Reason #4 to Fix Our Democracy - To enact a healthcare system whereby we the people can receive high quality health care at the lowest system-wide cost
**NOTES:**
National health expenditures (NHE), which includes both public and private spending on healthcare, are projected to climb from $4.4 trillion, or $13,413 per person, in 2022 to $7.2 trillion, or $20,425 per person, in 2031.
From the Peter G. Peterson Institute
Link: https://www.pgpf.org/blog/2023/07/healthcare-spending-will-be-one-fifth-of-the-economy-within-a-decade#:~:text=National%20health%20expenditures%20(NHE)%2C,%2420%2C425%20per%20person%2C%20in%202031 [https://www.pgpf.org/blog/2023/07/healthcare-spending-will-be-one-fifth-of-the-economy-within-a-decade#:~:text=National%20health%20expenditures%20(NHE)%2C,%2420%2C425%20per%20person%2C%20in%202031].
CBO study estimates cost in 2030 is 290 billion. As a % of the approx. 7 trillion cost of healthcare in 2030, that is 4.17% increase in national. Health expenditures.
Est GDP of US in 2030 is $35.133 trillion. $290 billion as a % of 35.1 trillion in 2030 is less than 1/10th of 1 percent extra of US GDP to provide good quality health
Congressional Budget Office, Working Paper 2020-08, December 2020, How CBO Analyzes the Costs of Proposals for Single-Payer Health Care Systems That Are Based on Medicare’s Fee-for-Service Program Link: https://www.cbo.gov/system/files/2020-12/56811-Single-Payer.pdf [https://www.cbo.gov/system/files/2020-12/56811-Single-Payer.pdf] (See pages 121 and 122.)
Congressional Budget Office, Working Paper 2020-08, December 2020 Exhibit 11-1, p. 121, National Health Expenditures Under Current Law and CBO’s Illustrative Single-Payer Options, 2030. Link: https://www.cbo.gov/system/files/2020-12/56811-Single-Payer.pdf [https://www.cbo.gov/system/files/2020-12/56811-Single-Payer.pdf]
Health Affairs Blog, 2021-2-16, Doctors Adam Gaffney, David Himmelstein and Steffie Woolhandler, Congressional Budget Office Scores Medicare-For-All: Universal Coverage For Less Spending. Link:
https://pnhp.org/news/congressional-budget-office-scores-medicare-for-all-universal-coverage-for-less-spending [https://pnhp.org/news/congressional-budget-office-scores-medicare-for-all-universal-coverage-for-less-spending]
Total Uninsured
According to newly released data from the National Health Interview Survey, in Q1 2024 the
national uninsured rate for all ages was 8.2 percent, which corresponds to 27.1 million individuals.
Quarter-to-quarter changes in the national uninsured rate since the first quarter of 2023 are not statistically significant.
Link: https://aspe.hhs.gov/sites/default/files/documents/ee0475e44e27daef00155e95a24fd023/nhis-q1-2024-datapoint.pdf [https://aspe.hhs.gov/sites/default/files/documents/ee0475e44e27daef00155e95a24fd023/nhis-q1-2024-datapoint.pdf]
Under Insured
23 percent of all Americans were underinsured, meaning they had coverage for a full year that didn't provide them with affordable access to heath care.Nov 21, 2024
Approximately 69 million are UnderInsured (33%) of all working age (19-64)Americans
Resident population of the United States by sex and age as of July 1, 2022
(in millions)
Percentage age 19 thru 64 =’s 203 million x 33% (See above) =s 69,020,000 people
Link:https://datacenter.aecf.org/data/tables/6538-adult-population-by-age-group#detailed/1/any/false/2048,574,1729,37,871,870,573,869,36/117,2801,2802,2803/13515,13516 [https://datacenter.aecf.org/data/tables/6538-adult-population-by-age-group#detailed/1/any/false/2048,574,1729,37,871,870,573,869,36/117,2801,2802,2803/13515,13516]
That’s 96.6 million (33+%) of all working age that are either uninsured or under insured in 2022.
Forty-three percent of working-age adults (age 19-64)were inadequately insured in 2022. These individuals were uninsured (9%), had a gap in coverage over the past year (11%), or were insured all year but were underinsured, meaning that their coverage didn't provide them with affordable access to health care (23%).
