HEALTH REFORM: Taking our freedom back! Virginia Tea Party
Patriots October 9, 2010 Grace-Marie Turner Galen Institute Slide 2
Americans continue to agree on goals for health reform The U.S.
needs health reform to make coverage more affordable, increase
quality, and expand insurance coverage Most people rate their own
care as good or excellent They want stability. Change is for
others. Now, strong majorities fear lower quality, higher costs,
and difficulty accessing care Slide 3 Its Not Governments Job Do
you think it is the responsibility of the federal government to
make sure all Americans have health care coverage, or is that not
the responsibility of the federal government? GALLUP Source:
Newport, Frank. "More in U.S. Say Health Coverage Is Not Govt.
Responsibility." Gallup. 13 Nov 2009. Gallup, Web. 27 Jan 2010..
Slide 4 But new law does call for a much bigger role for government
32 million more to get health coverage 16 million through Medicaid
expansion 16 million through federally subsidized state exchanges
23 million remain uninsured in 2019 Strict federal regulation of
health insurance Mandates on individuals and employers $500 billion
in new taxes and penalties $575 billion in cuts to Medicare Slide 5
Slide 6 Health law fails to match promises Health costs and health
spending increase Millions more will lose their private coverage
One-third of businesses could drop insurance Few changes to
modernize care delivery, reduce defensive medicine, or provide more
choices of more affordable coverage. Successful programs like
Medicare Advantage on the chopping block; payment cuts threaten
access to care for seniors Slide 7 True Cost: $2.4 trillion Cost of
health reform over 1 st 10 years CNBC:
http://www.cnbc.com/id/30108264/What_Does_1_Trillion_Look_Like? For
$2.4 trillion, youll need to make about 6 laps around the world
Slide 8 Independent Studies Obama administration actuary Richard
Foster: $120 billion in fines for companies and individuals
Government spending will increase by $311 billion One in five
Medicare providers go broke CBO ObamaCare will raise some family
premiums by $2,100 in 2016 above what they would have been without
the reform law Slide 9 The health law is not settled policy 50%+ -
Want the health overhaul law repealed 51% - Say it will reduce the
quality of care 56% - Object to cuts to Medicare Two-thirds say it
will increase the national debt 60% believe it will increase health
costs Just 12% think the bill should go into effect in its current
form 71% say it will increase taxes Slide 10 Slide 11 Slide 12
Slide 13 Push-back coming from Small businesses and big employers:
New costs, penalties, and mandates:1099 Workers: Losing health
insurance at work Doctors and patients: Losing control over medical
decisions; IPAB and CER Costs Early sweeteners are already
increasing health insurance costs Seniors: $575 billion in cuts to
Medicare Slide 14 Consequences for the states 41 states have are
challenging ObamaCare 20 states opt out of federal high-risk pools
Ballot challenges Nov. 2 in Colorado, Oklahoma, and Arizona 71% in
Missouri voted to opt out of law Many states see huge costs of
mandates Slide 15 ObamaCare = Skyrocketing Enrollment Slide 16
Putting the Brakes on ObamaCare Defund it: Dont hire an Army of IRS
agents Dismantle it: 1099 requirement; CLASS Act Delay it: Medicare
Advantage; mandates; $500 billion in taxes Disapprove regulations:
Sen. Enzi/ Congressional Review Act Direct oversight and
investigation: Hearings on escalating spending and impact on
business Delegate to the states: Medicaid block grants; Healthy
Indiana Plan; Utah Health Exchange Slide 17 Some realities Slide 18
Source: Mercer's National Survey of Employer-Sponsored Health
Plans; Bureau of Labor Statistics, Consumer Price Index, U.S. City
Average of Annual Inflation (April to April) 1990-2009; Bureau of
Labor Statistics, Seasonally Adjusted Data from the Current
Employment Statistics Survey (April to April) 1990-2009. Slide 19
What we know for sure CHOICE: Americans value innovation, diversity
and choice to accommodate 300 million people FOCUS ON THE PATIENT:
They want doctors and patients, not government, to make health care
decisions CONCERNS ABOUT COSTS: This is a huge, far-reaching law
that will swell the deficit and threatens to destroy quality care
Slide 20 Starting a fresh conversation Engaging patients as
partners in managing health costs and getting the best value for
health care dollars FREEDOM in care and coverage Slide 21
R-E-P-E-A-L Repeal ObamaCares massive new taxes Repeal ObamaCares
massive new taxes Eliminate job-killing mandates on businesses
Protect citizens from IRS enforcers by repealing the individual
mandate Eliminate cuts in benefits to seniors on Medicare Advantage
