A lecture to the UC Davis School of Medicine community covering the basics of the health reform law passed in early 2010. Presented by Adam Dougherty, MPH, MS1

1. Health Reform in America: An Overview of the Patient Protection and Affordable Care Act Adam Dougherty, MPH 9/28/2010

3. Context

4. International Comparison of Spending on Health, 1980–2007 Note: $US PPP = purchasing power parity. Source: Organization for Economic Cooperation and Development, OECD Health Data, 2009 (Paris: OECD, Nov. 2009). $7,290 $2,454 16% 8% Average spending on health per capita ($US PPP) Total expenditures on health as percent of GDP

6. Total Spending for Health Care (CBO) % of GDP % of GDP

7. Premiums Rising Faster Than Inflation and Wages * 2008 and 2009 NHE projections. Source: K. Davis, Why Health Reform Must Counter the Rising Costs of Health Insurance Premiums, (New York: The Commonwealth Fund, Aug. 2009). Projected Average Family Premium as a Percentage of Median Family Income, 2008–2020 Cumulative Changes in Components of U.S. National Health Expenditures and Workers’ Earnings, 2000–2009 Percent Percent 108% 32% 24% Projected

8. Uninsured Rising With Costs Gilmer and Kronick, Hard Times and Health Insurance, Health Affairs, May 2009

11. America’s Health Coverage Source: KFF statehealthfacts.org, 2009

16. Sliding Scale Premiums and Out of Pocket – tied to Price

17. The Uninsured after Health Reform: California Source: Health Policy Fact Sheet , UCLA Center for Health Policy Research, Oct 2009

27. Thanks!