Family And Business Health Security Act SB 400 and HB 1660 (2009)
Nine Keys To Serious Healthcare Reform
Nine Keys To Serious Healthcare Reform #1. HEALTH SECURITY FOR ALL • • Quality Affordable Comprehensive Stable costs & employment Publicly-funded Privately-delivered Guaranteed Healthcare for ALL
Nine Keys To Serious Health Care Reform # 2. FAIR-SHARE FUNDING ONE-PAYER’S FAIR-SHARE ‘HEALTH & WELLNESS TAX’ • Saves Money • Improves the Economy • Creates Jobs
Nine Keys To Serious Health Care Reform #2. (cont. ) FAIR-SHARE FUNDING §Co-pays, deductibles and caps disappear § Individuals pay 3% state health income tax (compared to 8% avg. now paid for personal health ins. /healthcare) § Businesses pay 10% of payroll (compared to 22% avg. now paid for business-related health insurance) § SB 400 will create ~140, 000 well-paying, quality healthcare jobs, with many more to follow § SB 400 will dramatically reduce workers comp and should significantly cut property taxes and auto ins.
Nine Keys To Serious Health Care Reform #3. ONE-PAYER EFFICIENCY & SAVINGS ($50 B) and REINVESTMENT ($35 B) § § § ‘Administrative Overhead’ Savings = $35 B § § Insurance Companies = $20 B Doctor/ Hospital/Business = $15 B Bulk Rx Purchasing = $5 B Slash Cost of ‘Defensive Medicine’ = $10 B Replace With One Payer Administrative Efficiency = $5 B New Spending Reinvest = $30 B Of Savings Into Healthcare Delivery = $30 B New Spending
Nine Keys To Serious Healthcare Reform #4. COMPREHENSIVE CARE § § § Medical Dental Prescription Drug Home Nursing Mental Illness Optical Substance Abuse Hospice Care Emergency Transport Physical And Occupational Therapy Long Term Care
Nine Keys To Serious Health Care Reform #5. GREATER FREEDOM FOR EMPLOYERS & EMPLOYEES § Employers don’t want to manage healthcare systems But most are willing to pay a ‘fair share health & wellness tax’ that covers everyone § Employees want the freedom to change jobs, start a business, advance their education, or retire – without risking their family’s health security
Nine Keys To Serious Health Care Reform #6. ELIMINATE ‘DEFENSIVE MEDICINE’ AND KICK-BACK MEDICINE (10%) § § Our current profit-first funding system poisons the patient-provider relationship while costing PA citizens $10 B annually. Because One-Payer funding provides fast and fair compensation for clinically-sound services and rewards health outcomes, it creates the conditions for fewer lawsuits and decreased malpractice premiums – the best tort remedy among all federal and state bills
Nine Keys To Serious Health Care Reform #7. REVERSE SEVERE RATIONING: ALLOW ‘FREE MARKET’ CHOICE OF DOC’S EMPHASIZE EFFICIENCY AND OUTCOMES The Profit-first Health Insurance “Middle Man” • Causes a $35 B Loss From Pa’s $101 B Healthcare Economy • Undermines The Patient-Provider Relationship • Charges More, Pays Out Less and thus • Contributes To The Worst Healthcare Rationing in the Advanced Industrial World: W. H. O. Ranks U. S. : • 37 th in Life-Expectancy • 29 th in Infant Mortality • 1 st In Spending SB 400 will Dramatically Reverse this Alarming Situation
Nine Keys To Serious Health Care Reform #8. ELIMINATE FRAUD, SAVE MORE MONEY INVEST IN THE FUTURE § Deal seriously with ‘problem’ doctors, nurses, administrators, et al. (NOTE: last doctor de-licensed in PA was in 2003) § Restore Certificate of Need (i. e. , equipment, infrastructure) § Underwrite transition to electronic records (aka, “medical home” data base) § Promote primary/preventive care to avoid chronic diseases & misuse of emergency rooms § Initiate common sense/personal responsibility including a K-12 ‘wellness curriculum’
Nine Keys To Serious Health Care Reform #9. SUPPORT VOLUNTEER EMERGENCY RESPONDERS • Volunteers are the backbone of our emergency health response system. • Especially in rural/semi-rural PA. • We lose thousands of veteran responders yearly. • This is a national, state, and local security issue. • SB 400’s $1, 000 per year state income tax credit will help encourage retention and new recruitment.
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