1. Labor’s Fight to Get Medicare for All Reg Clark & Matthew Kogan Labor United for Universal Health Care Healthy California Campaign 3 rd Annual Summer Conference July 7, 2012

3. -- 1 out of 4 Americans are not covered by health insurance – mostly poor and near-poor. -- More than 80% of the uninsured are in working families – either a worker themselves, or the dependent of a worker. http://www.calstrs.com/about%20calstrs/PEHBTF/AWright_StepsFwdStepsBack.pdf

4. United States Rankings # 1 in number of preventable deaths. At least 84,000 people die each year because of lack of access to quality health care (Commonwealth Fund, 2011). # 1 in health care costs; and premium costs are steadily rising @ 8% or more annually, while benefits get skimpier. #37 in quality of Health Care system ( World Health Organization)

5. 101,000 Americans die each year due to inability to pay for needed health services. “The REAL DEATH PANELS are Insurance Companies that Deny Coverage to Patients Who Die as a Result.”

7. The U.S. spends more per capita than other countries, and yet is ranked last by all these indicators. http://www.commonwealthfund.org/usr_doc/site_docs/slideshows/MirrorMirror/MirrorMirror.html

8. Cost Sharing Responsibilities Deductibles (up front) Co-pays Co-Insurance Maximum payouts (e.g. 60%)

9. Under-insured people represent a huge number of “insured” clients.. High deductible, limited service plans are more and more common.

10. Uninsured people are more likely to die prematurely than insured patients with similar problems, for every type of ailment or problem, from emergency trauma to cancer. (Institute of Medicine) --Uninsured families live sicker and die younger. --Uninsured families are one health care crisis away from financial ruin..

15. 3 CONCERNS California Lacks a Health Care System that is Sustainable Secure Just The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems:

16. Sustainable * health insurance policies & patterns that help U.S. citizens and can be maintained over time, at a rate or level that is beneficial for them.

17. A JOBS-BASED Private Insurance SYSTEM “Employers are the principal source of health insurance in the United States, providing health benefits for about 150 million nonelderly people in America.” 51 million Americans are uninsured (an all-time high) due to no job and other factors.

19. Workers with health care plan (%) Medical care Union 77%; Non-union 48% Dental Union 63%; Non-union 33% Vision Union 47%; Non-union 17% Prescription Drug Coverage Union 75%; Non-union 47% http://www.census.gov/compendia/statab/2012/tables/12s0158.pdf

21. “Health care premiums will surpass median U.S. incomes by 2033” http://www.rawstory.com/rs/2012/03/13/health- care-premiums-will-surpass-median-u-s- incomes-by-2033-study/

23. Percentage of Firms Offering Retiree Health Benefits 1988-2010 Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2010; KPMG Survey of Employer-Sponsored Health Benefits, 1991, 1993, 1995, 1998; The Health Insurance Association of America (HIAA), 1988.

25. Data sources: 2003 and 2009 Medical Expenditure Panel Survey–Insurance Component (for total average premiums for employer-based health I insurance plans, weighted by single and family household distribution); 2003–04 and 2009–2010 Current Population Surveys (for median household incomes for under-65 population). Premiums as Percentage of Median Household Income for Under-65 Population, 2003 and 2009

26. This is why what we have now is not Sustainable … policies and patterns DON’T help U.S. citizens and cannot be maintained over time, at a rate or level that is beneficial for them.

27. California Lacks a Health Care System that is Secure The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems:

28. A Secure System **Health insurance benefits that are free from danger, risk or loss; safe, steady.

29. #1 in our fear of medical debt : We are the only advanced nation where folks are afraid of their medical bills. Millions of people put off going to the doctor because they fear the bill they will get. 2/3 of bankruptcies due to medical debt (Commonwealth Fund). 500,000 a year /.66 =

32. Serious limitations in access with high deductible plans and the limited service plans… platinum = 90% of hospital costs gold = 80% of hospital costs silver = 70% of hospital costs bronze = 60% of hospital costs

33. This is why what we have now is not Secure …is NOT free from danger, risk or loss; NOT safe, steady. The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems:

34. California Lacks a Health Care System that is Just The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems:

35. A Just System ** Gives ALL individuals and groups fair treatment, and a righteous (or just) share of the health insurance benefits available to others in the society. Based on notions of human rights & equality.

36. The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems:

39. The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems: The United States spends more per person on health care than any other country, yet in overall quality its care ranks 37th in the world, says a World Health Organization analysis. It concluded that France provides the globe’s best health care. The World Health Organization’s ranking of the world’s health systems:

41. Patient Protection Affordable Care Act (PPACA) insurance exchanges will likely bring increased access, but lower levels of coverage, and 1/3 still will have no coverage at all. California One Care: Full Care for All, For Less (SB 810) http://www.youtube.com/watch?v=IEi0OveTt O8&feature=player_embedded http://www.youtube.com/watch?v=IEi0OveTt O8&feature=player_embedded Support State Level Single Payer Legislation at. 20+ states

43. Is the PPACA Sustainable? Secure? Just?

44. WE CAN DO BETTER!!!