SINGLE PAYER HEALTHCARE Saves money, saves lives!
Dr Bill Honigman, drbillhonigman@gmail. com • Full time ER physician Orange County over 30 years • Board Certified Emergency Medicine • Long Time activist and volunteer for many local and regional community groups • Campaign for a Healthy California, Steering Committee Member, OC Region Cocoordinator
Savings to Employer Groups Calif SB 921 April 2004
SINGLE PAYER: Saves money, saves lives! • June 2009, City of Santa Monica studies savings under US HR 676, est. $6 million per year http: //www. mckeown. net/Universal_Single-payer_Healthcare__Santa_Monica_Councilmember_Kevin_Mc. Keown. html • May 2011, Vermont legislature passes and governor signs Green Mountain Care, est. savings $500 million per year http: //www. leg. state. vt. us/jfo/healthcare/Hsiao%20 Proposal%20 -%20 public. pdf
PHYSICIANS FOR A NATIONAL HEALTH PROGRAM 29 EAST MADISON SUITE 602 CHICAGO, IL 60602 TEL: (312) 782 -6006 WWW. PNHP. ORG
The Uninsured
18, 314 Adult Deaths Annually Due to Uninsurance
Financial Suffering Among the INSURED or UNDERINSURED
Rationing Amidst a Surplus of Care or THE COST OF CARE
Half of Americans Live Where Population Is Too Low for Competition A town’s only hospital will not compete with itself Source: NEJM 1993; 328: 148
High Deductible Insurance: Except for the Healthy and Wealthy, It’s Unwise
MANDATE MODEL: Keeping Private Insurers In Charge
“Mandate” Model for Reform • Proposed by Richard Nixon in 1971 to block Edward Kennedy’s NHI proposal
“Mandate” Model for Reform • Government uses its coercive power to make people buy private insurance.
“Mandate” Model - Problems • • Absent cost controls, expanded coverage unaffordable Computers, care management, prevention not shown to cut costs Adds administrative complexity and cost; retains wasteful private insurers Impeccable political logic, economic nonsense
The U. S. Trails Other Nations
Canada’s National Health Insurance Program
PHYSICIANS FOR A NATIONAL HEALTH PROGRAM www. pnhp. org 29 EAST MADISON SUITE 602 CHICAGO, IL 60602 TEL: (312) 782 -6006 WWW. PNHP. ORG