Family And BusinessHealth Security Act

SB400 and HB1660 (2009)

Nine Keys To Serious Healthcare Reform

Nine Keys To Serious Healthcare Reform

• Quality • Affordable• Comprehensive• Stable costs & employment• Publicly-funded• Privately-delivered • Guaranteed Healthcare for ALL

#1. HEALTH SECURITY FOR ALL

Nine Keys To Serious Health Care Reform

ONE-PAYER’S FAIR-SHARE ‘HEALTH & WELLNESS TAX’

•Saves Money

•Improves the Economy

•Creates Jobs

# 2. FAIR-SHARE FUNDING

Nine Keys To Serious Health Care Reform

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.

#2. (cont.) FAIR-SHARE FUNDING

Nine Keys To Serious Health Care Reform

#3. ONE-PAYER EFFICIENCY & SAVINGS ($50B) and REINVESTMENT ($35B)

‘Administrative Overhead’ Savings = $35B Insurance Companies = $20B Doctor/ Hospital/Business = $15B

Bulk Rx Purchasing = $5B Slash Cost of ‘Defensive Medicine’ =

$10B Replace With One Payer Administrative

Efficiency = $5B = $5B New Spending Reinvest = $30B Of Savings Into

Healthcare Delivery = $30B 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 $10B 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’SEMPHASIZE EFFICIENCY AND OUTCOMES

The Profit-first Health Insurance “Middle Man”•Causes a $35B Loss From Pa’s $101B 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. :

•37th in Life-Expectancy•29th in Infant Mortality•1st In Spending

SB 400 will Dramatically Reverse this Alarming Situation

Nine Keys To Serious Health Care Reform

#8. ELIMINATE FRAUD, SAVE MORE MONEYINVEST 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 VOLUNTEEREMERGENCY 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.

Questions?