Costs of private insurance versus single payers

 

May 2010 Oregon-Live analysis of cost in our health care system compared to a single payer system.     Sam Metz MD       Click Here

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John Conyers, Congressman – http://www.johnconyers.com/hr676text

Text of HR 676

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http://unionsforsinglepayerhr676.org/union_endorsers

Endorsers of HR 676, including unions, cities:

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http://thomas.loc.gov/cgi-bin/bdquery/z?d111:HR00676:@@@D&summ2=m&

John Conyers, D-Michigan, with 87 co-sponsors

Congressional Budget Office. Single payer and all payer health insurance systems using Medicare’s payment rates. Washington DC, April 2003

Government studies confirm cost containment better by single payer than multipayer.

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Woolhandler S, Himmelstein DU. Health reform failure. Boston Globe, September 17, 2007

Massachusetts health care reform threatens to bankrupt public hospitals that must accept non-paying patients.

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Himmelstein DU, Woolhandler S. I am not a health reform. Op-Ed New York Times, December 25, 2007, A35

Requiring employer-sponsored health insurance has not reduced the number of uninsured in any state in which it was tried.

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Fisher ES, et al. The implications of regional variations in Medicare spending, Part 2. Annals of Internal Medicine 2003;138:288-98

Physician driven health care, with profit and defensive medicine, means up to 1/3 of all health care services in the US are unnecessary or of little value

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Desmond KA, et al. The burden of out-of-pocket health spending among older versus younger adults: analysis from the Consumer Expenditure Survey, 1998-2003. Kaiser Family Foundation, September 2007.

Seniors with supplemental Medicap policies spend more of their income on health care than any other group of seniors, including those without any Medigap coverage

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Taylor M. Applying the brakes. UAW deal to affect providers as well as workers. Modern Healthcare, October 24, 2005, p.14

Health care costs add more than $1,000 to the retail price of American made cars.

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Kagel R. Blue Crossroads: Insurance in the 21st Century. American Medical News, September 20, 2004

Physicians in Chicago must deal with 17,000 different schedules of benefits.

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Arnst C. The best medical in the US. Business Week, July 17, 2006

VA care has better health outcomes than non-VA hospitals

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General Accounting Office. Medicare + Choice: Payments exceed costs of fee for service benefits, adding billions to spending. GAO/HEHS-00-161, Washington DC Government Printing Office 2000.

GAO and OIG say private Medicare plans are more expensive, less efficient, and threaten Medicare sustainability.

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Himmelstein D. The National Health Program Slide Show Guide. Center for National Health Program Studies. Cambridge MA, 2000

Medicare overhead is 3%; 20% for commercial carriers; 26% for for-profit Blues

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McGinley L. General American to pay $76 million in Medicare case. Wall Street Journal June 26, 2002, pA2

1993-2002 government recovered more than $400 million in false claims by insurance

Companies

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http://www.pnhp.org/news/2007/july/_health_insurance_fo.php

Health insurance for the 21st Century – Upgrading To National Health Insurance (Medicare 2.0). The Case For Eliminating Private Health Insurance

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PNHP website, July 17, 2009m by Leonard Rodberg & Don McCanne

Switch to SPO will save $350 billion

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Mohanty SA, Woolhandler S, Himmelstein DU, Pati S, Carrasquillo O. Health care expenditures of immigrants in the United States: A nationally representative analysis. American Journal of Public Health, 2005, Vol. 95, No. 8.

http://ajph.aphapublications.org/cgi/reprint/95/8/1431

Immigrants accounted for $39.5 billion in health care expenditures. Per capita total health care expenditures of immigrants were 55% lower than those of US-born persons ($1139 vs $2546). Similarly, expenditures for uninsured and publicly insured immigrants were approximately half those of their US-born counterparts. Immigrant children had 74% lower per capita health care expenditures than US-born children.

However, Emergency department expenditures were more than 3 times higher for immigrant children than for US-born children.

Lewin Group, 2001 on California options:

Single-payer models would result in a net reduction in total health spending. We estimate that health spending in California will be about $151.8 billion in 2002, including cost of administering insurance and public programs. Under Cal Care, utilization of health services increases by $14.4 billion as previously uninsured persons become covered and the underinsured become covered for additional services.

Theses increases would be more than offset by $18.1 billion in savings from reduced administrative costs, bulk purchasing of prescription drug,s and durable medical equipment. Net savings would be $3.7 billion under Cal Care. Net savings would be $7.6 billion under the California Single Payer Plan and $7.5 billion under CHSP, reflecting differences in covered services and cost sharing under these plans.

Each of the plans would include new dedicated taxes. On average, families would see savings between $473 under Cal Care, $658 under the California Single-Payer Plan and $813 under CHSP, reflecting the reduction in health spending under these proposals. Families with annual incomes below $100,000 would see savings while higher income families would see a net increase.

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Sen. Bernie Sanders: Stop Health Care Industry Fraud. Testimony before the Senate Health

Committee on 06/25/09.

http://www.sanders.senate.gov/news/record.cfm?id=315056

(See, also, http://www.sanders.senate.gov/news/record.cfm?id=314572 .)

Examples from document 315056:

Health and Human Services Department investigators found this year (2009) that 80

percent of insurance companies participating in the Medicare prescription drug benefit

overcharged subscribers and taxpayers by an estimated $4.4 billion.  Altogether, as

Senator Sanders testified, Medicare and Medicaid fraud totals some $60 billion a

year.

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