Healthcare Townhall Free market Solutions and Discussion
Beware Right-Wing Terrorists
R-w terrorists Heavily armed with lemons, signs and ideas
Welcome • Civil, Open, Fair and Honest Discussion • Provide the story not being discussed; the Free Market Solution • You don’t have to agree, the solution presented is a starting point. Your input will improve future presentations.
US Lags
Goals • • • • • • • • •
Lower Costs Portable (Individual gets group rate) Preserve Quality Preserve Free Market and Competition Maximize Choices Minimize Government Involvement Guarantee Coverage Universal Coverage Generationally Neutral
The Solution
The Solution • Progressive Insurance Model (Standardized Insurance Exchange) • Individual enrolled in proper Private Insurance Buying Co-op • Individual selects Best Plan • Paid for through a Tax CREDIT • Individual keeps ½ the savings from Maximum Tax Credit
The Solution
Craig’s List for services Craigs List
Universal Form & medical billing
Tort Reform
The Solution
Real World Example
High Cost Low Deductible
Real World Example
Low Cost High Deductible
Real World Example • Low Quote: $55.81 • High Quote: $279.77 (Tax Credit Amt) • Difference/Saving: $223.96 • Gov’t Saving: $111.98 • Individual Saving: $111.98 (Co-op MSA) • Co-op Line of Credit so you can risk buying the low premium/high deductible (Aflac)
Real World Example • Individual Empowerment and Funding • 100% Acceptance • Maximum Choice/Competition • Cost reduction mechanisms • Generationally neutral • Minimal Gov’t involvement, partner not provider • Market Driven
Tort Reform
California fell 40% Texas fell 30%
Pending Tort Reform
Most expensive legal system Most Expensive
Dr. Shortage
2% of GDP
Cost to cover uninsured Liability costs
Patents start at fda approval
Nearly a $Billion
Reduce fraud (Why Not Now?)
Rampant Fraud, 15 to 1
You Decide
Myths and Misunderstandings
47 Million Uninsured
47 40 Million
40
40 Million 22 Million Americans
25% Due to Changing Jobs 55% 1mo only 18% 1yr
47 30Million Uninsured
10% of the population isn’t a “crisis”
It depends on the definition of illegal
Poor OECD Rankings
Poor OECD Rankings
Poor OECD Rankings
Poor OECD Rankings
Poor OECD Rankings
No good deed goes unpunished
It’s a baby not a choice
Keep your dr….If
Keep your dr?
Make you an offer
D’oh
D’oh
D’oh
Greedy Drug Companies
Greedy Insurance Companies
Unionize
Truth About the deficit
Exposing a myth
No Free lunch
Thanks for Attending
Greedy Drug Companies
No Free lunch
Middleclass Squeeze
Greedy Drug Companies
Greedy Insurance Companies
Greedy Drug Companies
Que Sera Sera
#1 in real quality
Carrot or Stick
Greedy Drug Companies
Medical Bankruptcies
Quality
Fails the stink test
An offer you can’t Refuse
Make you an offer
Make you an offer
Make you an offer
Make you an offer
D’OH
D’oh
D’oh
D’oh
Biting the hand
Biting the hand
Big Brother
Big Brother
No Free Lunch
Single Payer No Choice Gov’t Monopoly Table O.1 Total tax revenue as percentage of GDP
Denmark
1
1975
1985
1990
1995
2000
2005
2006 2007 Provisional
38.4
46.1
46.5
48.8
49.4
50.7
49.1
48.9
Sweden
41.2
47.3
52.2
47.5
51.8
49.5
49.1
48.2
Belgium
39.5
44.4
42.0
43.6
44.9
44.8
44.5
44.4
France 1
35.4
42.8
42.0
42.9
44.4
43.9
44.2
43.6
Norway
39.2
