• Share
  • Email
  • Embed
  • Like
  • Save
  • Private Content
Health care in the USA
 

Health care in the USA

on

  • 752 views

Health and Health Care Systems in the USA

Health and Health Care Systems in the USA

Statistics

Views

Total Views
752
Views on SlideShare
739
Embed Views
13

Actions

Likes
1
Downloads
17
Comments
0

2 Embeds 13

https://cumbria-ac-uk.campuspack.eu 12
https://mylearning.cumbria.ac.uk 1

Accessibility

Upload Details

Uploaded via as Apple Keynote

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment
  • We have never had an epidemic like this that we have been able to track so thoroughly and see. As I told you, this is conservative. <br /> About 60 million adults, or 30 percent of the adult population, are now obese, which represents a doubling of the rate since 1980.

Health care in the USA Health care in the USA Presentation Transcript

  • Population Health in the USA
  • Health Spending as % of GDP
  • Health Spending as % of GDP 16 12 $(int) 8 4 0 USA Canada Mexico Cuba UK $int
  • Health Spending as % of GDP 16 15.4 12 $(int) 8 4 0 USA Canada Mexico Cuba UK $int
  • Health Spending as % of GDP 16 15.4 12 9.8 $(int) 8 4 0 USA Canada Mexico Cuba UK $int
  • Health Spending as % of GDP 16 15.4 12 9.8 $(int) 8 6.5 4 0 USA Canada Mexico Cuba UK $int
  • Health Spending as % of GDP 16 15.4 12 9.8 $(int) 8 6.5 6.3 4 0 USA Canada Mexico Cuba UK $int
  • Health Spending as % of GDP 16 15.4 12 9.8 $(int) 8 8.1 6.5 6.3 4 0 USA Canada Mexico Cuba UK $int
  • Total per capita expenditure on Health
  • Total per capita expenditure on Health 7,000 5,250 $(int) 3,500 1,750 0 USA Canada Mexico Cuba UK $int
  • Total per capita expenditure on Health 7,000 6,096 5,250 $(int) 3,500 1,750 0 USA Canada Mexico Cuba UK $int
  • Total per capita expenditure on Health 7,000 6,096 5,250 $(int) 3,500 3,173 1,750 0 USA Canada Mexico Cuba UK $int
  • Total per capita expenditure on Health 7,000 6,096 5,250 $(int) 3,500 3,173 1,750 655 0 USA Canada Mexico Cuba UK $int
  • Total per capita expenditure on Health 7,000 6,096 5,250 $(int) 3,500 3,173 1,750 655 0 229 USA Canada Mexico Cuba UK $int
  • Total per capita expenditure on Health 7,000 6,096 5,250 $(int) 3,500 3,173 2,560 1,750 655 0 229 USA Canada Mexico Cuba UK $int
  • Life expectancy
  • Life expectancy 81.00 80 81 78 79 77 76 75 75 75 72 60.75 40.50 20.25 0 M F M F M F M F M F USA Canada Mexico Cuba UK
  • Under 5 Mortality
  • Under 5 Mortality 30.0 22.5 21.1 15.0 7.5 7.9 6.8 5.9 0 USA Canada Mexico Cuba per 1,000 lb
  • Adult Mortality Rate (aged 15-60 per 1,000)
  • Adult Mortality Rate (aged 15-60 per 1,000) 200 162 150 137 128 100 101 90 94 81 83 62 50 56 0 M F M F M F M F M F USA Canada Mexico Cuba UK
  • Ideology and Culture
  • Ideology and Culture Libertarian Individualism
  • Ideology and Culture Libertarian Individualism Conservative
  • Ideology and Culture Libertarian Individualism Conservative National Identity
  • Ideology and Culture Libertarian Individualism Conservative Ethnic and Cultural Origins National Identity
  • Ideology and Culture Libertarian Individualism Conservative Ethnic and Cultural Origins National Identity National Legislation- Federal
  • Ideology and Culture Libertarian Individualism Conservative Ethnic and Cultural Origins National Identity Local Legislation- State National Legislation- Federal
  • Ideology and Culture Libertarian Individualism Conservative Ethnic and Cultural Origins National Identity Local Legislation- State National Legislation- Federal Influence of Religious Right
  • Ideology and Culture Libertarian Individualism Conservative Ethnic and Cultural Origins National Identity Local Legislation- State National Legislation- Federal Influence of Religious Separation of Religion and State Right
  • Obesity Trends* Among U.S. Adults BRFSS, 1990, 1998, 2006 (*BMI ≥30, or about 30 lbs. overweight for 5’4” person) 1990 1998 2006 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% Source: CDC Behavioral Risk Factor Surveillance System.
  • Obesity Trends* Among U.S. Adults BRFSS, 2006 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% Source: Behavioral Risk Factor Surveillance System, CDC.
