3. USA Health Care:
60 Minute Report
‣Nursing Values and Health Care
2
4. USA Health Care:
60 Minute Report
‣Nursing Values and Health Care
‣ Current Problems
*How did we get here?
2
5. USA Health Care:
60 Minute Report
‣Nursing Values and Health Care
‣ Current Problems
*How did we get here?
*Confusing, Complicated, Costly, Inefficient, Profits
2
6. USA Health Care:
60 Minute Report
‣Nursing Values and Health Care
‣ Current Problems
*How did we get here?
*Confusing, Complicated, Costly, Inefficient, Profits
‣ Solution:
Creating a Health Care System
that Fits Nursing Values
2
8. Our Activist Roots:
Florence Nightingale
“You must inform public opinion…” Florence Nightingale, 1893
She was an articulate public communicator, community and social activist, environmentalist and
ardent advocate for human rights and worldwide social reform.
http://www.nightingaledeclaration.net/2010-international-year-nurse/
3
9. Our Activist Roots:
Florence Nightingale
“You must inform public opinion…” Florence Nightingale, 1893
She was an articulate public communicator, community and social activist, environmentalist and
ardent advocate for human rights and worldwide social reform.
She called all of this “nursing.”
http://www.nightingaledeclaration.net/2010-international-year-nurse/
3
11. Code of Ethics for Nurses With
Interpretive Statements
5
12. Code of Ethics for Nurses With
Interpretive Statements
•8.1 Health needs and concerns
5
13. Code of Ethics for Nurses With
Interpretive Statements
•8.1 Health needs and concerns
5
14. Code of Ethics for Nurses With
Interpretive Statements
•8.1 Health needs and concerns
•8.2 Responsibilities to the public
5
15. Code of Ethics for Nurses With
Interpretive Statements
•8.1 Health needs and concerns
•8.2 Responsibilities to the public
5
16. Code of Ethics for Nurses With
Interpretive Statements
•8.1 Health needs and concerns
•8.2 Responsibilities to the public
• Provision 9
5
17. Code of Ethics for Nurses With
Interpretive Statements
•8.1 Health needs and concerns
•8.2 Responsibilities to the public
• Provision 9
5
18. Code of Ethics for Nurses With
Interpretive Statements
•8.1 Health needs and concerns
•8.2 Responsibilities to the public
• Provision 9
•9.4 Social Reform
5
23. SUMMARY
Code of Ethics for Nurses
Nurses are concerned with:
6
24. SUMMARY
Code of Ethics for Nurses
Nurses are concerned with:
6
25. SUMMARY
Code of Ethics for Nurses
Nurses are concerned with:
✴promoting the health, welfare, and safety of all people
6
26. SUMMARY
Code of Ethics for Nurses
Nurses are concerned with:
✴promoting the health, welfare, and safety of all people
6
27. SUMMARY
Code of Ethics for Nurses
Nurses are concerned with:
✴promoting the health, welfare, and safety of all people
✴lack of access to health care, violation of human rights, and inequitable
distribution of nursing and health care resources
6
28. SUMMARY
Code of Ethics for Nurses
Nurses are concerned with:
✴promoting the health, welfare, and safety of all people
✴lack of access to health care, violation of human rights, and inequitable
distribution of nursing and health care resources
6
29. SUMMARY
Code of Ethics for Nurses
Nurses are concerned with:
✴promoting the health, welfare, and safety of all people
✴lack of access to health care, violation of human rights, and inequitable
distribution of nursing and health care resources
✴the health status of the community
6
30. SUMMARY
Code of Ethics for Nurses
Nurses are concerned with:
✴promoting the health, welfare, and safety of all people
✴lack of access to health care, violation of human rights, and inequitable
distribution of nursing and health care resources
✴the health status of the community
6
31. SUMMARY
Code of Ethics for Nurses
Nurses are concerned with:
✴promoting the health, welfare, and safety of all people
✴lack of access to health care, violation of human rights, and inequitable
distribution of nursing and health care resources
✴the health status of the community
✴the lack of access to health services
6
32. SUMMARY
Code of Ethics for Nurses
Nurses are concerned with:
✴promoting the health, welfare, and safety of all people
✴lack of access to health care, violation of human rights, and inequitable
distribution of nursing and health care resources
✴the health status of the community
✴the lack of access to health services
6
33. SUMMARY
Code of Ethics for Nurses
Nurses are concerned with:
✴promoting the health, welfare, and safety of all people
✴lack of access to health care, violation of human rights, and inequitable
distribution of nursing and health care resources
✴the health status of the community
✴the lack of access to health services
✴shaping social policy
6
34. SUMMARY
Code of Ethics for Nurses
Nurses are concerned with:
✴promoting the health, welfare, and safety of all people
✴lack of access to health care, violation of human rights, and inequitable
distribution of nursing and health care resources
✴the health status of the community
✴the lack of access to health services
✴shaping social policy
6
35. SUMMARY
Code of Ethics for Nurses
Nurses are concerned with:
✴promoting the health, welfare, and safety of all people
✴lack of access to health care, violation of human rights, and inequitable
distribution of nursing and health care resources
✴the health status of the community
✴the lack of access to health services
✴shaping social policy
✴bringing about social change
6
41. Definitions
Universal health care
Access for all to health care
Doesn’t specify how they get coverage
or how good the coverage is
9
42. Definitions
Universal health care
Access for all to health care
Doesn’t specify how they get coverage
or how good the coverage is
Ex: Insurance Mandate
9
43. Definitions
Universal health care
Access for all to health care
Doesn’t specify how they get coverage
or how good the coverage is
Ex: Insurance Mandate
Single-Payer System
9
44. Definitions
Universal health care
Access for all to health care
Doesn’t specify how they get coverage
or how good the coverage is
Ex: Insurance Mandate
Single-Payer System
Publicly-financed, privately delivered
9
45. Definitions
Universal health care
Access for all to health care
Doesn’t specify how they get coverage
or how good the coverage is
Ex: Insurance Mandate
Single-Payer System
Publicly-financed, privately delivered
Improved Medicare-for-all
9
46. Definitions
Universal health care
Access for all to health care
Doesn’t specify how they get coverage
or how good the coverage is
Ex: Insurance Mandate
Single-Payer System
Publicly-financed, privately delivered
Improved Medicare-for-all
A type of national health insurance
9
47. Definitions
Universal health care
Access for all to health care
Doesn’t specify how they get coverage
or how good the coverage is
Ex: Insurance Mandate
Single-Payer System
Publicly-financed, privately delivered
Improved Medicare-for-all
A type of national health insurance
Socialized Medicine
9
48. Definitions
Universal health care
Access for all to health care
Doesn’t specify how they get coverage
or how good the coverage is
Ex: Insurance Mandate
Single-Payer System
Publicly-financed, privately delivered
Improved Medicare-for-all
A type of national health insurance
Socialized Medicine
Publicly-financed, publicly owned
9
49. Definitions
Universal health care
Access for all to health care
Doesn’t specify how they get coverage
or how good the coverage is
Ex: Insurance Mandate
Single-Payer System
Publicly-financed, privately delivered
Improved Medicare-for-all
A type of national health insurance
Socialized Medicine
Publicly-financed, publicly owned
Payer also employs providers (Veterans Hospitals)
9
55. Definitions
Health Insurance
Public
Medicare, Medicaid, Veterans Admin.
