This is a training to introduce audiences to the problems with the health care system in Massachusetts, and to describe how a single payer health care system controls costs and saves lives elsewhere in the world.

1. Single Payer 101 Training
Universal Health Care for Massachusetts
http://masscare.org

2. What’s Wrong With Our
Health Care System?
(the easy part)

3. U.S. Has Lowest Life Expectancy
in the Industrialized World
OECD, 2011

4. U.S. Has Among Highest
Infant Mortality Rates
Health, United States, 2007

5. U.S. Has Among Highest
Maternal Mortality Rates
OECD, 2011

6. Rising Uninsured Population

7. Human Toll of Uninsurance
1987 = Uninsured 25% more likely to
die than the insured
2005 = Uninsured 40% more likely to
die than the insured
United States = 45,000 deaths due to
lack of insurance in 2005

8. Insurance Coverage Better in
Massachusetts, but Unsustainable

9. Rapid Growth of “Underinsured”
Households

10. Insurance Not Protection Against
Health Care Costs (2010)

11. Most Medically Bankrupt Had
Insurance at Onset of Illness

12. No Change in Mass. Medical Debt
and Medical Bankruptcies

13. Rising Share of Mass. Residents
with High Deductibles ($1,000+)

14. Large Inequities Remain in
Mass. Insurance Coverage

15. Little Change in Mass. Inequities in
Cost Barriers to Care

16. U.S. Spends Almost Double Next
Highest Spending Country

17. U.S. Health Care System the Sixth
Largest Economy in the World
Country 2010 GDP
United States $14,447,100
China $5,739,358
Japan $5,458,873
Germany $3,280,334
France $2,559,850
U.S. Health Care System $2,542,690
United Kingdom $2,253,552

18. Health Care Spending Will Consume
the Entire Economy by 2052

19. Health Care Costs Responsible
for the Federal Deficit

20. State Health Spending is Edging
Out All Other Public Programs

21. City of Boston Salaries Falling,
Health Care & Pension Costs Rising

22. City of Boston Salaries Falling,
Health Care & Pension Costs Rising
1,105 (6.5%) jobs cut from January 2009 to 2012

24. 100% of Minimum Wage Salary
to Pay for a Family Health Plan

25. Growing % of Mass. Families with
Unaffordable Health Care Costs

26. Over Half of Home Foreclosures
Due to Medical Causes

27. Why Are U.S. Health Care
Costs So High?
(the hard part)

28. Common Explanations for
High Health Care Costs

29. Common Explanations for
High Health Care Costs

30. Common Explanations for
High Health Care Costs

31. Common Explanations for
High Health Care Costs

32. Disease Prevalence:
U.S. vs. Peer Countries

33. Disease Prevalence:
U.S. vs. Peer Countries
Disease
prevalence
=
$57 to $70
billion savings

38. What’s Driving U.S. Prices?
(the easy part
that’s hard to win)

39. Nations With Universal
Health Care Coverage

40. How Single Payer
Health Care Is Paid For
Fixed Payroll Tax Negotiated Budget
Government Health Care
You Fund Providers

41. How U.S. Health Care
Is Paid For
Medicaid
Taxes Medicare
Separate contracts
Blue Cross
Premiums Tufts Medical Insurance
You Out-of-Pocket Costs
Health Care
Providers

42. Insurance Administration Costs
OECD Data, 2010

43. Hospital Administration Costs
OECD, 2010

44. Aortic Aneurysm Repair Costs
Brox. et. al. Arch Internal Medicine, 2003

45. U.S. Pays Higher Prices for
the Same Drugs
mt.gov.com, 2010