (public agencies) including the VA system

5. Sundry and corollary services. examp: home health services, physical rehab, nursing homes.

Note: health care is second fastest growing fed budget component. only overshadowed by national debt growth.

Medicare

- Largest social insurance program

- Social insurance program so funded by mandatory payroll tax

- Four components:

Part A. compulsory hospital insurance

Part B. supplemental medical insurance

Part C. Medicare Advantage Program "medigap" (covers % of meds that part--------- won't)

Part D. Perscription drugs. Helps seniors w/ meds. donught hole is the wait in the time   (ammount- like deductable?) that the govt won't pay

- Started 1965 (medical care for the poor)

Characteristics:

- Means Test

- State/federal match for funding

- Eligibility varies by state

Mandatory Medicaid Eligibility Groups

- name the 6 catagories

- facts

1) Families meeting AFDC eligibility after 1996

2) Those on SSI

3) Infants of Medicaid-eligable moms

4) Children under 6 and pregnant women below 133% of poverty level

5) Those receiving adoption assistance and foster care

6) Other groups like blind people

- Two facts: Pays for 1/3 US births. 48% (yes medicaid) goes to nursing homes.

Lies by big tobasso re: health effects. Sued in Biggest Civl court case in US. Master Settlement Agreement- Tobacco companies now must make public health initiatives.

The health care Crisis

- Three major problems

- fact re: govt spending

1) Eroding coverage: Insurance companies are cutting out certain coverages

2) Rising costs: Costs are rising

3) Cost shifting: hospital gets a no pay so that gets covered in higher rates of those w/ insurance

- Fact: one out of every five dollars will go to medical care. Govt will be paying for 50% of medical care.

-The US pays more than any nation for health care. in 2008 the US paid $7,000 per capita on healthcare.

- While new technology, longer life expectancy, fraud and administrative costs are all factors.......

The largest factors are:

1) hospital costs.

2) Physicians' salaries

3) the pharmacutical industry