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GWAHU: Health Reform -- Where Are We Now?


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Presentation given by Grace-Marie Turner on the impact of ObamaCare

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GWAHU: Health Reform -- Where Are We Now?

  1. 1. Health Reform: Where are we now? Greater WashingtonAssociation of Health Underwriters January 11, 2012 Grace-Marie Turner Galen Institute
  2. 2. Overwhelming majorities say ObamaCare will increase taxes, the federal deficit, premiums,health care costs, and decrease quality of care Do you think the health care reform plan that Congress passed recently will increase, decrease, or have no effect on each of the following: Taxes Federal Deficit Health care CostsInsurance PremiumsHealth Care Quality AM&A | Resurgent Republic 1st Anniversary Survey of Likely Voters | April 25-27, 2010
  3. 3. What the president will tell you ObamaCare does– “Free” preventive care– Allowing “children” up to age 26 on parent’s policies– No annual or lifetime limits on coverage– Pools for pre-existing condition policies– $250 for seniors with high drug costs– Insurance regulations and mandates
  4. 4. What ObamaCare does◄Significant new federal control over health insurance and medical practice◄At least 159 new programs and agencies◄Mandates on citizens, employers, & states◄$552billion in new taxes and penalties◄$575 billion from Medicare
  5. 5. People are confused22% - Think the law has been repealed *26% - Are unsureJust over half (52%) know ObamaCare still stands14% - Believe they have benefited from the law17% - Already have been harmed45% - Fear it will make the economy worse56% - Favor full repeal of the lawSource: “Kaiser Health Tracking Poll – February 2011,” The Henry J. Kaiser Family Foundation, February 24,2011,
  6. 6. ObamaCare Is Less Popular Than Ever• Overall favorability -- 34%, an all-time low• “Very favorable” support -- 12%• People who think they personally will be better off --18%• The country as a whole will be better off - - 28%• Approval of the law among Democrats dropped by 13% to only 52% Source: Kaiser Health Tracking Poll, Kaiser Family Foundation, October 2011,
  7. 7. Widespread pushbackVery real consequences– Killing jobs, especially decimating the insurance broker community– 40% of doctors plan to leave practiceResistance from states– Lawsuits to block individual mandate, resist Medicaid expansion– Balking at setting up exchanges or otherwise complyingImpossible complexity– CLASS Act collapse– Enormous bureaucracy, benefit mandates, privacy issues– 10,000 pages of regulations -- so far
  8. 8. Medical Practice Ownership “When the Doctor Has a Boss. More Physicians Are Going to Work for Hospitals Rather Than Hanging a Shingle” By ANNA WILDE MATHEWS. The Wall Street Journal Nov. 8, 2010
  9. 9. “The mandate was a mistake” “Democrats managed to get themselves the worst possible result: a law that enflames the opposition on the basis of overreaching federal power but may not work in practice because there is no real power behind it. Whether or not the Court strikes it down, the individual mandate has been one of the most serious political and policy mistakes of recent decades.”Princeton Professor (and Obamacare advisor) Paul Starr, “The Health Care Mandate Really Was a Mistake,”January 2, 2012. The New Republic.
  10. 10. Studies show law fails to meet goalsHealth costs and health spending increaseOne-third of businesses may drop insuranceYoung people worried about high cost ofpoliciesDoctors concerned about Medicaid expansionand fraying the safety netSeniors are concerned about access to carethrough Medicare and Medicare AdvantageTens of millions remain uninsured
  11. 11. “If you like your health insurance…”COVERAGE 51 to 80% of Americans will lose current coverage, according to Obama admin. estimates Up to 80 million will be forced to change policies 30-40 million insured will drop coverage Child-only policies vanish in 19 states 35 million more will move from job-based insurance to taxpayer-subsidized exchanges
  12. 12. What happened to cost controls? Insurance premiums rising 9% to $15,000yr (family employer plan) Rick Foster: “False more so than true” that law will lower costs for taxpayers Actual cost of the law, $2.4 trillion – and counting
  13. 13. 2010 Political RealitiesDemocratic pollster Pat Caddell said:“The economy, as important as it was,was not the decisive factor this election.Health care was,” he said.“It care [that] killed them,”Caddell said of the 63 defeated HouseDemocrats.“The American people found this a crimeagainst democracy... they want it repealed,and this issue is gonna go on and on.”
  14. 14. Changes are inevitableLegislation: Defunding, dismantlingRegulatory: Strict congressionaloversightLegal: Supreme Court decision in 2012Political: Election referendum
  15. 15. What we know for sureCHOICE Americans value innovation,diversity and choice to accommodatedifferent needs of 300 million peopleFOCUS ON THE PATIENT They wantdoctors and patients, not government, tomake health care decisionsVALUE IN HEALTH SPENDING To realizethe promise of personalized medicine andachieve overall cost saving, we must allowmore choice and competition
  16. 16. Other nations move toward change  Consumerism  Value private enterprise and competition  Doctor/patient relationship  Decentralized decision-making
  17. 17. The future? The global move toward consumerism is real, driven by greater patient demand for more control over decisions. Health overhaul is law and will fundamentally change the U.S. health sector. But I believe it will be repealed by Congress, struck down the courts, or amended significantly before 2014
  18. 18. Why ObamaCare Is Wrong for America How does the new health care law drive up costs? Is your doctor really in charge of your health care decisions? Are your Constitutional rights threatened? Discover the law’s impact on your life in a new book from four nationally recognized health policy experts Published by Broadside Books, an imprint of HarperCollins
  19. 19. Contact:Grace-Marie TurnerGalen