Private
BlueCross BlueShield, United Health
Care, HealthPartners, Medica, Self-
Insured businesses, etc.
10
56. Definitions
Health Insurance
Public
Medicare, Medicaid, Veterans Admin.
Private
BlueCross BlueShield, United Health
Care, HealthPartners, Medica, Self-
Insured businesses, etc.
10
57. Definitions
Health Insurance
Public
Medicare, Medicaid, Veterans Admin.
Private
BlueCross BlueShield, United Health
Care, HealthPartners, Medica, Self-
Insured businesses, etc.
Health Care
10
58. Definitions
Health Insurance
Public
Medicare, Medicaid, Veterans Admin.
Private
BlueCross BlueShield, United Health
Care, HealthPartners, Medica, Self-
Insured businesses, etc.
Health Care
Public
10
59. Definitions
Health Insurance
Public
Medicare, Medicaid, Veterans Admin.
Private
BlueCross BlueShield, United Health
Care, HealthPartners, Medica, Self-
Insured businesses, etc.
Health Care
Public
VA, county hospitals
10
60. Definitions
Health Insurance
Public
Medicare, Medicaid, Veterans Admin.
Private
BlueCross BlueShield, United Health
Care, HealthPartners, Medica, Self-
Insured businesses, etc.
Health Care
Public
VA, county hospitals
Private
10
61. Definitions
Health Insurance
Public
Medicare, Medicaid, Veterans Admin.
Private
BlueCross BlueShield, United Health
Care, HealthPartners, Medica, Self-
Insured businesses, etc.
Health Care
Public
VA, county hospitals
Private
Most hospitals, nursing homes, and
doctor’s offices
10
64. History: Elusive Search for National
Health Insurance
•Federal debate and interest began in 1912
12
65. History: Elusive Search for National
Health Insurance
•Federal debate and interest began in 1912
12
66. History: Elusive Search for National
Health Insurance
•Federal debate and interest began in 1912
•Initial attempts (1912-1952) involved legislating for National Health
Insurance (similar to other nations who covered all)
12
67. History: Elusive Search for National
Health Insurance
•Federal debate and interest began in 1912
•Initial attempts (1912-1952) involved legislating for National Health
Insurance (similar to other nations who covered all)
12
68. History: Elusive Search for National
Health Insurance
•Federal debate and interest began in 1912
•Initial attempts (1912-1952) involved legislating for National Health
Insurance (similar to other nations who covered all)
•Ideological divisions and special interest groups polarized initiatives
which prevented passage
12
69. History: Elusive Search for National
Health Insurance
•Federal debate and interest began in 1912
•Initial attempts (1912-1952) involved legislating for National Health
Insurance (similar to other nations who covered all)
•Ideological divisions and special interest groups polarized initiatives
which prevented passage
12
70. History: Elusive Search for National
Health Insurance
•Federal debate and interest began in 1912
•Initial attempts (1912-1952) involved legislating for National Health
Insurance (similar to other nations who covered all)
•Ideological divisions and special interest groups polarized initiatives
which prevented passage
•Officials in Truman Administration (1951) developed a plan to provide
federal health insurance only to aged on Social Security
12
71. History: Elusive Search for National
Health Insurance
•Federal debate and interest began in 1912
•Initial attempts (1912-1952) involved legislating for National Health
Insurance (similar to other nations who covered all)
•Ideological divisions and special interest groups polarized initiatives
which prevented passage
•Officials in Truman Administration (1951) developed a plan to provide
federal health insurance only to aged on Social Security
12
72. History: Elusive Search for National
Health Insurance
•Federal debate and interest began in 1912
•Initial attempts (1912-1952) involved legislating for National Health
Insurance (similar to other nations who covered all)
•Ideological divisions and special interest groups polarized initiatives
which prevented passage
•Officials in Truman Administration (1951) developed a plan to provide
federal health insurance only to aged on Social Security
•Strategy was to enact a piece (Medicare) with the ultimate plan of
growing into National Health Insurance
12
73. History: Elusive Search for National
Health Insurance
•Federal debate and interest began in 1912
•Initial attempts (1912-1952) involved legislating for National Health
Insurance (similar to other nations who covered all)
•Ideological divisions and special interest groups polarized initiatives
which prevented passage
•Officials in Truman Administration (1951) developed a plan to provide
federal health insurance only to aged on Social Security
•Strategy was to enact a piece (Medicare) with the ultimate plan of
growing into National Health Insurance
12
74. History: Elusive Search for National
Health Insurance
•Federal debate and interest began in 1912
•Initial attempts (1912-1952) involved legislating for National Health
Insurance (similar to other nations who covered all)
•Ideological divisions and special interest groups polarized initiatives
which prevented passage
•Officials in Truman Administration (1951) developed a plan to provide
federal health insurance only to aged on Social Security
•Strategy was to enact a piece (Medicare) with the ultimate plan of
growing into National Health Insurance
•Elderly chosen because they had higher rates of poverty and less
insurance
12
75. History: Elusive Search for National
Health Insurance
•Federal debate and interest began in 1912
•Initial attempts (1912-1952) involved legislating for National Health
Insurance (similar to other nations who covered all)
•Ideological divisions and special interest groups polarized initiatives
which prevented passage
•Officials in Truman Administration (1951) developed a plan to provide
federal health insurance only to aged on Social Security
•Strategy was to enact a piece (Medicare) with the ultimate plan of
growing into National Health Insurance
•Elderly chosen because they had higher rates of poverty and less
insurance
12
76. History: Elusive Search for National
Health Insurance
•Federal debate and interest began in 1912
•Initial attempts (1912-1952) involved legislating for National Health
Insurance (similar to other nations who covered all)
•Ideological divisions and special interest groups polarized initiatives
which prevented passage
•Officials in Truman Administration (1951) developed a plan to provide
federal health insurance only to aged on Social Security
•Strategy was to enact a piece (Medicare) with the ultimate plan of
growing into National Health Insurance
•Elderly chosen because they had higher rates of poverty and less
insurance
(Oberlander,12
2003, p 15-25)
77. The United
States
is the
ONLY
Industrialized Nation
without Universal Health Care
13
79. Statistics
55,000 American deaths in 2008
due to lack of money/insurance for health care
14
80. Statistics
55,000 American deaths in 2008
due to lack of money/insurance for health care
50.7 million Americans are now uninsured
and even more are underinsured
14
85. Current bureaucracy
➡ Rations health care by: health status and ability to pay
➡ Costly: highest cost per person in the world
16
86. Current bureaucracy
➡ Rations health care by: health status and ability to pay
➡ Costly: highest cost per person in the world
➡ Health outcomes: mediocre
16
87. Current bureaucracy
➡ Rations health care by: health status and ability to pay
➡ Costly: highest cost per person in the world
➡ Health outcomes: mediocre
➡ Profit making: health care not seen as a right, but as a
- commodity
16
88. Current bureaucracy
➡ Rations health care by: health status and ability to pay
➡ Costly: highest cost per person in the world
➡ Health outcomes: mediocre
➡ Profit making: health care not seen as a right, but as a
- commodity
➡ Wasteful: inefficient use of time, money, resources
16
89. Current bureaucracy
➡ Rations health care by: health status and ability to pay
➡ Costly: highest cost per person in the world
➡ Health outcomes: mediocre
➡ Profit making: health care not seen as a right, but as a
- commodity
➡ Wasteful: inefficient use of time, money, resources
➡ User UNFRIENDLY: confusing and stressful
16
90. Current bureaucracy
➡ Rations health care by: health status and ability to pay
➡ Costly: highest cost per person in the world
➡ Health outcomes: mediocre
➡ Profit making: health care not seen as a right, but as a
- commodity
➡ Wasteful: inefficient use of time, money, resources
➡ User UNFRIENDLY: confusing and stressful
➡ Mysterious: never know what will be covered
16
91. Current bureaucracy
➡ Rations health care by: health status and ability to pay
➡ Costly: highest cost per person in the world
➡ Health outcomes: mediocre
➡ Profit making: health care not seen as a right, but as a
- commodity
➡ Wasteful: inefficient use of time, money, resources
➡ User UNFRIENDLY: confusing and stressful
➡ Mysterious: never know what will be covered
➡ Complicated: impossible for average person to
- understand, especially when sick
16
92. Health Care Spending per Person,
2007
Sources: OECD, 2009
Health Affairs, 2002 – Data from 2006
17
95. The Insured
62% of personal bankruptcies
due to medical expenses (2007)
Source: American Journal of Medicine, 2009
18
96. The Insured
62% of personal bankruptcies
due to medical expenses (2007)
Source: American Journal of Medicine, 2009
18
97. The Insured
62% of personal bankruptcies
due to medical expenses (2007)
Source: American Journal of Medicine, 2009
18
98. The Insured
62% of personal bankruptcies
due to medical expenses (2007)
