Yay health care!
The Problem
Background 14% of Oregonians Uninsured Health Care costs increasing Hmm… If only there was a way to increase the number of people covered by Medicaid without increasing costs…
The Oregon Health Plan The Prioritized List Managed Care Coverage for all Oregonians below the poverty level Mandatory Employer Insurance Coverage
Success – The mid 90s All Oregonians below the federal poverty line made eligible for Medicaid 2% drop in number of uninsured Expanded areas of health care coverage Movement to managed care
Failures – The present Budget Cuts Decreased Areas of Coverage: –Mental Health –HIV Carriers
Lessons The Political Process Bringing Health Care into the public debate Wow, health care is great! I don’t want my health care rationed! Health care sucks! I like cheese.
Lessons Unreliability of Tax Increases The Problem of Explicit Rationing Implicit Rationing Public Knowledge
Lessons
The Future Can the OHP be saved? What lessons does Oregon offer for other reformers?