Health Care for All in Michigan

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Health Care for Allin Michigan

• Prepared by Michigan Legal Services Michigan
  Universal Health Care Access Network and MOSES.
• August 2007

Made possible in part by support from the Center
for Community Change.
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• Our vision for a health care solution in
  Michigan--imagine a system where .

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Imagine a System Where .

• You can change jobs and pursue your career
  without worrying if your benefits will still be
  there

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Imagine a System Where .

• You dont have to worry about a pre-existing
  condition blocking insurance coverage

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Imagine a System Where .

• You can depend on your benefits to be there, even
  after you retire

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Imagine a System Where .

• You can choose your own doctor and health
  facilities, without needing to worry if theyre
  in your plan

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Imagine a System Where .

• You and your loved ones can depend on getting the
  health care you need, when you need it!

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Imagine a System Where .

• Costs are contained in an efficient system that
  helps boost the Michigan economy.

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• The System We Have Now .

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• Of all forms of Inequality, injustice in health
  care is the most shocking and inhumane.
• Martin Luther King Jr.

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The Highest Cost System
G. Anderson study,2002
Cost per capita per year
US Spending is highest, yet there are 115M
either uninsured or underinsured.
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• Health care spending in Michigan is 57 billion
  to 63 billion - 5700 to 6300 per person.
• Govs Council of Economic Advisors

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Premium costs have risen five times faster than
inflation and four times faster than wages
Health Insurance Premiums Compared to Other
Indicators
Percent Increase
Source Employer Health Benefits Survey, KFF,
2004
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• The average family
• premium of over
• 12,000 almost
• equals the gross
• annual earnings of
• fulltime minimum
• wage workers.

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Per person health care spending in the USA in
constant dollars year 2000
MANAGED CARE
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We Pay More for Less!

• The World Health Organization rates the American
  Health System as 37th in the world in health care
  performance.
• See Health Care 101 and WHO report dated 2000.
• Below Costa Rica, Chile, Columbia, Dominica
• See Health Care 101 and WHO report dated 2000.

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Our Economy SuffersGoodyear study at
www.Goodyearnegotiations.com 2005 data

• We lose good paying jobs to other countries
  because they see health care as a shared
  responsibility of their society.

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• More than
• half of U.S.
• bankruptcies
• are related to
• medical bills.
• Health Affairs, Feb. 2, 2005

46 Job loss Divorce Death Gambling Addictions
54 Medical Bills
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• The consequences.

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Over 1 Million Michiganians are Without any
Coverage.

• Rising Health Care Costs Mean
• Fewer people can pay for adequate coverage
• Fewer employers can pay for their employees

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• The majority 80 - of the uninsured in
  Michigan are employed people and their
  dependents.
• -US Census

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Lack of access to care

• "I mean, people have access to health care in
  America. After all, you just go to an emergency
  room.
• President George W. Bush
• 7/11/2007

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Lack of access to care

• 70 of health care costs are spent on chronic
  disease, mostly on these five
• Diabetes
• Congestive Heart Failure
• Coronary Artery Disease
• Asthma
• Depression
• George C. Halvorson, Kaiser Foundation Health
  Plan and Hospitals , 2007

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Lack of Insurance can be Fatal

• In the U.S.
• 50 people will die today
• 18,000 this year of treatable diseases
• because they do not have health insurance.
• Health Care 101, GMC Institute of Medicine
  report (2004)

911
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Waste

• 40 of our health care premiums go to waste,
  administrative overhead, and medical errors or
  unneeded procedures. Health Care 101 GMC
• Administrative overhead in Canada 307 per
  person USA 1,059. New England JOM
• 17 to 29 billion annually is the cost of
  preventable medical errors in lost income, lost
  production, health care. Health Care 101

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Fragmentation

• . . . The US health system is highly fragmented
  among multiple payers, hundreds of thousands of
  providers often functioning in isolation, and
  patients with different levels of private and
  public coverage or no coverage at all. Such
  complexity and fragmentation drives up
  administrative expenses as well as care costs.
  Page 9 GAO report, May 2004

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Fragmentation

• Places you pay for Health Coverage
• Federal Taxes
• Medicare
• Medicaid
• Healthcare for Active Military, Veterans,
  Government Employees, Prisoners
• Homeowners Insurance
• Auto Insurance (for people injured in car
  accidents)
• Liability insurance for businesses
• Local Taxes
• Insurance for municipal state employees,
  teachers, etc.
• Individual Health Insurance
• Premiums, Deductibles, Co-pays
• At least 14 billion in health care reserves in
  Michigan

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• What can we do?

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• Join all other economically advanced nations in
  making health care a right

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Proposed 2008 Constitutional Amendment

• The State Legislature shall pass laws to make
  sure that every Michigan resident has affordable
  and comprehensive health care coverage through a
  fair and cost effective financing system.  The
  legislature is required to pass a plan that,
  through public or private measures, controls
  health care costs and provides for medically
  necessary preventive, primary, acute and chronic
  health care needs.

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Security lies in the Constitution!

• Almost 500,000 signatures are needed to put an
  amendment on the ballot.
• Volunteers are needed to collect signatures.
• Help make Michigan the first state in the Union
  to declare Health Care is a right.

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House Concurrent Resolution 22

• The first ever resolution in the Michigan
• legislature that would lead toward
• HEALTH CARE FOR ALL.
• House Concurrent Resolution (HCR) 22 provides for
  
• . . . The commitment of the Michigan
  Legislature to the development of a health care
  system that provides comprehensive coverage to
  all residents...

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HCR 22 Current Status

• The House Insurance Committee passed this
  resolution on May 24, 2007!
• The Whole House passed this in August
• Current Status This resolution is being
  considered by the senate.
• Meet with your State Senator and ask them
• to support SCR 22!

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Michigan Health Insurance Access Advisory
Council MHIAC

• Another reason for hope is the formation of
  MHIAC.
• Members include small business groups, chambers
  of commerce, unions, insurance companies,
  Gamaliel, MichUHCAN, health care provider groups,
  and others.
• All have agreed to work together to create a
  universal health care plan for the state.

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What You Can Do

• Endorse the 2008 Healthcare for All Ballot
  Initiative.
• Collect signatures on the petition.
• Join MichUHCAN and/or donate to the ballot
  initiative campaign, Health Care For Michigan.

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To Join/Donate/Volunteer

• Check payable to MichUhCan
• www.MichUhCan.com
• 734-812-0664
• Check payable to Health Care For Michigan.
• www.HealthCareForMichigan.com
• 313-655-7945