Disclosure: Dr. Steffie Woolhandler MD MPH has no relevant financial relationships with commercial...
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Transcript of Disclosure: Dr. Steffie Woolhandler MD MPH has no relevant financial relationships with commercial...
Disclosure: Dr. Steffie Woolhandler MD MPH has no relevant financial relationships with commercial interests
What Dick Taught Me About Power
Source: Dickman et al, Unpublished analysis of MEPS, NHES, NMES
Minority Kids and Youth Get Little Psychiatric Care Outside of Prison
Compared to whites kids and youths (age 0-34)
• Black and Latino kids and youths make about 50%fewer visits to psychiatrists;
• about 70 % fewer visits to psychologists; and
• about 70% fewer visits to social workers for mental health counselling.
•
Source: Marrast, Woolhandler, Himmelstein – Prepublication Data based on analysis of MEPS – Numbers for each race and income group are combined in this slide
Investor Ownership
For-Profit Hospitals’ Death Rates are 2% HigherSource: CMAJ 2002;166:1399
For-Profit Hospitals Cost 19% MoreSource: CMAJ 2004;170:1817
For-Profit Dialysis Clinics’ Death Rates are 9% Higher
Source: JAMA 2002;288:2449
Medicare’s “Software”18.9 Million Seniors Enrolled Within11 Months
“Mandate” Model for Reform
1. Expanded Medicaid-like program Free for poor Subsidies for low income Buy-in without subsidy for others
2. Employer Mandate +/- Individuals3. Managed Care / Care Management
February 16, 1971
Hospital Consolidation Rising
“I am firmly opposed to forced integration and I firmly believe
that the doctrine of states’ rights
should be
maintained.”
Source: Form letter to constituent, February 18, 1957
LBJ on Civil Rights, 1957
LBJ Video