Presentation on theme: "HEALTH REFORM: Taking our freedom back! Virginia Tea Party Patriots October 9, 2010 Grace-Marie Turner Galen Institute."— Presentation transcript:
HEALTH REFORM: Taking our freedom back! Virginia Tea Party Patriots October 9, 2010 Grace-Marie Turner Galen Institute
Americans continue to agree on goals for health reform… The U.S. needs health reform to make coverage more affordable, increase quality, and expand insurance coverage Most people rate their own care as good or excellent They want stability. Change is for others. Now, strong majorities fear lower quality, higher costs, and difficulty accessing care
It’s Not Government’s Job Do you think it is the responsibility of the federal government to make sure all Americans have health care coverage, or is that not the responsibility of the federal government? GALLUP Source: Newport, Frank. "More in U.S. Say Health Coverage Is Not Gov’t. Responsibility." Gallup. 13 Nov 2009. Gallup, Web. 27 Jan 2010..
But new law does call for a much bigger role for government 32 million more to get health coverage –16 million through Medicaid expansion –16 million through federally subsidized state exchanges –23 million remain uninsured in 2019 Strict federal regulation of health insurance Mandates on individuals and employers $500 billion in new taxes and penalties $575 billion in cuts to Medicare
Health law fails to match promises Health costs and health spending increase Millions more will lose their private coverage One-third of businesses could drop insurance Few changes to modernize care delivery, reduce “defensive medicine,” or provide more choices of more affordable coverage. Successful programs like Medicare Advantage on the chopping block; payment cuts threaten access to care for seniors
True Cost: $2.4 trillion Cost of health reform over 1 st 10 years CNBC: http://www.cnbc.com/id/30108264/What_Does_1_Trillion_Look_Like? For $2.4 trillion, you’ll need to make about 6 ½ laps around the world
Independent Studies Obama administration actuary Richard Foster: –$120 billion in fines for companies and individuals –Government spending will increase by $311 billion –One in five Medicare providers go broke CBO – ObamaCare will raise some family premiums by $2,100 in 2016 above what they would have been without the reform law
The health law is not settled policy 50%+ - Want the health overhaul law repealed 51% - Say it will reduce the quality of care 56% - Object to cuts to Medicare Two-thirds say it will increase the national debt 60% believe it will increase health costs Just 12% think the bill should go into effect in its current form 71% say it will increase taxes
Push-back coming from… Small businesses and big employers: New costs, penalties, and mandates:1099 Workers: Losing health insurance at work Doctors and patients: Losing control over medical decisions; IPAB and CER Costs – Early sweeteners are already increasing health insurance costs Seniors: $575 billion in cuts to Medicare
Consequences for the states 41 states have are challenging ObamaCare 20 states opt out of federal high-risk pools Ballot challenges Nov. 2 in Colorado, Oklahoma, and Arizona 71% in Missouri voted to opt out of law Many states see huge costs of mandates
ObamaCare = Skyrocketing Enrollment
“Putting the Brakes on ObamaCare” Defund it: Don’t hire an Army of IRS agents Dismantle it: 1099 requirement; CLASS Act Delay it: Medicare Advantage; mandates; $500 billion in taxes Disapprove regulations: Sen. Enzi/ Congressional Review Act Direct oversight and investigation: Hearings on escalating spending and impact on business Delegate to the states: Medicaid block grants; Healthy Indiana Plan; Utah Health Exchange
Source: Mercer's National Survey of Employer-Sponsored Health Plans; Bureau of Labor Statistics, Consumer Price Index, U.S. City Average of Annual Inflation (April to April) 1990-2009; Bureau of Labor Statistics, Seasonally Adjusted Data from the Current Employment Statistics Survey (April to April) 1990-2009.
