The document discusses rising health care costs in the United States from 1969 to 2004, factors contributing to increased costs such as an aging population and technology, and responses to rising costs including managed care and malpractice reform. It also covers health care financing through programs like Medicare, Medicaid and private insurance, as well as the growing number of uninsured Americans.

1. Health Care Cost, Access and Financing John Brill, MD, MPH 1969: $268 1990: $2567 2000: $5712 2004: $6280

3. Why Should You Care?

7. Approximately how much was spent on health care in the United States in 2004? A. $1.9 Billion B . $19 Billion C. $190 Billion D . $1.9 Trillion

8. What % of the United States Gross Domestic Product (GDP) is spent on health care? A. 6% B. 11% C. 16% D. 21% E. 26%

9. According to health care economist Victor Fuchs [JAMA 269 631 (1993)] and other experts, which of the following is most responsible for the high costs of health care in the US? A . Treating ‘hopeless’ cases at the end of life B . Americans’ demand for the best care available C . Malpractice and ‘defensive medicine’ D. Fraud and Abuse in health care

13. International Health Care Spending (As % GDP)

24. Where does the Money Come From?

25. Where does the money go?

41. In the 1980s the U.S. auto manufacturers started to pay more for healthcare for their employees per car, than steel per car . In 1996 GM paid $1200 in health costs per car, and foreign auto manufacturers spend as little as $100, due to younger, healthier workers, and lack of retirees. Kleinke, J.D., The Bleeding Edge ,

42. Alphabet Soup

53. What Does Physician Collect? *Non-Medicare Assignment 0 7.00 0 8.20* Bill Patient 90.00 110.00 56.00 82.00 TOTAL 72.00 88.00 56.00 65.60 Insurance Pays 18.00 22.00 0 16.40 Patient Co-Pay 90.00 110.00 56.00 82.00 Allowable PPO Indemnity Medicaid Medicare