Robert Moss, PhD Professor of Biology, and Health Careers Advisor

Transcription

1 Robert Moss, PhD Professor of Biology, and Health Careers Advisor Wofford College *Presentations will be available at

2 Why are we here?

3 Copyright 2009 Creators Syndicate Reforming The American Health Care System

4 The debate on health care reform has Death Panels Socialism Nazism been dominated by: Yelling contests at town hall meetings outube/barney-frank-smackdown.htm

5 When what we need the most is: An informed discussion about one of the most important social and political issues of our day. Clear politicians cannot inform on this one

6 Speakers/Topics 1. Feb 16, 7-8:15. Leonard Auditorium What IS the American health care system? What does it cost? Why does it need to be reformed? Dr. Robert Moss: Department of Biology, and Health Careers Advisor Dr. Katerina Andrews: Department of Economics

7 2nd seminar: W, Feb 24, 7-8:15, Leonard Auditorium Tracey Jackson, MPA; Executive Director of Piedmont Care, an HIV/AIDS prevention and advocacy nonprofit in the Upstate of SC. will discuss the challenges of providing care in the current system, as well as the consequences of the lack of health care access/insurance. Robert Riehle, MD: Former Chief Medical Officer at Spartanburg Regional Healthcare System, is currently a healthcare consultant with special interest in health care policy reform tailored to improve care and control costs. will discuss an optimal 21 st century health care delivery system and describe new patient care models that will provide more appropriate, efficient, and effective clinical care for all.

8 3rd seminar: Th Feb 25, 7-8:15, Leonard Auditorium Robert Rainer, MD, MBA: Pathologist and the former medical director of quality and clinical effectiveness at Spartanburg Regional Medical Center. will discuss the changes required to achieve improved outcomes and long term cost reduction, focusing on the Institute of Medicine s report on crossing the quality chasm. Paul Catalana, MD MPH; Assistant Dean of Medical Education at the USC School of Medicine - Greenville Campus will discuss the consequences of lack of health insurance.

9 4 th Seminar U.S. Congressman Bob Inglis Monday, April 5 7-8:15

10 What IS the American Health Care System? System includes both health care practice, and finance. Can t have one without the other; nor can we reform one without reforming the other. Many types of health practitioners; public and private hospital Financial institutions that regulate, collect and distribute funds Federal and State governments providing regulation and funding. Financing as risk sharing : Public funds Insurance risk pools, both for profit and non-profit. Different coverage, deductibles, premiums, means of payment; rules; forms. Employer based: Lose your job, even due to illness; you probably lose your health insurance!

11 How are we doing? Best health care in the world What s that mean?

12 How do we evaluate health care systems? EFFECTIVENESS: Health COST ACCESS Development of new technology

13 How are we doing? To minimize bias, we ll go back to original data World Health Organization, research from 194 countries.

14 Cost: Health care expenditures: $7,500/person estimated 2009 $2.3 trillion overall 2007 (cdc.gov) Health care as % GDP: United States: 16.3% 2009 estimated Government run : 47% of 2007 expenditures Medicare for age 65+ Medicaid for many low income and disabled Federal employees Veteran s Administration

15 % of GDP The Organisation for Economic Co-operation and Development Health Data File

16 Of each of your health care dollars, estimated: cents goes to administrative costs cents goes to pay for costs of the uninsured. Uninsured visit emergency room nearly twice as often as insured [cdc.gov]

17 What do we get for that expense? EFFECTIVENESS: Best U.S. Rank of 194 Infant mortality Iceland 43 Life expectancy Japan 33 Physician density Maternal mortality In childbirth San Marino: pop 30,000; surrounded by Italy 45 Ireland 34 WHO statistical database; all countries; most recent data as of 12/1/09.

18 Access [cdc.gov; 2006 National Health Interview Survey ] A person was defined as uninsured if he or she did not have any private health insurance, Medicare, Medicaid, State Children's Health Insurance Program (SCHIP), state-sponsored or other governmentsponsored health plan, or military plan.

19 Conclusions: From the data 1. We spend more, in both $/capita and % GDP, than any other nation. 2. Costs are rising, both in terms of $ and % GDP. 3. Measurement of outcomes places us below what we d expect for the best system. 4. Approx 15% of our population has little or no access to affordable health care.