78% of people with medical
bankruptcies had health
insurance when they got sick
Source: American Journal of Medicine, 2009
18
103. How did we get into this mess?
Employer Based Health Insurance/Care
Market Driven Approach
Pharmaceutical Companies
Insurance Companies
Privatization of Hospitals & Doctors
23
105. CONCERNS RE:
NEW FEDERAL PLAN
THE PATIENT PROTECTION AND AFFORDABILITY ACT
MARCH 2010
25
106. CONCERNS RE:
NEW FEDERAL PLAN
THE PATIENT PROTECTION AND AFFORDABILITY ACT
MARCH 2010
COMPLEXITY-
25
107. CONCERNS RE:
NEW FEDERAL PLAN
THE PATIENT PROTECTION AND AFFORDABILITY ACT
MARCH 2010
COMPLEXITY-
25
108. CONCERNS RE:
NEW FEDERAL PLAN
THE PATIENT PROTECTION AND AFFORDABILITY ACT
MARCH 2010
COMPLEXITY-
WASTE-
25
109. CONCERNS RE:
NEW FEDERAL PLAN
THE PATIENT PROTECTION AND AFFORDABILITY ACT
MARCH 2010
COMPLEXITY-
WASTE-
25
110. CONCERNS RE:
NEW FEDERAL PLAN
THE PATIENT PROTECTION AND AFFORDABILITY ACT
MARCH 2010
COMPLEXITY-
WASTE-
COST-
25
111. CONCERNS RE:
NEW FEDERAL PLAN
THE PATIENT PROTECTION AND AFFORDABILITY ACT
MARCH 2010
COMPLEXITY-
WASTE-
COST-
25
112. CONCERNS RE:
NEW FEDERAL PLAN
THE PATIENT PROTECTION AND AFFORDABILITY ACT
MARCH 2010
COMPLEXITY-
WASTE-
COST-
ACCESS-
25
113. CONCERNS RE:
NEW FEDERAL PLAN
THE PATIENT PROTECTION AND AFFORDABILITY ACT
MARCH 2010
COMPLEXITY-
WASTE-
COST-
ACCESS-
25
114. CONCERNS RE:
NEW FEDERAL PLAN
THE PATIENT PROTECTION AND AFFORDABILITY ACT
MARCH 2010
COMPLEXITY-
WASTE-
COST-
ACCESS-
INEQUITY-
25
115. The Solution:
Single-Payer,
Universal Health Care System
(Improved MEDICARE for ALL)
Sources: New England Journal of Medicine, 2003
PNHP, 2009
26
116. The Solution:
Single-Payer,
Universal Health Care System
(Improved MEDICARE for ALL)
Single-payer, universal health care has been shown to:
Sources: New England Journal of Medicine, 2003
PNHP, 2009
26
117. The Solution:
Single-Payer,
Universal Health Care System
(Improved MEDICARE for ALL)
Single-payer, universal health care has been shown to:
Reduce costs
Sources: New England Journal of Medicine, 2003
PNHP, 2009
26
118. The Solution:
Single-Payer,
Universal Health Care System
(Improved MEDICARE for ALL)
Single-payer, universal health care has been shown to:
Reduce costs
Reduce administrative waste (US wastes 31%)
Sources: New England Journal of Medicine, 2003
PNHP, 2009
26
119. The Solution:
Single-Payer,
Universal Health Care System
(Improved MEDICARE for ALL)
Single-payer, universal health care has been shown to:
Reduce costs
Reduce administrative waste (US wastes 31%)
Negotiate drug prices (VA spends 40% less on medications)
Sources: New England Journal of Medicine, 2003
PNHP, 2009
26
120. The Solution:
Single-Payer,
Universal Health Care System
(Improved MEDICARE for ALL)
Single-payer, universal health care has been shown to:
Reduce costs
Reduce administrative waste (US wastes 31%)
Negotiate drug prices (VA spends 40% less on medications)
All other cost control methods easier to implement
Sources: New England Journal of Medicine, 2003
PNHP, 2009
26
121. The Solution:
Single-Payer,
Universal Health Care System
(Improved MEDICARE for ALL)
Single-payer, universal health care has been shown to:
Reduce costs
Reduce administrative waste (US wastes 31%)
Negotiate drug prices (VA spends 40% less on medications)
All other cost control methods easier to implement
Cover everyone
Sources: New England Journal of Medicine, 2003
PNHP, 2009
26
122. The Solution:
Single-Payer,
Universal Health Care System
(Improved MEDICARE for ALL)
Single-payer, universal health care has been shown to:
Reduce costs
Reduce administrative waste (US wastes 31%)
Negotiate drug prices (VA spends 40% less on medications)
All other cost control methods easier to implement
Covereveryone
Improve our health
Sources: New England Journal of Medicine, 2003
PNHP, 2009
26
123. The Solution:
Single-Payer,
Universal Health Care System
(Improved MEDICARE for ALL)
Single-payer, universal health care has been shown to:
Reduce costs
Reduce administrative waste (US wastes 31%)
Negotiate drug prices (VA spends 40% less on medications)
All other cost control methods easier to implement
Cover everyone
Improve our health
Protect against financial ruin
Sources: New England Journal of Medicine, 2003
PNHP, 2009
26
124. The Solution:
Single-Payer,
Universal Health Care System
(Improved MEDICARE for ALL)
Single-payer, universal health care has been shown to:
Reduce costs
Reduce administrative waste (US wastes 31%)
Negotiate drug prices (VA spends 40% less on medications)
All other cost control methods easier to implement
Cover everyone
Improve our health
Protect against financial ruin
Provide real choice
Sources: New England Journal of Medicine, 2003
PNHP, 2009
26
129. MN Health Plan for All
Minnesotans
Simple, Direct System
30
130. MN Health Plan for All
Minnesotans
Simple, Direct System
Pre-existing conditions covered
30
131. MN Health Plan for All
Minnesotans
Simple, Direct System
Pre-existing conditions covered
Affordable
30
132. MN Health Plan for All
Minnesotans
Simple, Direct System
Pre-existing conditions covered
Affordable
Quality Care
30
133. MN Health Plan for All
Minnesotans
Simple, Direct System
Pre-existing conditions covered
Affordable
Quality Care
Universal
30
134. MN Health Plan for All
Minnesotans
Simple, Direct System
Pre-existing conditions covered
Affordable
Quality Care
Universal
Single payer
30
135. MN Health Plan for All
Minnesotans
Simple, Direct System
Pre-existing conditions covered
Affordable
Quality Care
Universal
Single payer
Comprehensive
30
136. MN Health Plan for All
Minnesotans
Simple, Direct System
Pre-existing conditions covered
Affordable
Quality Care
Universal
Single payer
Comprehensive
Choice of doctors, NP, PA,
hospitals and clinics
30
137. MN Health Plan for All
Minnesotans
Simple, Direct System
Pre-existing conditions covered
Affordable
Quality Care
Universal
Single payer
Comprehensive
Choice of doctors, NP, PA,
hospitals and clinics
Guaranteed for life
30
139. Proposal for Legislation:
The Minnesota Health Plan
The Minnesota Health Plan would provide
affordable health care for all Minnesotans.
