1. Patient Centered Health Care – At a Crossroads Alliance for Health Reform Congressman Tom Price, M.D. June 6, 2008

2. Patient-Centered Healthcare  AFFORDABLE  ACCESSIBLE  RESPONSIVE  INNOVATIVE  HIGHEST QUALITY

3. MEDICARE  NOT AFFORDABLE  NOT ACCESSIBLE  NOT RESPONSIVE  NOT INNOVATIVE  NOT HIGHEST QUALITY Fails patients on all counts:

4. Medicare Is NOT the Model for Reform

5. The Crossroads – Today’s Health Care Debate in Washington VS

6. Washington-Controlled Health Care

7. Social Security Amendments of 1965 “Nothing in this title shall be construed to authorize any Federal officer or employee to exercise any supervision or control over the practice of medicine or the manner in which medical services are provided….” (Public Law 89-97) The legislation establishing Medicare and Medicaid

8. 46.7% 24.6% 7.3% 21.3% 45.1% 12.5% 34.9% 7.1% 1960 2005 Sources of Health Care Spending Source: Centers for Medicare & Medicaid Services, National Health Expenditures by type of service and source of funds, CY 1960-2005

9. Historical Gap Between Budget Estimates and Actual Medicare Cost When Medicare was enacted in 1965 the government projected far lower spending When Medicare was enacted in 1965 the government projected far lower spending Initial 1990 Spending Projection $9 billion Actual 1990 Medicare Spending $67 billion Source: U.S. House of Representatives, Committee on Ways and Means, Committee Print, July 30, 1965, Table 11, p. 33. Medicare Spending Today $450 billion

10. Rising Cost of Health Care

11. DEFINED CONTRIBUTION DEFINED CONTRIBUTION UNIVERSAL COVERAGE UNIVERSAL COVERAGE TWO PILLARS OF HEALTH SYSTEM REFORM

12. The Comprehensive HealthCARE Act (H.R. 2626) Universal Personal Coverage – Lower Cost  Tax Credits – Refundable/Advanceable for Purchase of Personal Insurance  Tax Deductions For Health Insurance Costs  Create Interstate Market for Health Insurance  Create various Pools for Purchase

13. The Comprehensive HealthCARE Act (H.R. 2626) Defined Contribution System  Real Patient Ownership  Increased Portability  Insurance Responsiveness  Greater Understanding and Power  Choices for Patients!!