  • Diabetes 20.8 Million (7%) Americans are diabetic 54 Million Americans are ‘pre diabetic’ American Indians (18%) Non Hispanic Blacks (16%) Hispanic/Latino (14%) Non Hispanic Whites (8%)
  • Cortland County, NY.
  • Cortland County, NY.
  • Cortland County, NY.
  • Rural Experiences
  • Social Indicators Teen preg. Child Abuse Calls
  • Social Indicators Teen preg. Child Abuse Calls 40 30 Per 1000 pop 20 10 0 Cortland NY State
  • Social Indicators Teen preg. Child Abuse Calls 40 40.0 30 Per 1000 pop 20 18.3 10 0 Cortland NY State
  • Social Indicators Teen preg. Child Abuse Calls 40 40.0 30 Per 1000 pop 20 22.1 18.3 10 9.1 0 Cortland NY State
  • Drunk Driving DWI arrests Under 20 DWI
  • Drunk Driving DWI arrests Under 20 DWI 60 45 Per 10,000 30 15 0 Cortland NY State
  • Drunk Driving DWI arrests Under 20 DWI 60 56.2 45 Per 10,000 30 25.3 15 0 Cortland NY State
  • Drunk Driving DWI arrests Under 20 DWI 60 56.2 54.2 45 Per 10,000 30 30.9 25.3 15 0 Cortland NY State
  • Social indicators Unemployment High School Droputs
  • Social indicators Unemployment High School Droputs 6.0 4.5 3.0 % 1.5 0 Cortland NY State
  • Social indicators Unemployment High School Droputs 6.0 6 6 4.5 3.0 % 1.5 0 Cortland NY State
  • Social indicators Unemployment High School Droputs 6.0 6 6 4.5 4 3.0 % 2 1.5 0 Cortland NY State
  • Average Income
  • Average Income $50,000 $46,195 $37,500 $34,867 $25,000 $12,500 $0 Cortland NY State
  • Physical Activity Moderate 30 x 5 Vigorous 20mins x 3
  • Physical Activity Moderate 30 x 5 Vigorous 20mins x 3 70.0 52.5 35.0 17.5 0
  • Medicare
  • Medicare • Department of Health and Human Services
  • Medicare • Department of Health and Human Services • Social insurance covering 43 Million Americans
  • Medicare • Department of Health and Human Services • Social insurance covering 43 Million Americans • 65+ US citizens or permanent legal resident for 5 yrs
  • Medicare • Department of Health and Human Services • Social insurance covering 43 Million Americans • 65+ US citizens or permanent legal resident for 5 yrs • Or under 65 with permanent disability social security benefit for more than 24 months
  • Medicare • Department of Health and Human Services • Social insurance covering 43 Million Americans • 65+ US citizens or permanent legal resident for 5 yrs • Or under 65 with permanent disability social security benefit for more than 24 months • End stage renal disease, renal failure,
  • Finance
  • Finance • Payroll tax- 1.45% worker/ 1.45% employer
  • Finance • Payroll tax- 1.45% worker/ 1.45% employer • Total medicare spending $440 billion (2007) 16% of all federal spending
  • Hospital care
  • Hospital care • At least 3 days (midnights) not counting discharge day
  • Hospital care • At least 3 days (midnights) not counting discharge day • Nursing home stay for conditions connected to hospital stay (eg. Post surgery rehab)
  • Hospital care • At least 3 days (midnights) not counting discharge day • Nursing home stay for conditions connected to hospital stay (eg. Post surgery rehab) • Only “Skilled Care” covered for up to 100 days
  • Hospital care • At least 3 days (midnights) not counting discharge day • Nursing home stay for conditions connected to hospital stay (eg. Post surgery rehab) • Only “Skilled Care” covered for up to 100 days • First 20 days full cost
  • Hospital care • At least 3 days (midnights) not counting discharge day • Nursing home stay for conditions connected to hospital stay (eg. Post surgery rehab) • Only “Skilled Care” covered for up to 100 days • First 20 days full cost • 80 days part payment (above $128)
  • Hospital care • At least 3 days (midnights) not counting discharge day • Nursing home stay for conditions connected to hospital stay (eg. Post surgery rehab) • Only “Skilled Care” covered for up to 100 days • First 20 days full cost • 80 days part payment (above $128) • After 100 days must have a gap of 60+ days before eligible for more care support
  • Medicines and other out patient costs