31
140. Proposal for Legislation:
The Minnesota Health Plan
The Minnesota Health Plan would provide
affordable health care for all Minnesotans.
31
141. Proposal for Legislation:
The Minnesota Health Plan
The Minnesota Health Plan would provide
affordable health care for all Minnesotans.
It would costs less and cover more.
Minnesotans would choose the doctor they
trust and get the care they need when they
need it.
31
142. Proposal for Legislation:
The Minnesota Health Plan
The Minnesota Health Plan would provide
affordable health care for all Minnesotans.
It would costs less and cover more.
Minnesotans would choose the doctor they
trust and get the care they need when they
need it.
31
143. Proposal for Legislation:
The Minnesota Health Plan
The Minnesota Health Plan would provide
affordable health care for all Minnesotans.
It would costs less and cover more.
Minnesotans would choose the doctor they
trust and get the care they need when they
need it.
And they would have peace of mind
knowing their coverage couldn’t be taken
away.
31
149. Nurses are trusted
Gallup Poll Votes
Nurses Most Trusted
Profession (Dec 2010)
For 11 years!
83% of Americans believe nurses'
honesty and ethical standards are
either "high" or "very high”
33
152. You can make a difference
•Learn more
• Join other nurses
34
153. You can make a difference
•Learn more
• Join other nurses
•Write letters to the editors, candidates, legislators
34
154. You can make a difference
•Learn more
• Join other nurses
•Write letters to the editors, candidates, legislators
• Join an advocacy group
34
155. You can make a difference
•Learn more
• Join other nurses
•Write letters to the editors, candidates, legislators
• Join an advocacy group
•Organize locally
34
156. You can make a difference
•Learn more
• Join other nurses
•Write letters to the editors, candidates, legislators
• Join an advocacy group
•Organize locally
•Talk to your friends, neighbors...
34
157. You can make a difference
•Learn more
• Join other nurses
•Write letters to the editors, candidates, legislators
• Join an advocacy group
•Organize locally
•Talk to your friends, neighbors...
•Host a teach-in, movie night, book club...
34
158. You can make a difference
•Learn more
• Join other nurses
•Write letters to the editors, candidates, legislators
• Join an advocacy group
•Organize locally
•Talk to your friends, neighbors...
•Host a teach-in, movie night, book club...
•Vote
34
173. Credits:
Rebekah Smith, Santwana Dasgupta, Minnesota
Universal Health Care Coalition, Minnesota Health
Reform Caucus
Amy Lange, RN, MS, Minnesota Universal Health
Care Coalition (MUHCC) www.muhcc.org
David Mair, MD, Physicians for a National Health
Program-Minnesota
Deborah Richter, www.vthca.org, Montpelier, VT
40
174. THANK YOU FOR YOUR
ATTENTION AND INTEREST
QUESTIONS AND COMMENTS?
41
Editor's Notes
I am Barbara, the Nurse. I’m delighted to be here tonight and I thank you for coming out on this wintery afternoon. I’ve been a registered nurse for over 30 years. Since I was a teenager, I have had an intense interest and passion for supporting the creation of a simplified, cost effective, community centered health care system covering everyone. I even went door knocking at age 15! \n\nRecently, I spent four years learning about the mess we are currently in. I read dry, boring books on health care reform to build a knowledge base. I read websites and attended presentations devoted to health care reform and found conflicting information. I read research and knowing that numbers can be manipulated, I questioned the results. And, I talked with people. All of this required a lot of time and energy to understand all that was being presented, yet I felt compelled to educate myself and become active. \n\nI struggled to understand the confusing ideas being presented. So complicated! Who was right? Who was wrong? I asked myself many questions and searched out answers. Does our Health Care bureaucracy need to change in incremental steps? Do we continue to cater to the powerful people representing the insurance and pharmaceutical businesses? Or, do we need to create and agree on the goal of covering every American through a humane, cost effective system and then develop the plan based on that? \n\nI did not start out thinking we could have a process where the all the billing for health care expenses went through a single payer system or that the government should be involved with this. I wondered if we did create a system where every American was covered by a National Health Plan, would people abuse it. Would they continue risky behavior and be irresponsible, causing those of us who try to be responsible to pay for those who are not? Would people become lazy? Would it be socialized medicine? Would there be rationing of care? Would choice of care and doctor be taking away? How would it be paid for? What impact would it have on the stakeholders? \n\nNow that I’ve done this research, listened to and joined other people, and worked on health care reform, it’s clear to me that our nursing values can guide us in creating and supporting plans for a new health care system.\n\n
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 “You must inform public opinion…” Florence Nightingale, 1893 She was an articulate public communicator, community and social activist, environmentalist and ardent advocate for human rights and worldwide social reform. She influenced local, national, and international leaders and fought to keep the issues related to health in the public eye. She call all of this “nursing.” http://www.nightingaledeclaration.net/2010-international-year-nurse/Today, in our 21st century ‘global village’, these broader insights from Nightingale can become innovative approaches developed by nurses who seek to impact and influence the factors which will determine and sustain the health of humanity in our time. http://www.2010iynurse.net/Florence_Nightingale.aspx \n
 “You must inform public opinion…” Florence Nightingale, 1893 She was an articulate public communicator, community and social activist, environmentalist and ardent advocate for human rights and worldwide social reform. She influenced local, national, and international leaders and fought to keep the issues related to health in the public eye. She call all of this “nursing.” http://www.nightingaledeclaration.net/2010-international-year-nurse/Today, in our 21st century ‘global village’, these broader insights from Nightingale can become innovative approaches developed by nurses who seek to impact and influence the factors which will determine and sustain the health of humanity in our time. http://www.2010iynurse.net/Florence_Nightingale.aspx \n
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8.1 Health needs and concerns-The nursing profession is committed to promoting the health, welfare, and safety of all people. The nurse has a responsibility to be aware not only of specific health needs of individual patients but also of broader health concerns such as world hunger, environmental pollution, lack of access to health care, violation of human rights, and inequitable distribution of nursing and health care resources. The availability and accessibility of high quality health services to all people require both interdisciplinary planning and collaborative partnerships among health professionals and others at the community, national, and international levels. \n8.2 Responsibilities to the public-\nNurses, individually and collectively, have a responsibility to be knowledgeable about the health status of the community and existing threats to health and safety. ... In addition, the nurse supports initiatives to address barriers to health, such as poverty, homelessness, unsafe living conditions, abuse and violence, and lack of access to health services. \nProvision 9 \nThe profession of nursing,... as represented by associations and their members, is responsible for articulating nursing values, and for maintaining the integrity of the profession and its practice, and for shaping social policy. \n\n9.4 Social Reform- Nurses can work individually as citizens or collectively through political action to bring about social change.\n
8.1 Health needs and concerns-The nursing profession is committed to promoting the health, welfare, and safety of all people. The nurse has a responsibility to be aware not only of specific health needs of individual patients but also of broader health concerns such as world hunger, environmental pollution, lack of access to health care, violation of human rights, and inequitable distribution of nursing and health care resources. The availability and accessibility of high quality health services to all people require both interdisciplinary planning and collaborative partnerships among health professionals and others at the community, national, and international levels. \n8.2 Responsibilities to the public-\nNurses, individually and collectively, have a responsibility to be knowledgeable about the health status of the community and existing threats to health and safety. ... In addition, the nurse supports initiatives to address barriers to health, such as poverty, homelessness, unsafe living conditions, abuse and violence, and lack of access to health services. \nProvision 9 \nThe profession of nursing,... as represented by associations and their members, is responsible for articulating nursing values, and for maintaining the integrity of the profession and its practice, and for shaping social policy. \n\n9.4 Social Reform- Nurses can work individually as citizens or collectively through political action to bring about social change.\n
