1. President Trump’s Triple Aim
“More coverage”
“Better benefits”
“Lower costs”
“Something fabulous”
Woolhandler, S, Himmelstein, D. Ann Intern Med. Feb. 21, doi: /M

2. Paul Ryan’s Blueprint Shifts Costs Onto Patients and States
Tax credits for anyone without job-based coverage
More funds for the wealthy means less funds for low-income
Mini-med plans
Miniscule coverage
Interstate sales
Circumvents state-based consumer protections
Augment Health Savings Accounts
Boon for those in higher-tax brackets
Woolhandler, S, Himmelstein, D. Ann Intern Med. Feb. 21, doi: /M

3. Paul Ryan’s Blueprint Shifts Costs Onto Patients and States
Block-grant Medicaid
States could divert funds to non-medical purposes
Delay Medicare eligibility to age 67
Turn Medicare into vouchers
Eliminate guaranteed benefits of Medicare
Tied to overall inflation, not to health care inflation
Woolhandler, S, Himmelstein, D. Ann Intern Med. Feb. 21, doi: /M

4. Economic Case for Single Payer Is Compelling
Sector
2017 Spending Without Reform
Savings with Single Payer
2017
Savings
Insurance overhead and admin. of public programs
$323.3 B
68.0%
$220.0 B
Billing and administration
Hospitals
$283.9 B
52.6%
$149.3 B
Physicians
$187.6 B
40.1%
$75.3 B
Total Administration*
$ B
46.1%
$503.6 B
Outpt Rx drugs
$362.7 B
31.2%
$113.2 B
Total above
$616.8 B
Sector
2017 Spending Without Reform
Savings with Single Payer
2017
Savings
Insurance overhead and admin. of public programs
$323.3 B
68.0%
$220.0 B
Billing and administration
Hospitals
$283.9 B
52.6%
$149.3 B
Physicians
$187.6 B
40.1%
$75.3 B
Total Administration*
$ B
46.1%
$503.6 B
*Note: “Total Administration” includes additional savings for nursing homes, home care agencies, non-physician practitioners, and employers
Woolhandler, S, Himmelstein, D. Ann Intern Med. Feb. 21, doi: /M

5. Fully cover the nation Plug the coverage gaps Fairness in fees
25 Studies (State and National) Confirm Savings Would Fund Full Coverage
26 million more covered people
Eliminate copays and deductibles
Fully cover
the nation
Cover missing services (dental, long term care, etc.)
Plug the coverage gaps
Bring Medicaid fees up to par
Fairness in fees
Accessed 2/25/2017

6. Canadian Medicare Implemented in Montreal 1971 Did Not Overwhelm the Delivery System
Annual visits
per person per year
Annual family income brackets: <$3,000; 3,000-4,999; 5,000-8,999; 9,000-14,999; 15,000+

7. Canadian Medicare Implemented in Quebec 1971 Care Shifted to Older and Lower Income
Percentage change in annual visits to
Age >65 years
Age 17 – 65 years
Age <17 years
Annual family income brackets: Low income <$9,000; higher income >$9,000

8. USA Medicare and Medicaid Enactment in 1965 Did Not Overwhelm the Delivery System
Total number of physician visits in USA
MD + DO, in person or by telephone for civilian non-institutional USA population
Wilder CS. Volume of physician visits. United States—July 1966-June Vital Health Stat ;10:1-60. [PMID: ]
CDC_12947_DS1.pdf

9. Total physician visits across USA
USA Medicare and Medicaid Enactment in 1965 Did Not Overwhelm the Delivery System
Total physician visits across USA
MD + DO, in person or by telephone for civilian non-institutional USA population
Wilder CS. Volume of physician visits. United States—July 1966-June Vital Health Stat ;10:1-60. [PMID: ]
CDC_12947_DS1.pdf