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Healthcare slide show
 

Healthcare slide show

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Comparison of U.S. healthcare with other countries

Comparison of U.S. healthcare with other countries

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    Healthcare slide show Healthcare slide show Presentation Transcript

    • Healthcare A Comparative Look Among Select Nations
    • Sources
      • OECD Organization for Economic Cooperation
      • and Development
      • - Originally OEEC; administrative arm of Marshal Plan
      • - Became OECD 1961; now 34 member nations
      • - Promotion of Democracy and Free Enterprise
      • - Raise standards of living
      • CIA Central Intelligence Agency
      • ISSA International Social Security Association
      • CEPR Center for Economic & Policy Review
    • Canada Single Payer
      • Universal coverage for necessary health care services provided on the basis of need, rather than the ability to pay. Medicare
      • Not one system: Each province has its own plan, oversight & some funding by the national government.
      • Private providers paid by government
      • Dental care, eye care and outpatient prescriptions not covered; private insurance. Illegal to insure care that is covered by Medicare.
    • France Hybrid model
      • Government pays about 80% of medical bills
      • Complementary Insurance (private) covers rest
      • Employer/Labor federations jointly control the funds under the State’s supervision.
      • Health authorities plan the size and numbers of hospitals and allocation of technical equipment
      • The public sector accounts for 65% of hospital beds. Private hospitals (35%) are profit oriented, fee-for-service (set by federations)
      • 40% physicians public; 60% private
    • Germany Bismarck model
      • Germans mandated to buy their insurance from one of almost 300 regulated private,nonprofit Sickness Funds which bargain with doctors as a group.
      • Premiums are pegged to patients' income. Split between employer and employee. (about $750)
      • Co-payments: $15 every three months; some patients, like pregnant women, are exempt.
      • 2 million permanent civil servants insured by the government;
      • The wealthy can opt for private insurance; about 10% of the population does.
    • United Kingdom Socialized Medicine
      • Public payment; public providers
      • Taxes fund the National Health Service (NHS )
      • Hospitals government owned;hospital doctors are paid salaries.
      • General practitioners (GPs) are private; paid based on the number of patients they see. No co-pays for most services; some co-pays for dental care, eyeglasses and 5 % of prescriptions. Young people and the elderly are exempt from all drug co-pays.
      • Private insurance available for wealthy. A small number of specialists work outside the NHS and see private-pay patients. GP’s take private pay also.
    • United States The Smorgasbord of Healthcare Systems
      • Single payer (Social insurance): Medicare & Medicaid
      • Nationalized (Socialist): VHA & Tri-Care
      • Private Insurance: Premiums paid by individuals and employers to for-profit insurance co.’s
      • Cash: Deductibles, Co-pays; Un(der)insured
      • Other: Who pays for 50 million Uninsured?
    • Costs
      • What we are paying for healthcare
      • Who is paying (public; private)
      • How our costs compare to other nations
    • Healthcare Expenditures as Per Cent of GDP 2009 (OECD) U.S. Canada France Germany U.K. 17.4 11.4 11.8 11.6 9.8
    • Total Per Capita Healthcare Expenditures 2009 (OECD) U.S Canada France Germany U.K. $7,960 $4,363 $3,978 $4,218 $3,487
    • Public Healthcare Expenditures Per Capita 2009 (OECD) U.S. Canada France Germany U.K. $3,797 $3,080 $3,099 $3,244 $2,933
    • Wait a Minute!
      • I thought those Socialist European countries paid way more in taxes for their healthcare. Let me see that slide again!
    • Public Healthcare Expenditures Per Capita 2009 (OECD) U.S. Canada France Germany U.K. $3,797 $3,080 $3,099 $3,244 $2,933
    • 2010 Federal Healthcare Outlays (various government websites) 940 Total Federal Expenditures 10 Children’s Health Insurance Program 40 Federal Employees Health Benefits 49 Tri-Care (active military) 48 Veterans’ Health Administration 793 Medicare & Medicaid Billions $$ Federal Program
    • Private Healthcare Expenses Per Capita 2009 (OECD) U.S. Canada France Germany U.K. $4,163 $1,283 $879 $974 $554
    • American employers bear a higher health care burden than their major trading partners. This undermines U.S. competitiveness in the global marketplace. (ISSA)
    • Healthcare Expenses As Share of GDP (OECD) U.S. Canada France Germany U.K. 1980 9.0 7.0 7.0 8.4 5.6 1995 13.7 9.0 10.4 10.1 6.8 2009 17.4 11.4 11.8 11.6 9.8
    • Benefits
      • What are we getting for our money?
    • Life Expectancy at Birth 2007 (OECD) U.S. Canada France Germany U.K. 77.9 80.7 80.9 80.0 79.7
    • Life Expectancy at Age 65 2009* (OECD) *Canada 2007; France 2008
    • Maternal Mortality 2008 per 100,000 births (CIA) U.S. Canada France Germany U.K. 24.0 12.0 8.0 7.0 12.0
    • Infant Mortality 2008 Per 1,000 Births (CIA) U.S. Canada France Germany U.K. 6.06 4.92 3.29 3.54 4.62
    • Physician Consultations Per Capita 2008 (OECD) U.S. Canada France Germany U.K. 3.9 5.5 6.9 7.7 5.9
    • I thought it was impossible to see a doctor in Canada!
      • But the OECD says that the average Canadian sees a doctor 40% more often than the average American? That’s right; the barrier to doctor consultations appears to be lower in Canada than in the United States.
    • Hospital Beds Per 1000 2008 (OECD) U.S. Canada France Germany U.K. 3.1 3.3 6.9 8.2 3.4
    • Physicians Per 1000 OECD 2009 U.S. Canada France Germany U.K. 2.4 2.4 3.3 3.6 2.7
    • Health Rating Inclusiveness, quality of service, perceived health differences between highest/lowest income 0 = worst, 10 = best (OECD)
    • Ways in Which our Healthcare System Makes Us Unique
      • 50 million uninsured citizens
      • 750,000 families file for bankruptcy each year
      • 45,000 unnecessary deaths each year
      • Less competitive in the global marketplace
      • Hemorrhaging local, state and Federal budgets
    • The Calculator lets you see what projected U.S. budget deficits would be if we had the same per person health care costs as any of the countries listed below, The yellow line shows projected deficits based on baseline projections from the non-partisan Congressional Budget Office. (CEPR)
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