8.1 Health needs and concerns-The nursing profession is committed to promoting the health, welfare, and safety of all people. The nurse has a responsibility to be aware not only of specific health needs of individual patients but also of broader health concerns such as world hunger, environmental pollution, lack of access to health care, violation of human rights, and inequitable distribution of nursing and health care resources. The availability and accessibility of high quality health services to all people require both interdisciplinary planning and collaborative partnerships among health professionals and others at the community, national, and international levels. \n8.2 Responsibilities to the public-\nNurses, individually and collectively, have a responsibility to be knowledgeable about the health status of the community and existing threats to health and safety. ... In addition, the nurse supports initiatives to address barriers to health, such as poverty, homelessness, unsafe living conditions, abuse and violence, and lack of access to health services. \nProvision 9 \nThe profession of nursing,... as represented by associations and their members, is responsible for articulating nursing values, and for maintaining the integrity of the profession and its practice, and for shaping social policy. \n\n9.4 Social Reform- Nurses can work individually as citizens or collectively through political action to bring about social change.\n
8.1 Health needs and concerns-The nursing profession is committed to promoting the health, welfare, and safety of all people. The nurse has a responsibility to be aware not only of specific health needs of individual patients but also of broader health concerns such as world hunger, environmental pollution, lack of access to health care, violation of human rights, and inequitable distribution of nursing and health care resources. The availability and accessibility of high quality health services to all people require both interdisciplinary planning and collaborative partnerships among health professionals and others at the community, national, and international levels. \n8.2 Responsibilities to the public-\nNurses, individually and collectively, have a responsibility to be knowledgeable about the health status of the community and existing threats to health and safety. ... In addition, the nurse supports initiatives to address barriers to health, such as poverty, homelessness, unsafe living conditions, abuse and violence, and lack of access to health services. \nProvision 9 \nThe profession of nursing,... as represented by associations and their members, is responsible for articulating nursing values, and for maintaining the integrity of the profession and its practice, and for shaping social policy. \n\n9.4 Social Reform- Nurses can work individually as citizens or collectively through political action to bring about social change.\n
8.1 Health needs and concerns-The nursing profession is committed to promoting the health, welfare, and safety of all people. The nurse has a responsibility to be aware not only of specific health needs of individual patients but also of broader health concerns such as world hunger, environmental pollution, lack of access to health care, violation of human rights, and inequitable distribution of nursing and health care resources. The availability and accessibility of high quality health services to all people require both interdisciplinary planning and collaborative partnerships among health professionals and others at the community, national, and international levels. \n8.2 Responsibilities to the public-\nNurses, individually and collectively, have a responsibility to be knowledgeable about the health status of the community and existing threats to health and safety. ... In addition, the nurse supports initiatives to address barriers to health, such as poverty, homelessness, unsafe living conditions, abuse and violence, and lack of access to health services. \nProvision 9 \nThe profession of nursing,... as represented by associations and their members, is responsible for articulating nursing values, and for maintaining the integrity of the profession and its practice, and for shaping social policy. \n\n9.4 Social Reform- Nurses can work individually as citizens or collectively through political action to bring about social change.\n
8.1 Health needs and concerns-The nursing profession is committed to promoting the health, welfare, and safety of all people. The nurse has a responsibility to be aware not only of specific health needs of individual patients but also of broader health concerns such as world hunger, environmental pollution, lack of access to health care, violation of human rights, and inequitable distribution of nursing and health care resources. The availability and accessibility of high quality health services to all people require both interdisciplinary planning and collaborative partnerships among health professionals and others at the community, national, and international levels. \n8.2 Responsibilities to the public-\nNurses, individually and collectively, have a responsibility to be knowledgeable about the health status of the community and existing threats to health and safety. ... In addition, the nurse supports initiatives to address barriers to health, such as poverty, homelessness, unsafe living conditions, abuse and violence, and lack of access to health services. \nProvision 9 \nThe profession of nursing,... as represented by associations and their members, is responsible for articulating nursing values, and for maintaining the integrity of the profession and its practice, and for shaping social policy. \n\n9.4 Social Reform- Nurses can work individually as citizens or collectively through political action to bring about social change.\n
8.1 Health needs and concerns-The nursing profession is committed to promoting the health, welfare, and safety of all people. The nurse has a responsibility to be aware not only of specific health needs of individual patients but also of broader health concerns such as world hunger, environmental pollution, lack of access to health care, violation of human rights, and inequitable distribution of nursing and health care resources. The availability and accessibility of high quality health services to all people require both interdisciplinary planning and collaborative partnerships among health professionals and others at the community, national, and international levels. \n8.2 Responsibilities to the public-\nNurses, individually and collectively, have a responsibility to be knowledgeable about the health status of the community and existing threats to health and safety. ... In addition, the nurse supports initiatives to address barriers to health, such as poverty, homelessness, unsafe living conditions, abuse and violence, and lack of access to health services. \nProvision 9 \nThe profession of nursing,... as represented by associations and their members, is responsible for articulating nursing values, and for maintaining the integrity of the profession and its practice, and for shaping social policy. \n\n9.4 Social Reform- Nurses can work individually as citizens or collectively through political action to bring about social change.\n
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The definition of communication is: From the mind of one to the mind of another--with understanding. Without understanding there is no communication. So, we must use shared definitions to have true communication. But, that is not as easy as it sounds. We constantly hear words and phrases being spoken. And, We each have our own definitions of what they mean. What is socialism to you? What does single payer health care mean to you? What does universal health care mean to you? How do you define Medicare? \n
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Now, there are a few states who are actively working for a Universal, Single Payer System. MN is one of the states who is very actively seeking this. I guess I should say people in MN are actively seeking a USP system. So is California, Vermont, and Hawaii. And, I’d like to share what I think is exciting news. Vermont may be the first state to pass legislation... Elected Governor is an outspoken advocate and members of the VT Senate and House also support it. I’ll talk about MN a little later. \n