Link: https://www.commonwealthfund.org/publications/issue-briefs/2022/sep/state-us-health-insurance-2022-biennial-survey#:~:text=Forty%2Dthree%20percent%20of%20working,to%20health%20care%20(23%25) [https://www.commonwealthfund.org/publications/issue-briefs/2022/sep/state-us-health-insurance-2022-biennial-survey#:~:text=Forty%2Dthree%20percent%20of%20working,to%20health%20care%20(23%25)].
Centers for Disease Control and Prevention, May 16, 2023 - U.S. Uninsured Rate Dropped 18% During Pandemic.
https://www.cdc.gov/nchs/pressroom/nchs_press_releases/2023/202305.htm [https://www.cdc.gov/nchs/pressroom/nchs_press_releases/2023/202305.htm]
The Commonwealth Fund, Surveys, September 29th, 2022. The State of US Health Insurance in 2022.
https://www.commonwealthfund.org/publications/issue-briefs/2022/sep/state-us-health-insurance-2022-biennial-survey [https://www.commonwealthfund.org/publications/issue-briefs/2022/sep/state-us-health-insurance-2022-biennial-survey]
US Census Bureau, Health Insurance Coverage in the United States: 2021
Written by: Katherine Keisler-Starkey and Lisa N. Bunch, Report Number P60-278, Dated: September 13, 2022 Link:
(https://www.census.gov/library/publications/2022/demo/p60-278.html [https://www.census.gov/library/publications/2022/demo/p60-278.html])
2021-3-11 Health Affairs Blog - Medicare Advantage For All? Not So Fast, Exhibit 1: Medicare Advantage enrollment rates over time.
https://www.healthaffairs.org/content/forefront/medicare-advantage-all-not-so-fast [https://www.healthaffairs.org/content/forefront/medicare-advantage-all-not-so-fast]
Dr. Ana Malinow, MD Past President of Physicians for a National Health Program (PNHP) video presentation explaining Direct Contract Entities.
https://pnhp.org/direct-contracting-entities-handing-traditional-medicare-to-wall-street/ [https://pnhp.org/direct-contracting-entities-handing-traditional-medicare-to-wall-street/]
2021-9-29 Health Affairs Blog, Gilfillan and Berwick - Medicare Advantage, Direct Contracting, And The Medicare ‘Money Machine,’ Part 1: The Risk-Score Game, How the “MA Money Machine Works.”
https://www.healthaffairs.org/content/forefront/medicare-advantage-direct-contracting-and-medicare-money-machine-part-1-risk-score-game [https://www.healthaffairs.org/content/forefront/medicare-advantage-direct-contracting-and-medicare-money-machine-part-1-risk-score-game]
2021-9-30 Health Affairs Blog, Gilfillan and Berwick - Medicare Advantage, Direct Contracting, And The Medicare ‘Money Machine,’ Part 2:
https://www.healthaffairs.org/content/forefront/medicare-advantage-direct-contracting-and-medicare-money-machine-part-2-building-aco [https://www.healthaffairs.org/content/forefront/medicare-advantage-direct-contracting-and-medicare-money-machine-part-2-building-aco]
2021-8-17 Kaiser Family Foundation - Higher and Faster Growing Spending Per Medicare Advantage Enrollee Adds to Medicare’s Solvency and Affordability Challenges. Findings-Spending per person.
https://www.kff.org/medicare/issue-brief/higher-and-faster-growing-spending-per-medicare-advantage-enrollee-adds-to-medicares-solvency-and-affordability-challenges/ [https://www.kff.org/medicare/issue-brief/higher-and-faster-growing-spending-per-medicare-advantage-enrollee-adds-to-medicares-solvency-and-affordability-challenges/]
2021-3-11 Health Affairs Blog - Medicare Advantage For All? Not So Fast, Exhibit 4: Medicare per beneficiary growth rate. (https://www.healthaffairs.org/do/10.1377/hblog20210304.136304/full/ [https://www.healthaffairs.org/do/10.1377/hblog20210304.136304/full/])
2021-8-17 Kaiser Family Foundation - Higher and Faster Growing Spending Per Medicare Advantage Enrollee Adds to Medicare’s Solvency and Affordability Challenges. - Conclusion.
https://www.kff.org/medicare/issue-brief/higher-and-faster-growing-spending-per-medicare-advantage-enrollee-adds-to-medicares-solvency-and-affordability-challenges/ [https://www.kff.org/medicare/issue-brief/higher-and-faster-growing-spending-per-medicare-advantage-enrollee-adds-to-medicares-solvency-and-affordability-challenges/]