  • Medicines and other out patient costs • Optional cover • Local and National Determinations of Cover • Outpatient procedures • Physician, nursing, x-ray, laboratory and other diagnostic tests • Canes, walking and mobility aids, • one pair of spectacle after cataract surgery • Oxygen for home use • Influenza and other vaccines • Blood transfusions, renal dialysis • Chemotherapy • Immunosuppresive drugs for organ transplant patients • Medications administered by a physician in the doctor’s office
  • Medicare +
  • Medicare + • Additional or alternative private medical insurance • Equivalent to medicare but may be variable in cover offered • Co payment required for many areas of health care
  • Additional costs
  • Additional costs • Hospital Cover • 10 years+ (40 quarters) contributions $233 per month • Less than 7.5 yrs (30 quarters) Contributions $423 per month • Medicines cover- $89 per months
  • Deductibles
  • Deductibles • 1- 60 days hospital care $1,024
  • Deductibles • 1- 60 days hospital care $1,024 • 61- 90 days $256 per day
  • Deductibles • 1- 60 days hospital care $1,024 • 61- 90 days $256 per day • 91- 150 days $512 per day
  • Deductibles • 1- 60 days hospital care $1,024 • 61- 90 days $256 per day • 91- 150 days $512 per day • $128 per day for skilled nursing home care 21- 100 days
  • Deductibles • 1- 60 days hospital care $1,024 • 61- 90 days $256 per day • 91- 150 days $512 per day • $128 per day for skilled nursing home care 21- 100 days • Blood deductible for first 3 units of blood unless replaced
  • Deductibles • 1- 60 days hospital care $1,024 • 61- 90 days $256 per day • 91- 150 days $512 per day • $128 per day for skilled nursing home care 21- 100 days • Blood deductible for first 3 units of blood unless replaced
  • Payments to providers
  • Payments to providers • Fixed amount per condition not actual treatment costs
  • Payments to providers • Fixed amount per condition not actual treatment costs • “Upcoding” by Physician to cover unexpected costs
  • Payments to providers • Fixed amount per condition not actual treatment costs • “Upcoding” by Physician to cover unexpected costs • Hospitals can keep money not spent on patient (cover shortfall for excess on other patients)
  • problems
  • problems • Number of workers paying contributions compared to claimants falling • Cost of treatments increasing
  • Medicaid
  • Medicaid • Joint state and federal funded entitlement programme
  • Medicaid • Joint state and federal funded entitlement programme • Low income parents, children, seniors and people with disabilities
  • Medicaid • Joint state and federal funded entitlement programme • Low income parents, children, seniors and people with disabilities • State participation is voluntary but all states currently take part
  • Medicaid • Joint state and federal funded entitlement programme • Low income parents, children, seniors and people with disabilities • State participation is voluntary but all states currently take part • Average expenditure 22% of state spending
  • Medicaid • Joint state and federal funded entitlement programme • Low income parents, children, seniors and people with disabilities • State participation is voluntary but all states currently take part • Average expenditure 22% of state spending • Covers 42.9 million Americans
  • Medicaid • Joint state and federal funded entitlement programme • Low income parents, children, seniors and people with disabilities • State participation is voluntary but all states currently take part • Average expenditure 22% of state spending • Covers 42.9 million Americans • 37% of Childbirths
  • Medicaid • Joint state and federal funded entitlement programme • Low income parents, children, seniors and people with disabilities • State participation is voluntary but all states currently take part • Average expenditure 22% of state spending • Covers 42.9 million Americans • 37% of Childbirths • 60% of nursing home care
  • Eligibility
  • Eligibility • Varies from state to state
  • Eligibility • Varies from state to state • Low income plus
  • Eligibility • Varies from state to state • Low income plus • Age
  • Eligibility • Varies from state to state • Low income plus • Age • Pregnancy
  • Eligibility • Varies from state to state • Low income plus • Age • Pregnancy • Blindness
  • Eligibility • Varies from state to state • Low income plus • Age • Pregnancy • Blindness • Disability