Now, there are a few states who are actively working for a Universal, Single Payer System. MN is one of the states who is very actively seeking this. I guess I should say people in MN are actively seeking a USP system. So is California, Vermont, and Hawaii. And, I’d like to share what I think is exciting news. Vermont may be the first state to pass legislation... Elected Governor is an outspoken advocate and members of the VT Senate and House also support it. I’ll talk about MN a little later. \n
Now, there are a few states who are actively working for a Universal, Single Payer System. MN is one of the states who is very actively seeking this. I guess I should say people in MN are actively seeking a USP system. So is California, Vermont, and Hawaii. And, I’d like to share what I think is exciting news. Vermont may be the first state to pass legislation... Elected Governor is an outspoken advocate and members of the VT Senate and House also support it. I’ll talk about MN a little later. \n
Now, there are a few states who are actively working for a Universal, Single Payer System. MN is one of the states who is very actively seeking this. I guess I should say people in MN are actively seeking a USP system. So is California, Vermont, and Hawaii. And, I’d like to share what I think is exciting news. Vermont may be the first state to pass legislation... Elected Governor is an outspoken advocate and members of the VT Senate and House also support it. I’ll talk about MN a little later. \n
Now, there are a few states who are actively working for a Universal, Single Payer System. MN is one of the states who is very actively seeking this. I guess I should say people in MN are actively seeking a USP system. So is California, Vermont, and Hawaii. And, I’d like to share what I think is exciting news. Vermont may be the first state to pass legislation... Elected Governor is an outspoken advocate and members of the VT Senate and House also support it. I’ll talk about MN a little later. \n
Now, there are a few states who are actively working for a Universal, Single Payer System. MN is one of the states who is very actively seeking this. I guess I should say people in MN are actively seeking a USP system. So is California, Vermont, and Hawaii. And, I’d like to share what I think is exciting news. Vermont may be the first state to pass legislation... Elected Governor is an outspoken advocate and members of the VT Senate and House also support it. I’ll talk about MN a little later. \n
Now, there are a few states who are actively working for a Universal, Single Payer System. MN is one of the states who is very actively seeking this. I guess I should say people in MN are actively seeking a USP system. So is California, Vermont, and Hawaii. And, I’d like to share what I think is exciting news. Vermont may be the first state to pass legislation... Elected Governor is an outspoken advocate and members of the VT Senate and House also support it. I’ll talk about MN a little later. \n
Now, there are a few states who are actively working for a Universal, Single Payer System. MN is one of the states who is very actively seeking this. I guess I should say people in MN are actively seeking a USP system. So is California, Vermont, and Hawaii. And, I’d like to share what I think is exciting news. Vermont may be the first state to pass legislation... Elected Governor is an outspoken advocate and members of the VT Senate and House also support it. I’ll talk about MN a little later. \n
Now, there are a few states who are actively working for a Universal, Single Payer System. MN is one of the states who is very actively seeking this. I guess I should say people in MN are actively seeking a USP system. So is California, Vermont, and Hawaii. And, I’d like to share what I think is exciting news. Vermont may be the first state to pass legislation... Elected Governor is an outspoken advocate and members of the VT Senate and House also support it. I’ll talk about MN a little later. \n
Now, there are a few states who are actively working for a Universal, Single Payer System. MN is one of the states who is very actively seeking this. I guess I should say people in MN are actively seeking a USP system. So is California, Vermont, and Hawaii. And, I’d like to share what I think is exciting news. Vermont may be the first state to pass legislation... Elected Governor is an outspoken advocate and members of the VT Senate and House also support it. I’ll talk about MN a little later. \n
Now, there are a few states who are actively working for a Universal, Single Payer System. MN is one of the states who is very actively seeking this. I guess I should say people in MN are actively seeking a USP system. So is California, Vermont, and Hawaii. And, I’d like to share what I think is exciting news. Vermont may be the first state to pass legislation... Elected Governor is an outspoken advocate and members of the VT Senate and House also support it. I’ll talk about MN a little later. \n
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It’s hard to get our heads around this statistic unless it is your child, dear friend, spouse, or you. 150 deaths per day.\n
It’s hard to get our heads around this statistic unless it is your child, dear friend, spouse, or you. 150 deaths per day.\n
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There is a Widespread belief that because we spend the most and because we believe we must be the best, most Americans believe we have the best quality of care in the world. But the UsA is in the bottom 1/4 of all industrial countries for health indicators such as life expectancy and infant mortality. In 2000, the World Health Organization ranked us as 1st in expenditures (spending) and 37th overall in health system performance! \n
There is a Widespread belief that because we spend the most and because we believe we must be the best, most Americans believe we have the best quality of care in the world. But the UsA is in the bottom 1/4 of all industrial countries for health indicators such as life expectancy and infant mortality. In 2000, the World Health Organization ranked us as 1st in expenditures (spending) and 37th overall in health system performance! \n
There is a Widespread belief that because we spend the most and because we believe we must be the best, most Americans believe we have the best quality of care in the world. But the UsA is in the bottom 1/4 of all industrial countries for health indicators such as life expectancy and infant mortality. In 2000, the World Health Organization ranked us as 1st in expenditures (spending) and 37th overall in health system performance! \n
There is a Widespread belief that because we spend the most and because we believe we must be the best, most Americans believe we have the best quality of care in the world. But the UsA is in the bottom 1/4 of all industrial countries for health indicators such as life expectancy and infant mortality. In 2000, the World Health Organization ranked us as 1st in expenditures (spending) and 37th overall in health system performance! \n
There is a Widespread belief that because we spend the most and because we believe we must be the best, most Americans believe we have the best quality of care in the world. But the UsA is in the bottom 1/4 of all industrial countries for health indicators such as life expectancy and infant mortality. In 2000, the World Health Organization ranked us as 1st in expenditures (spending) and 37th overall in health system performance! \n
There is a Widespread belief that because we spend the most and because we believe we must be the best, most Americans believe we have the best quality of care in the world. But the UsA is in the bottom 1/4 of all industrial countries for health indicators such as life expectancy and infant mortality. In 2000, the World Health Organization ranked us as 1st in expenditures (spending) and 37th overall in health system performance! \n
There is a Widespread belief that because we spend the most and because we believe we must be the best, most Americans believe we have the best quality of care in the world. But the UsA is in the bottom 1/4 of all industrial countries for health indicators such as life expectancy and infant mortality. In 2000, the World Health Organization ranked us as 1st in expenditures (spending) and 37th overall in health system performance! \n
There is a Widespread belief that because we spend the most and because we believe we must be the best, most Americans believe we have the best quality of care in the world. But the UsA is in the bottom 1/4 of all industrial countries for health indicators such as life expectancy and infant mortality. In 2000, the World Health Organization ranked us as 1st in expenditures (spending) and 37th overall in health system performance! \n