Avoid crippling the states with expensive mandates Limit government
intrusion into personal medical decisions Slide 22 R-E-P-L-A-C-E
Real help for people to purchase health insurance they choose Real
help for people to purchase health insurance they choose Expand
states ability to help people with pre-existing conditions Expand
states ability to help people with pre-existing conditions Put
Medicare savings into saving Medicare Put Medicare savings into
saving Medicare Lawsuit abuse reform Lawsuit abuse reform Allow
doctors and patients to control medical decisions Allow doctors and
patients to control medical decisions Control costs though
consumer-friendly health reform Control costs though
consumer-friendly health reform Expand access through cross-state
purchasing of health insurance Slide 23 States Rights Initiatives
Healthy Indiana Program Texas medical malpractice reform Utah
Health Exchange Idaho guaranteed access plan Massachusetts: What
not to do Slide 24 The future? The global move toward consumerism
is real, driven by greater patient demand for more control over
decisions. Health overhaul is law and will fundamentally change our
health sector. Our job is to repeal and replace it before it takes
effect in 2014. Slide 25 Opportunities ahead This is not settled
policy Two major elections before implementation States and
governors will have a big say Lawsuits will reach the U.S. Supreme
Court The American people want Freedom Options Control This law
must be repealed! Slide 26 Contact: Grace-Marie Turner Galen
Institute (703) 299-8900 [email protected] www.Galen.org
www.HealthReformHub.org Slide 27 Slide 28 ObamaCare = Restricted
Access Medicaid is now the only option for low-income Americans.
40% of doctors restricted access to Medicaid due to low
reimbursement rates. 50% of doctors accept new Medicaid patients
compared with the 70% that accept new Medicare patients. 2/3 of ER
frequent fliers were covered by Medicaid/Medicare. Medicaid
patients are twice as likely as the uninsured, and five times as
likely as the privately-insured, to be an ER frequent flier.
Medicaid patients are twice as likely as the uninsured, and four
times as likely as the privately-insured, to use the ER. Sources:
Office of Senator Tom Coburn, Annals of Emergency Medicine,
National Center for Health Statistics Slide 29 ObamaCare = Poor
Health Outcomes Medicaid patients who need surgery are 13% more
likely to die than the uninsured, and 97% more likely to die than
those with private insurance. Medicaid patients are 50% more likely
to die after bypass surgery because of poor follow-up care.
Medicaid patients with cancer are two to three times more likely to
die from the disease. Medicaid mothers received less prenatal care
and had higher infant mortality rates than those with private
insurance. Florida: Medicaid patients are 31% more likely to have
late-state breast cancer, and 81% more likely to have late-stage
melanoma. Sources: Heartland Institute, Wall Street Journal, Office
of Senator Tom Coburn, National Review Online Slide 30 Fighting
Back: Florida v. U.S. DHHS + 16 AGs (FL, SC, NE, TX, UT, LA, AL,
CO, PA, WA, ID, SD, IN, ND, AK, MI) + Four governors (MS, AZ, NV,
GA) and NFIB March 23: Initial complaint filed in Northern District
Court of FL June 16: Feds file motion to dismiss September 14: Oral
arguments before Judge Roger Vinson October 14: District Court
decision on motion to dismiss December 16: Hearing on summary
judgment MAJOR ARGUMENTS Congress cant compel the states to assume
unfunded mandates levied in PPACA (Commerce/Guarantee Clauses) The
states cant be commandeered to administer and fund the health
insurance exchanges (10th Amendment) The states cant be forced to
expand their Medicaid programs at significant cost to the states
(Article I, Sections 2 and 9) The individual mandate is
unconstitutional (Commerce Clause) Slide 31 Real Reform: Floridas
Medicaid Pilot 2005: Medicaid reform pilot went live in Broward
& Duval Co. 2007: Medicaid reform pilot went live in Baker,
Clay, Nassau Co. Insurance companies compete in Medicaid
marketplace Beneficiaries get core benefits and choose customized
ones Workers can opt-out and get premium assistance for ESI Healthy
behaviors earn money in Enhanced Benefit Accounts Multilingual
choice counselors help beneficiaries pick a plan THE RESULTS
Beneficiaries can choose from up to 12 competing plans Plans are
offering benefits not covered by Medicaid 80% of benefit packages
dont require a copayment 80% of beneficiaries are voluntarily
choosing their own plan 97% of beneficiaries are satisfied with
choice counseling Beneficiaries earn over $650k/month in Benefit
Accounts Source: Florida Agency for Health Care Administration
