The Right to Healthcare and Good Health By: Marissa Beach MPA Candidate 2009  University of Washington, Seattle
Presentation Overview <ul><li>Problems </li></ul><ul><li>Tested Solutions </li></ul>
Problem #1: Insurance <ul><li>1996 - Health Insurance Portability and Accountability Act (HIPPA) </li></ul><ul><li>16% of ...
Problem #2: Transparency & Congruency <ul><li>Language and definitions </li></ul><ul><li>Decisions </li></ul><ul><li>Proce...
Problem #3: Dialogue <ul><li>(a) Issues - What & How? </li></ul><ul><li>Euphemisms </li></ul><ul><li>Coined terms </li></u...
Tested Solutions #1: Insurance <ul><li>UHC </li></ul><ul><li>Mandatory vs. Optional vs. Hopeful </li></ul><ul><li>Type of ...
Tested Solutions #2: Groups  <ul><li>Identifying problems </li></ul><ul><li>Time is needed --> task forces and committees ...
Tested Solution #3: Legislation & Programs <ul><li>WIC, Medicare, Medicaid, SCHIP, Food Stamps, etc. </li></ul><ul><li>Hea...
King County Health Outcomes <ul><li>(a) Populations - Who? </li></ul><ul><li>Women </li></ul><ul><li>Children </li></ul><u...
Conclusion Many variables, problems, and actors -- but also, many striving solutions Insurance nor Legislation ≠ Good heal...
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Presentation - National Academy of Public Administration\'s Social Equity and Leadership Conference, Rutgers University - Newark

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Presentation was based on my summer research at Uplift International, a health and human rights nonprofit based in Seattle, Washington. Research was on 2005 Seattle right to healthcare ballot initiative and state and federal policies in health(care) and human rights.

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  • Today we’re going to talk about two things: problems with current healthcare system and possible solutions to these problems. Pineapple - complex task, sticky, messy and hard to grip.
  • The majority of Americans are willing to pay more taxes to provide every American health insurance, especially children, according to a 2007 New York Times survey Private companies (HMO) set the prices - co-pays, bills, who’s covered, who’s not covered Individual states &amp; fed programs - who’s the final decision maker? Consumer? Patient? Private ins co? Your boss? Govt?
  • Language ex: UHC, Healthy Families, human rights, poor, guidelines vs. recommendations vs. enforced law, etc. - 2005 Seattle right to healthcare ballot initiative, … Medicaid eligibility in 2005 ranged from 40% to over 110% of FPL depending on state
  • Euphemisms: friendly fire, national security, juvenile justice, universal healthcare… U.S. culture: permeated through out public policies, academia, and social life - why the guilt when sick or need to care for a loved one or mental re-charge?
  • At least 14 states at research time have introduced UHC bills / legislation City vs. state vs. federal coverage (govt); nonprofit sector - volunteers &amp; low-paid staff; private sector - employment linked to insurance status
  • In order to brainstorm solutions, we should identify problems first, and to do that, we need more time --&gt; let’s create a committee or task force or partner with the local university for more research Memos and reports with recommendations Time for research and identify problems and actors - what people are thinking, who’s involved, how can we solve this issue together
  • Linked to political dialogue - euphemisms, coined terms, etc. - who wants to claim to be the “first” (first city to cover all citizens, first state to cover all children…first to use HR language…)
  • By 1998, asthma was the leading cause of hospitalization among children in King County, significantly higher for children ages 1-4 and for those living where poverty is greatest
  • Variables: race, ethnicity, SEP, geography, gender, etc. Problems and thus policies are interlinked: transportation, anti-poverty, healthcare, human rights, immigration, etc. Striving solutions: city, state, and federal governments; third sector; everyday citizens - bartering, etc. Hybrid solution: transparency, accountability, and reform in education, policy, dialogue, and U.S. culture
  • Presentation - National Academy of Public Administration\'s Social Equity and Leadership Conference, Rutgers University - Newark

    1. 1. The Right to Healthcare and Good Health By: Marissa Beach MPA Candidate 2009 University of Washington, Seattle
    2. 2. Presentation Overview <ul><li>Problems </li></ul><ul><li>Tested Solutions </li></ul>
    3. 3. Problem #1: Insurance <ul><li>1996 - Health Insurance Portability and Accountability Act (HIPPA) </li></ul><ul><li>16% of Americans are uninsured </li></ul><ul><li>States range from 8-to-20% uninsured </li></ul><ul><li>2007 NYT survey - UHC </li></ul>
    4. 4. Problem #2: Transparency & Congruency <ul><li>Language and definitions </li></ul><ul><li>Decisions </li></ul><ul><li>Processes </li></ul><ul><li>Eligibility / Coverage </li></ul><ul><li>Costs </li></ul><ul><li>Implementation </li></ul><ul><li>Enforcement </li></ul>
    5. 5. Problem #3: Dialogue <ul><li>(a) Issues - What & How? </li></ul><ul><li>Euphemisms </li></ul><ul><li>Coined terms </li></ul><ul><li>(b) Space - Where? </li></ul><ul><li>U.S. culture </li></ul><ul><li>Academia </li></ul><ul><li>Social networks </li></ul><ul><li>Work / employment </li></ul>
    6. 6. Tested Solutions #1: Insurance <ul><li>UHC </li></ul><ul><li>Mandatory vs. Optional vs. Hopeful </li></ul><ul><li>Type of coverage </li></ul>
    7. 7. Tested Solutions #2: Groups <ul><li>Identifying problems </li></ul><ul><li>Time is needed --> task forces and committees </li></ul><ul><li>Partnerships / coalitions among sectors </li></ul>
    8. 8. Tested Solution #3: Legislation & Programs <ul><li>WIC, Medicare, Medicaid, SCHIP, Food Stamps, etc. </li></ul><ul><li>Healthy San Francisco </li></ul><ul><li>2005 Seattle Right to Healthcare Ballot Initiative </li></ul><ul><li>MassHealth (Maine) </li></ul><ul><li>Catamount Health (Vermont) </li></ul>
    9. 9. King County Health Outcomes <ul><li>(a) Populations - Who? </li></ul><ul><li>Women </li></ul><ul><li>Children </li></ul><ul><li>Low Socioeconomic Position (SEP) </li></ul><ul><li>Immigrants </li></ul><ul><li>Refugees </li></ul><ul><li>Minorities </li></ul><ul><li>( b) Diseases, Conditions, Environments - What? </li></ul><ul><li>Asthma </li></ul><ul><li>Depression </li></ul><ul><li>Suicide and homicide </li></ul><ul><li>“ isms” </li></ul>
    10. 10. Conclusion Many variables, problems, and actors -- but also, many striving solutions Insurance nor Legislation ≠ Good health Good health - head to toe What’s needed: hybrid solution
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