In the United States, we pay over $7,000 PER PERSON for health care! As you can see on this graph, we pay way more than other other country. And, all those countries cover every one of their citizens. We do not even come close, even though we are paying so much more. In other words, we are already paying enough for health care for all--we just don’t get it. So, obviously something is wrong! What’s going on? Are we paying more because we have superior care? Are our people healthier than the other countries? Are we paying for and getting amazing new drugs and medical devices? As I mentioned the answers to those questions are “no”. Obviously, change is absolutely necessary.\n
Health Insurance is a faulty product. Many people have insurance plans that don’t really cover expenses if they get sick. When you think about it, what value do we get from insurance companies? I’ve been asking this question now for awhile and I haven’t heard a good answer yet. \n
Health Insurance is a faulty product. Many people have insurance plans that don’t really cover expenses if they get sick. When you think about it, what value do we get from insurance companies? I’ve been asking this question now for awhile and I haven’t heard a good answer yet. \n
Health Insurance is a faulty product. Many people have insurance plans that don’t really cover expenses if they get sick. When you think about it, what value do we get from insurance companies? I’ve been asking this question now for awhile and I haven’t heard a good answer yet. \n
Health Insurance is a faulty product. Many people have insurance plans that don’t really cover expenses if they get sick. When you think about it, what value do we get from insurance companies? I’ve been asking this question now for awhile and I haven’t heard a good answer yet. \n
Health Insurance is a faulty product. Many people have insurance plans that don’t really cover expenses if they get sick. When you think about it, what value do we get from insurance companies? I’ve been asking this question now for awhile and I haven’t heard a good answer yet. \n
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This clearly shows where we are spending (wasting) health care dollars. While the growth in number of providers matches population growth, the numbers of insurance administrators, health business administrators and paper pushers is exploding.\n
And, here’s the graph for the growth of nurses compared to administrators. Do we really need that many administrators making decisions on healthcare and the administration of health care? \n
Here’s a chart created by someone who attempted to show the “system” we have now. What this chart is missing are the countless hours and hours wasted on the phone and correspondence. Frustration, anger, heartbreak, exhaustion. People, who have an illness or injury, are having to spend their Life Time trying to get the care they need. So what is an alternative? We’ll talk about it in the next few minutes. \n
Historically and today, Americans are in conflict in our society. It started with the founding fathers of this country and continues to this day. \n\n Bitter battles based on principle of whether health care is an individual responsibility (no government involvement) or societal responsibility (state, federal, or charity involvement)\n\n\n
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The bill will expand access and will address some insurance company abuses. But it isn’t an adequate solution. \nComplexity\n hundreds of plans \n new layers of rules \n lots of verification of eligibility, income, compliance\nWaste\n increases administrative burden to insurers, families, and providers \n leaves in place a fragmented system where 31% of health care spending goes to administrative overhead\nCost\n People forced to buy a product they can’t afford \n Doesn’t control rate hikes, doesn’t guarantee claims will be paid\n Imposes a fine if you don’t comply\n Healthy people may chose the fine, raising costs to people with insurance. \n Doesn’t use proven methods of cost containment: bulk purchasing, administrative simplicity, global budgeting.\n ACCESS-\n Leaves people out- 23 million estimated to be uninsured in 2019 \n INEQUITY- \n Leaves in place a system where the quality and security of your coverage is largely determined by your wealth\n \n\n
The bill will expand access and will address some insurance company abuses. But it isn’t an adequate solution. \nComplexity\n hundreds of plans \n new layers of rules \n lots of verification of eligibility, income, compliance\nWaste\n increases administrative burden to insurers, families, and providers \n leaves in place a fragmented system where 31% of health care spending goes to administrative overhead\nCost\n People forced to buy a product they can’t afford \n Doesn’t control rate hikes, doesn’t guarantee claims will be paid\n Imposes a fine if you don’t comply\n Healthy people may chose the fine, raising costs to people with insurance. \n Doesn’t use proven methods of cost containment: bulk purchasing, administrative simplicity, global budgeting.\n ACCESS-\n Leaves people out- 23 million estimated to be uninsured in 2019 \n INEQUITY- \n Leaves in place a system where the quality and security of your coverage is largely determined by your wealth\n \n\n
The bill will expand access and will address some insurance company abuses. But it isn’t an adequate solution. \nComplexity\n hundreds of plans \n new layers of rules \n lots of verification of eligibility, income, compliance\nWaste\n increases administrative burden to insurers, families, and providers \n leaves in place a fragmented system where 31% of health care spending goes to administrative overhead\nCost\n People forced to buy a product they can’t afford \n Doesn’t control rate hikes, doesn’t guarantee claims will be paid\n Imposes a fine if you don’t comply\n Healthy people may chose the fine, raising costs to people with insurance. \n Doesn’t use proven methods of cost containment: bulk purchasing, administrative simplicity, global budgeting.\n ACCESS-\n Leaves people out- 23 million estimated to be uninsured in 2019 \n INEQUITY- \n Leaves in place a system where the quality and security of your coverage is largely determined by your wealth\n \n\n
The bill will expand access and will address some insurance company abuses. But it isn’t an adequate solution. \nComplexity\n hundreds of plans \n new layers of rules \n lots of verification of eligibility, income, compliance\nWaste\n increases administrative burden to insurers, families, and providers \n leaves in place a fragmented system where 31% of health care spending goes to administrative overhead\nCost\n People forced to buy a product they can’t afford \n Doesn’t control rate hikes, doesn’t guarantee claims will be paid\n Imposes a fine if you don’t comply\n Healthy people may chose the fine, raising costs to people with insurance. \n Doesn’t use proven methods of cost containment: bulk purchasing, administrative simplicity, global budgeting.\n ACCESS-\n Leaves people out- 23 million estimated to be uninsured in 2019 \n INEQUITY- \n Leaves in place a system where the quality and security of your coverage is largely determined by your wealth\n \n\n
The bill will expand access and will address some insurance company abuses. But it isn’t an adequate solution. \nComplexity\n hundreds of plans \n new layers of rules \n lots of verification of eligibility, income, compliance\nWaste\n increases administrative burden to insurers, families, and providers \n leaves in place a fragmented system where 31% of health care spending goes to administrative overhead\nCost\n People forced to buy a product they can’t afford \n Doesn’t control rate hikes, doesn’t guarantee claims will be paid\n Imposes a fine if you don’t comply\n Healthy people may chose the fine, raising costs to people with insurance. \n Doesn’t use proven methods of cost containment: bulk purchasing, administrative simplicity, global budgeting.\n ACCESS-\n Leaves people out- 23 million estimated to be uninsured in 2019 \n INEQUITY- \n Leaves in place a system where the quality and security of your coverage is largely determined by your wealth\n \n\n
The bill will expand access and will address some insurance company abuses. But it isn’t an adequate solution. \nComplexity\n hundreds of plans \n new layers of rules \n lots of verification of eligibility, income, compliance\nWaste\n increases administrative burden to insurers, families, and providers \n leaves in place a fragmented system where 31% of health care spending goes to administrative overhead\nCost\n People forced to buy a product they can’t afford \n Doesn’t control rate hikes, doesn’t guarantee claims will be paid\n Imposes a fine if you don’t comply\n Healthy people may chose the fine, raising costs to people with insurance. \n Doesn’t use proven methods of cost containment: bulk purchasing, administrative simplicity, global budgeting.\n ACCESS-\n Leaves people out- 23 million estimated to be uninsured in 2019 \n INEQUITY- \n Leaves in place a system where the quality and security of your coverage is largely determined by your wealth\n \n\n
