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Source: Dickman et al, Unpublished analysis of MEPS, NHES, NMES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