42.6
41.0
40.9
42.6
43.5
43.9
43.4
Italy
25.4
33.6
37.8
40.1
42.3
40.9
42.1
43.3
Finland
36.5
39.7
43.5
45.7
47.2
43.9
43.5
43.0
Austria
36.7
40.9
39.6
41.2
42.6
42.1
41.7
41.9
Iceland
30.0
28.2
30.9
Hungary
31.2
37.2
40.7
41.5
41.4
41.3
38.0
37.2
37.1
39.3
Netherlands4
40.7
42.4
42.9
41.5
39.7
38.8
39.3
38.0
Spain 1
18.4
27.6
32.5
32.1
34.2
35.8
36.6
37.2
Luxembourg
32.8
39.5
35.7
37.1
39.1
37.8
35.9
36.9
United Kingdom
35.2
37.6
36.1
34.5
37.1
36.3
37.1
36.6
Portugal
19.7
25.2
27.7
31.7
34.1
34.7
35.7
36.6
37.5
35.3
37.5
36.9
36.4
Germany 2
34.3
36.1
34.8
37.2
37.2
34.8
35.6
36.2
New Zealand
28.5
31.1
37.4
36.6
33.6
37.5
36.7
36.0
Canada
32.0
32.5
35.9
35.6
35.6
33.4
33.3
33.3
Ireland
28.7
34.6
33.1
32.5
31.7
30.6
31.9
32.2
Australia
25.8
28.3
28.5
28.8
31.1
30.8
30.6
30.8
33.8
31.8
29.8
29.8
Czech Republic
Slovak Republic Switzerland
23.9
25.5
25.8
27.7
30.0
29.2
29.6
29.7
Korea
15.1
16.4
18.9
19.4
23.6
25.5
26.8
28.7
United States
25.6
25.6
27.3
27.9
29.9
27.3
28.0
28.3
Turkey
11.9
11.5
14.9
16.8
24.2
24.3
24.5
23.7
17.0
17.3
16.7
18.5
19.9
20.6
20.5
Mexico
Jobs • SEIU, do your own janitorial • Industrial jobs • Disadvantaged to China • Goodbye $ Menu, goodbye hamburger sales, goodbye beef farmer, goodbye grain farmer, etc etc etc
Jobs
Promote Provide
Unconstitutional Trade
Defend patents
Unconstitutional
Spend Less to Improve?
80% in last 20%
O’ canada
O’ canada
O’ canada
O’ canada
O’ canada
O’ Canada
O’ canada
O’ canada
O’ canada
O’ canada
O’ canada
O’ canada
O’ canada
O’ canada
O’ canada
US no star
US Lags
US Lags
US Lags
US Lags
US Lags
US Lags
US Lags
US Lags
Carrot vs. Stick
Carrot vs. Stick
The Plan
1,000 Pages +
Obamascare
Verify the Quotes
Think for Yourselves
Google It
Make you an offer
Obamascare
Insanity
Costs
Lower Drug Costs • Enforce US Patents and Property Rights, force Canada and other Nations to pay market prices for US Drugs. • Patent starts after FDA Approval • Tort Reform to limit liability of FDA Approved Drugs • Accept overseas history and testing for FDA approval and other streamlining
Private Property Rights
Patent Protection A1S8
Provide the General Welfare
Private Property
Lower Insurance Costs • Competition/Nationwide Market • Encourage low premium/high deductible plans • Outcome based lawsuits/Tort Reform 100% to patient (cut the lawyer’s profit out) • Standardized insurance form • Insurance buying co-ops to ensure maximum group discount • Standards of care, eliminate excessive defensive medicine
Lower other Costs • Electronic records • Price information provided with incentive to choose lowest cost. Health care exchange or market place • Decision making to lowest qualified level, tech or nurse practitioner • Generics • Preventive care
Lower other Costs
Lower other Costs
Poor OECD Rankings
Goals
Goals
47 Million Uninsured
47 Million Uninsured
47 Million Uninsured • • • • • • • • • •
47 Million (15% of Pop) Crisis? 10 Million Illegal Immigrants (Low Est?) 37 Million (12% of Pop) Crisis? 9 Million make more than $75k 29 Mill (10% of Pop) Crisis? 8.5 Mill make $50-75k (minor assist) 20.5 Mill (7% of the Pop) 8 Mill are under 18 (existing programs) 12.5 Mill (4% of Pop) Crisis? Many are 18-20, or simply between jobs
Q&A
Thanks for Attending