1. The Obama Plan Cedric K. Dark, MD, MPH Disclaimer: I’m not advocating for the plan, I’m just analyzing it...but you gotta admit...it’s a million times better than McCain’s

2. Scope of the Problem 47 million uninsured 9 million uninsured children

3. Rising Costs Source: Kaiser Family Foundation

4. How To Fix It

5. National Health Plan Guaranteed enrollment Comprehensive benefits (similar to FEHBP) Fair premiums & minimal co-pays Subsidies Simplifying paperwork Easy enrollment Portability and choice Quality & efficiency

6. National Health Insurance Exchange A “watchdog” & reformer of private market (creates rules and standards) All plans must at least be as generous as “public plan” Guaranteed issue & no risk rating

7. Employers Pay or play philosophy

8. Children Mandated coverage Expansion of S-CHIP

9. States Can continue to experiment as long as provide plans at least as generous as “public plan”

10. Re-insurance Government to re-insure for “catastrophic” coverage

11. Quality Comparative effectiveness research Pay-for-performance Care coordination & disease management Disparities Health information technology ($10B/5yr)

12. Insurers Need more competition

13. Pharmaceuticals Drug reimportation Generics Negotiation of Medicare D Rx prices

14. Prevention & Public Health Healthier workplaces Tackle childhood obesity Support health care providers

15. Malpractice Will be improved...but how?

16. What’s Your Take... Who are the winners? Losers? What’s easy to accomplish? Hard? Short term goals? Long term?

17. References “Barack Obama’s Plan for a Healthier America.” 2008. Accessed from: www.barackobama.com“Barack Obama’s Plan for a Healthier America.” 2008. Accessed from: www.barackobama.com Kaiser Family Foundation. “Employer Health Benefits 2006 Annual Survey” 2007. Accessed from: www.kff.orgwww.kff.org