Health Care Napkin 2

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Napkin #2 in a series of four simple "back of the napkin" sketches visually explaining the health care debate.

Napkin #2 in a series of four simple "back of the napkin" sketches visually explaining the health care debate.

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  • 1. 2009 © Digital Roam Inc. Dan Roam dan@danroam.com www.thebackofthenapkin.com
  • 2. Remember how all the reforms are focused on the insurance side? All the big changes the White House is demanding are directed towards the private insurance companies. 3
  • 3. The White House should call it what it is: If the White House wins, it will be the private insurance companies sitting on the outside looking in. 4
  • 4. Is that fair? The only value private insurers bring to the equation is to keep costs down for members. (And pay shareholders. Remember: this is a business.) 5
  • 5. Is that fair? YES. Without a doubt. Private insurers have failed miserably at keeping costs down. If they can’t manage member costs, why do they exist? 6
  • 6. Private insurers had a remarkably profitable 2008. (Yes, in the recession.) 2008: Detroit dies.Wall Street tanks. 9.5% unemployed. Private insurance does just fine. 7
  • 7. Is anybody else being asked to reform? Yes, but not so much: Me: Providers: Take better care of myself. Be more efficient. Try not to get sick. Do more with less. Don’t get fired. (Ha!) Order fewer procedures. (Pharma is being asked to pay an $80 billion gift.) 8
  • 8. In the end, who will pay for any reform? Me. Assuming I’m presently employed and covered, I’m the only player putting money into the system. 9
  • 9. And where will the money I pay go? (There are 3 possibilities.) 1. Increase 2. Fund new 3. Fund a new profits for non-profit government Private Insurers. insurance insurance plan (no exchanges. profit allowed). Yes, it is that simple. 10
  • 10. Next napkin: What plans are really on the table? (And what is just hype.) 11