Family And Business Health Security Act SB400 and HB1660 (2009)

Nine Keys To Serious Healthcare Reform

Quality Affordable Comprehensive Stable costs & employment Publicly-funded Privately-delivered Guaranteed Healthcare for ALL #1. HEALTH SECURITY FOR ALL

Nine Keys To Serious Health Care Reform ONE-PAYER’S FAIR-SHARE ‘HEALTH & WELLNESS TAX’ Saves Money Improves the Economy Creates Jobs # 2. FAIR-SHARE FUNDING

Nine Keys To Serious Health Care Reform  Co-pays, deductibles and caps disappear  Individuals pay 3% state health income tax (compared to 8% avg. now paid for personal health ins./healthcare)  Businesses pay 10% of payroll (compared to 22% avg. now paid for business-related health insurance)  SB 400 will create ~140,000 well-paying, quality healthcare jobs, with many more to follow  SB 400 will dramatically reduce workers comp and should significantly cut property taxes and auto ins. #2. (cont.) FAIR-SHARE FUNDING

Nine Keys To Serious Health Care Reform #3. ONE-PAYER EFFICIENCY & SAVINGS ($50B) and REINVESTMENT ($35B)  ‘Administrative Overhead’ Savings = $35B  Insurance Companies = $20B  Doctor/ Hospital/Business = $15B  Bulk Rx Purchasing = $5B  Slash Cost of ‘Defensive Medicine’ = $10B  Replace With One Payer Administrative Efficiency = $5B = $5B New Spending  Reinvest = $30B Of Savings Into Healthcare Delivery = $30B New Spending

Nine Keys To Serious Healthcare Reform #4. COMPREHENSIVE CARE  Medical  Dental  Prescription Drug  Home Nursing  Mental Illness  Optical  Substance Abuse  Hospice Care  Emergency Transport  Physical And Occupational Therapy  Long Term Care

Nine Keys To Serious Health Care Reform #5. GREATER FREEDOM FOR EMPLOYERS & EMPLOYEES  Employers don’t want to manage healthcare systems But most are willing to pay a ‘fair share health & wellness tax’ that covers everyone  Employees want the freedom to change jobs, start a business, advance their education, or retire – without risking their family’s health security

Nine Keys To Serious Health Care Reform #6. ELIMINATE ‘DEFENSIVE MEDICINE’ AND KICK-BACK MEDICINE (10%)  Our current profit-first funding system poisons the patient-provider relationship while costing PA citizens $10B annually.  Because One-Payer funding provides fast and fair compensation for clinically-sound services and rewards health outcomes, it creates the conditions for fewer lawsuits and decreased malpractice premiums – the best tort remedy among all federal and state bills

Nine Keys To Serious Health Care Reform #7. REVERSE SEVERE RATIONING: ALLOW ‘FREE MARKET’ CHOICE OF DOC’S EMPHASIZE EFFICIENCY AND OUTCOMES The Profit-first Health Insurance “Middle Man” Causes a $35B Loss From Pa’s $101B Healthcare Economy Undermines The Patient-Provider Relationship Charges More, Pays Out Less and thus Contributes To The Worst Healthcare Rationing in the Advanced Industrial World: W.H.O. Ranks U.S. : 37 th in Life-Expectancy 29 th in Infant Mortality 1 st In Spending SB 400 will Dramatically Reverse this Alarming Situation

Nine Keys To Serious Health Care Reform #8. ELIMINATE FRAUD, SAVE MORE MONEY INVEST IN THE FUTURE  Deal seriously with ‘problem’ doctors, nurses, administrators, et al. (NOTE: last doctor de-licensed in PA was in 2003)  Restore Certificate of Need (i.e., equipment, infrastructure)  Underwrite transition to electronic records (aka, “medical home” data base)  Promote primary/preventive care to avoid chronic diseases & misuse of emergency rooms  Initiate common sense/personal responsibility including a K-12 ‘wellness curriculum’

Nine Keys To Serious Health Care Reform #9. SUPPORT VOLUNTEER EMERGENCY RESPONDERS Volunteers are the backbone of our emergency health response system. Especially in rural/semi-rural PA. We lose thousands of veteran responders yearly. This is a national, state, and local security issue. SB 400’s $1,000 per year state income tax credit will help encourage retention and new recruitment.

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