1. Dennis & Patten Participation in Government Mepham High School Health Care Reform in America

2. ACME Insurance Agency Private insurance policy is available to all for the following costs: Self-Employed: –Individual- $200/month –Family- $400/month Employer Contribution: –Individual- $50/month –Family- $120/month Decide whether or not you will purchase insurance. List reasons for and against purchasing insurance.

3. Discussion? How might some of these issues be resolved?

4. President Obama and Healthcare Reform “Health care reform is no longer just a moral imperative, it’s a fiscal imperative. If we want to create jobs and rebuild our economy and get our federal budget under control, then we have to address the crushing cost of health care this year, in this administration.” ~ President Obama, White House Forum on Health Care Reform

5. Entitlement Programs Entitlements guarantee that Americans receive benefits by federal law. Entitlement programs are part of the federal budget labeled mandatory spending that must be funded by law.

6. The Healthcare Problem The rising costs of health care and health insurance pose a serious threat to the future fiscal condition of the U.S.  4% of GDP in 2009  6% of GDP in 2019  12% of GDP by 2050

7. The Healthcare Policy Dilemma Policymakers will face difficult trade offs between two objectives: 1.Expanding insurance coverage WHILE 2.Controlling both total and federal costs for healthcare

8. Who Pays for Health Care?  Most Americans (85%) have some form of health insurance  Health insurance - any program that helps pay for medical expenses  Three general health care payment categories: 1.private insurance 2.government programs 3.uninsured

9. Private insurance Most Americans (59.3%) receive their health insurance coverage through an employer under group coverage Since 2001, family coverage premiums have increased by 28%, while wages have only increased by 16%

10. Government Programs 27.8% of Americans (83 million) are covered by government health care programs Federal law mandates public access to emergency services regardless of ability to pay Public Programs: 1.Medicaid 2.Medicare 3.Other programs: State Children’s Health Insurance Program (SCHIP), military system, veterans affairs

11. Medicare Provides health insurance for U.S. citizens over the age of 65 Medicare is partially funded by payroll taxes a.k.a. F.I.C.A. tax

12. Medicaid Health insurance program for low income adults, children, and people with certain disabilities Means test is required About 60% of the poor are not covered by Medicaid

13. The Uninsured There are millions of Americans who have insufficient or no health care insurance 45.7 million (15.3% uninsured in America) In 2007, nearly 70% of the uninsured lived in families headed by a full-time worker 8.1 million uninsured children Source: http://www.hr-onesource.com/ppt/01-patton_healthcare.pdfhttp://www.hr-onesource.com/ppt/01-patton_healthcare.pdf

14. Why Uninsured? Rising healthcare costs force many employers to drop employee health insurance Many working poor make too much to qualify for Medicaid, but can’t afford health insurance Unemployment Some healthy people choose to go without health insurance Some rejected by insurance companies because they have pre-existing conditions Results:  Many don’t go to the doctor  Increase in emergency room care

15. Healthcare in the U.S. Today How do we improve our healthcare system?