42.6 million uninsured Health premiums continue to rise Job loss Inadequate Medicaid
Demographics
Full-time workers Poor or low income More minorities Charts…
Utah’s Uninsured
270,000 (non-elderly) 14.4%
Causes and Consequences
Small employers Premiums American beliefs Reduced access Life style Anxiety
Financial Consequences
Medical bills More needs Debt Collections Courts Bankruptcy Uninsured are overcharged
Day-to-day Struggles
Cost-benefit analysis Home remedies What would you give up?
Expectations and beliefs
Learned hopelessness Stigma Contradictions
Children without Insurance
1/3 Most breadwinners employed Medicaid issues Receive less care
Social Policy
Targeted services Employer-sponsored insurance Public programs Universal Coverage
National Health Insurance
Production efficiency Consumption efficiency Equity
Proposals
Single-payor Employer-mandated Refundable tax credits Medical savings accounts (MSA) Healthcare Act of 2003 The Health Coverage, Affordability,
Responsibility and Equity Act of 2003
CHIP (Utah)
Children’s Health Insurance Program Who is eligible 2003 Income guidelines When/How do I apply? How is CHIP paid for? What services?
Medicaid
Introduction Who is covered?
ChildrenAdultsElderlyDisabled
What services are covered?
Inpatient and outpatient hospital Physician, midwife, certified NP Lab and X-ray Nursing home and home health Screening, diagnosis and treatment for children Family planning Rural health clinics
How is it spent
50% + on acute care services 35% on long-term care