What we know for sure CHOICE: Americans value innovation, diversity and choice to accommodate 300 million people FOCUS ON THE PATIENT: They want doctors and patients, not government, to make health care decisions CONCERNS ABOUT COSTS: This is a huge, far-reaching law that will swell the deficit and threatens to destroy quality care
Starting a fresh conversation Engaging patients as partners in managing health costs and getting the best value for health care dollars FREEDOM in care and coverage
R-E-P-E-A-L Repeal ObamaCare’s massive new taxes Repeal ObamaCare’s massive new taxes Eliminate job-killing mandates on businesses Protect citizens from IRS enforcers by repealing the individual mandate Eliminate cuts in benefits to seniors on Medicare Advantage Avoid crippling the states with expensive mandates Limit government intrusion into personal medical decisions
R-E-P-L-A-C-E Real help for people to purchase health insurance they choose Real help for people to purchase health insurance they choose Expand states’ ability to help people with pre-existing conditions Expand states’ ability to help people with pre-existing conditions Put Medicare savings into saving Medicare Put Medicare savings into saving Medicare Lawsuit abuse reform Lawsuit abuse reform Allow doctors and patients to control medical decisions Allow doctors and patients to control medical decisions Control costs though consumer-friendly health reform Control costs though consumer-friendly health reform Expand access through cross-state purchasing of health insurance
State’s Rights Initiatives Healthy Indiana Program Texas medical malpractice reform Utah Health Exchange Idaho guaranteed access plan Massachusetts: What not to do
The future? The global move toward consumerism is real, driven by greater patient demand for more control over decisions. Health overhaul is law and will fundamentally change our health sector. Our job is to repeal and replace it before it takes effect in 2014.
Opportunities ahead This is not settled policy Two major elections before implementation States and governors will have a big say Lawsuits will reach the U.S. Supreme Court The American people want Freedom Options Control This law must be repealed!
ObamaCare = Restricted Access Medicaid is now the only option for low-income Americans. 40% of doctors restricted access to Medicaid due to low reimbursement rates. 50% of doctors accept new Medicaid patients compared with the 70% that accept new Medicare patients. 2/3 of ER “frequent fliers” were covered by Medicaid/Medicare. Medicaid patients are twice as likely as the uninsured, and five times as likely as the privately-insured, to be an ER “frequent flier.” Medicaid patients are twice as likely as the uninsured, and four times as likely as the privately-insured, to use the ER. Sources: Office of Senator Tom Coburn, Annals of Emergency Medicine, National Center for Health Statistics
ObamaCare = Poor Health Outcomes Medicaid patients who need surgery are 13% more likely to die than the uninsured, and 97% more likely to die than those with private insurance. Medicaid patients are 50% more likely to die after bypass surgery because of poor follow-up care. Medicaid patients with cancer are two to three times more likely to die from the disease. Medicaid mothers received less prenatal care and had higher infant mortality rates than those with private insurance. Florida: Medicaid patients are 31% more likely to have late-state breast cancer, and 81% more likely to have late-stage melanoma. Sources: Heartland Institute, Wall Street Journal, Office of Senator Tom Coburn, National Review Online
Fighting Back: Florida v. U.S. DHHS + 16 AGs (FL, SC, NE, TX, UT, LA, AL, CO, PA, WA, ID, SD, IN, ND, AK, MI) + Four governors (MS, AZ, NV, GA) and NFIB March 23: Initial complaint filed in Northern District Court of FL June 16: Feds file motion to dismiss September 14: Oral arguments before Judge Roger Vinson October 14: District Court decision on motion to dismiss December 16: Hearing on summary judgment MAJOR ARGUMENTS Congress can’t compel the states to assume unfunded mandates levied in PPACA (Commerce/Guarantee Clauses) The states can’t be commandeered to administer and fund the health insurance exchanges (10th Amendment) The states can’t be forced to expand their Medicaid programs at significant cost to the states (Article I, Sections 2 and 9) The individual mandate is unconstitutional (Commerce Clause)
Real Reform: Florida’s Medicaid Pilot 2005: Medicaid reform pilot went live in Broward & Duval Co. 2007: Medicaid reform pilot went live in Baker, Clay, Nassau Co. Insurance companies compete in “Medicaid marketplace” Beneficiaries get core benefits and choose “customized” ones Workers can opt-out and get premium assistance for ESI Healthy behaviors earn money in “Enhanced Benefit Accounts” Multilingual “choice counselors” help beneficiaries pick a plan THE RESULTS Beneficiaries can choose from up to 12 competing plans Plans are offering benefits not covered by Medicaid 80% of benefit packages don’t require a copayment 80% of beneficiaries are voluntarily choosing their own plan 97% of beneficiaries are satisfied with choice counseling Beneficiaries earn over $650k/month in Benefit Accounts Source: Florida Agency for Health Care Administration