PowerPoint Presentation

Healthcare Reform A Nation DividedPart1 Lecture1 August 29, 2011

1Lecture Series Part OnePublic Private Ventures That Work Well And Some that dontHealthcare Economics 101

2Untangled Health Simple Truth On Healthcare ReformMy fathers advice:Never believe what you read, see or hear without external validationContempt Prior to Investigation Is IgnorantIf your decision impacts a persons safety: Investigate, Investigate, Investigate

Steve HarrisAge 19 uponreturn from Philippines1946Humans on the moon

Dads wisdom and career

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Many ContractorsOne Central Governance OrganizationTENYEARS

4Evidently He Was Right

Steve Harris Team Lead Lunar DescentModule after it was used to return the Apollo 13 crew safely to Earth

If your decision impacts a persons safety: Investigate, Investigate, Investigate

TRW the last 220,000 miles are on us

Carefull examination and teamwork saved three lives5In 1992 I Built My Own AirplaneFollowing Dads advice I thoroughly researched the kit I purchased and sought the advice of others: Like friends with actual degrees in engineering.

Jeff Harris in Rans S9 Chaos Homebuilt N61886Altitude 3000 feetLocation: Hampton Beach NH

Team work kept me alive6So how does this relate to healthcare?Both project Apollo and my homebuilt aircraft had clearly defined objectives:ApolloSafely land humans on the moon and return them safely to earthMy aircraftSafely deliver me to the heavens with full control and return me safely to the earth many times.Both project Apollo and my homebuilt aircraft were public-private partnerships ApolloNumerous contractors and NASAMy aircraftJeff Harris and his team with final sign off by FAA engineers

7Healthcare on the other handNever had a clearly defined objective save the US constitution preamble stating that our government should promote our general welfare!So you can imagine just how confusing it has become19002011

8So, Do We Need To Change Anything?*Video by xethtoon via YouTube

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So what is my point!Next year is 2012 and a lot of uninformed or perhaps nefarious pundits have opinions they share with you about the Nations Affordable Care Act. If you tease out the rhetoric you will find truth .Furthermore you will find it on all sides.

Yes some centralization due to corporate irresponsibilityAnd saving billions in fraud

No teamwork just personal interest in power

10Before you condemn; please investigatePatient Protection and Affordable Care Act - U.S. Congress - OpenCongress

111905 USA lags behind Europe in insuring against cost of sickness1930s SS ACT passes omitting health insurance1940s Pres. Truman Nat'l Health Proposal Opposed by AMA1960s Health insurance through employers: President Johnson signs Medicare and Medicaid ACT1970s President Nixons Plan for Nat'l Health Ins. Opposed1980s Pres. Reagan capitates Medicare cost for hospital admissions.1980s, Corporations begin integrating hospital systems and out patient service. Medicine is now privatized1990s Pres. Clinton National Health Reform fails to pass US Congress2000 44 million Americans uninsured2009 Obama Affordable Care Act Passes

$ 3 TRILLION DOLLARS $POOR PUBLIC SUPPORTFor cost controls policy reforms such as universal coverage Evolving Payment StructureTechnology InnovationHealthcare Inflation Cause and Effect Scenario Timeline Based1970-PresentEffective treatment of chronic illness1945 Baby Boom1960s-Present Day States Regulate, New Products PHO, HMO, Managed Care1920s GM Signs Contract with Metro Life for 180,000 Employees1-920s PenicillinInsulin1970s PresentBiotechnologyHuman GenomeCT and MRI etc.1930s-1970sNew drugs New Surgery Specialist1800s-1910 Patient PaysIncreased Lifespan and Elderly Population GrowthIncreased Professional Specialization

Family PracticeSub Specialist= Patient FlowNote: America has projected this crisis and attempted reform since 1940s. Including 2 Republican and 4 Democratic Administrations

12Untangled HealthEconomics 101

*Video by typhoon001 via YouTube Purpose of this presentation

To educate health service consumers on the lack of transparency in service price A stimulus to empower consumers to ask questions and maximize their best value13