The bill will expand access and will address some insurance company abuses. But it isn’t an adequate solution. \nComplexity\n hundreds of plans \n new layers of rules \n lots of verification of eligibility, income, compliance\nWaste\n increases administrative burden to insurers, families, and providers \n leaves in place a fragmented system where 31% of health care spending goes to administrative overhead\nCost\n People forced to buy a product they can’t afford \n Doesn’t control rate hikes, doesn’t guarantee claims will be paid\n Imposes a fine if you don’t comply\n Healthy people may chose the fine, raising costs to people with insurance. \n Doesn’t use proven methods of cost containment: bulk purchasing, administrative simplicity, global budgeting.\n ACCESS-\n Leaves people out- 23 million estimated to be uninsured in 2019 \n INEQUITY- \n Leaves in place a system where the quality and security of your coverage is largely determined by your wealth\n \n\n
The bill will expand access and will address some insurance company abuses. But it isn’t an adequate solution. \nComplexity\n hundreds of plans \n new layers of rules \n lots of verification of eligibility, income, compliance\nWaste\n increases administrative burden to insurers, families, and providers \n leaves in place a fragmented system where 31% of health care spending goes to administrative overhead\nCost\n People forced to buy a product they can’t afford \n Doesn’t control rate hikes, doesn’t guarantee claims will be paid\n Imposes a fine if you don’t comply\n Healthy people may chose the fine, raising costs to people with insurance. \n Doesn’t use proven methods of cost containment: bulk purchasing, administrative simplicity, global budgeting.\n ACCESS-\n Leaves people out- 23 million estimated to be uninsured in 2019 \n INEQUITY- \n Leaves in place a system where the quality and security of your coverage is largely determined by your wealth\n \n\n
The bill will expand access and will address some insurance company abuses. But it isn’t an adequate solution. \nComplexity\n hundreds of plans \n new layers of rules \n lots of verification of eligibility, income, compliance\nWaste\n increases administrative burden to insurers, families, and providers \n leaves in place a fragmented system where 31% of health care spending goes to administrative overhead\nCost\n People forced to buy a product they can’t afford \n Doesn’t control rate hikes, doesn’t guarantee claims will be paid\n Imposes a fine if you don’t comply\n Healthy people may chose the fine, raising costs to people with insurance. \n Doesn’t use proven methods of cost containment: bulk purchasing, administrative simplicity, global budgeting.\n ACCESS-\n Leaves people out- 23 million estimated to be uninsured in 2019 \n INEQUITY- \n Leaves in place a system where the quality and security of your coverage is largely determined by your wealth\n \n\n
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This is ONE example to show that it can be done in Vermont and for no more money than we are spending now, we can pay for comprehensive care for all Vermonters including Dr, hospital, prescriptions, eye care, dental care, mental health, rehab. It could be financed with lump sum Medicare, Medicaid, and a 5.8% payroll tax on employers and 2.9% payroll tax on employees. Keep in mind that this is just one example of a universal health care investment plan.\n
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Right now: Real life American Story\n\nYou find a job that has HI-->Relief. 3 life needs ($, work, HI) met\nNow, comes the crazy part. It’s New Year’s eve and you decide to take a walk with some friends. You fall and fracture your neck (or you have a stroke). You really need all your resources for healing and adjusting to your new life. You are here in the US of American. So what happens next? What happens next is appalling. \nAren’t able to work for who knows how long. You know you won’t be able to go back to your current job.\nYou are not able to work. No income. Your HI will change. COBRA-18 months, but how will you pay for it? You could go on MCHA, but how will you pay for it? You do not qualify for Medicaid because you’re over 21 and not certified as disabled. You do not qualify for MN Care because you have to be without insurance for 4 months and then it only covers up to $10,000 per year.\nYou’re not over 65, so you don’t qualify for Medicare. You spent enormous amounts of time and energy and will end up stressed beyond belief...Losing your home, losing everything, bankruptcy is a real possibility. \n
Right now: Real life American Story\n\nYou find a job that has HI-->Relief. 3 life needs ($, work, HI) met\nNow, comes the crazy part. It’s New Year’s eve and you decide to take a walk with some friends. You fall and fracture your neck (or you have a stroke). You really need all your resources for healing and adjusting to your new life. You are here in the US of American. So what happens next? What happens next is appalling. \nAren’t able to work for who knows how long. You know you won’t be able to go back to your current job.\nYou are not able to work. No income. Your HI will change. COBRA-18 months, but how will you pay for it? You could go on MCHA, but how will you pay for it? You do not qualify for Medicaid because you’re over 21 and not certified as disabled. You do not qualify for MN Care because you have to be without insurance for 4 months and then it only covers up to $10,000 per year.\nYou’re not over 65, so you don’t qualify for Medicare. You spent enormous amounts of time and energy and will end up stressed beyond belief...Losing your home, losing everything, bankruptcy is a real possibility. \n
Right now: Real life American Story\n\nYou find a job that has HI-->Relief. 3 life needs ($, work, HI) met\nNow, comes the crazy part. It’s New Year’s eve and you decide to take a walk with some friends. You fall and fracture your neck (or you have a stroke). You really need all your resources for healing and adjusting to your new life. You are here in the US of American. So what happens next? What happens next is appalling. \nAren’t able to work for who knows how long. You know you won’t be able to go back to your current job.\nYou are not able to work. No income. Your HI will change. COBRA-18 months, but how will you pay for it? You could go on MCHA, but how will you pay for it? You do not qualify for Medicaid because you’re over 21 and not certified as disabled. You do not qualify for MN Care because you have to be without insurance for 4 months and then it only covers up to $10,000 per year.\nYou’re not over 65, so you don’t qualify for Medicare. You spent enormous amounts of time and energy and will end up stressed beyond belief...Losing your home, losing everything, bankruptcy is a real possibility. \n
Right now: Real life American Story\n\nYou find a job that has HI-->Relief. 3 life needs ($, work, HI) met\nNow, comes the crazy part. It’s New Year’s eve and you decide to take a walk with some friends. You fall and fracture your neck (or you have a stroke). You really need all your resources for healing and adjusting to your new life. You are here in the US of American. So what happens next? What happens next is appalling. \nAren’t able to work for who knows how long. You know you won’t be able to go back to your current job.\nYou are not able to work. No income. Your HI will change. COBRA-18 months, but how will you pay for it? You could go on MCHA, but how will you pay for it? You do not qualify for Medicaid because you’re over 21 and not certified as disabled. You do not qualify for MN Care because you have to be without insurance for 4 months and then it only covers up to $10,000 per year.\nYou’re not over 65, so you don’t qualify for Medicare. You spent enormous amounts of time and energy and will end up stressed beyond belief...Losing your home, losing everything, bankruptcy is a real possibility. \n
Right now: Real life American Story\n\nYou find a job that has HI-->Relief. 3 life needs ($, work, HI) met\nNow, comes the crazy part. It’s New Year’s eve and you decide to take a walk with some friends. You fall and fracture your neck (or you have a stroke). You really need all your resources for healing and adjusting to your new life. You are here in the US of American. So what happens next? What happens next is appalling. \nAren’t able to work for who knows how long. You know you won’t be able to go back to your current job.\nYou are not able to work. No income. Your HI will change. COBRA-18 months, but how will you pay for it? You could go on MCHA, but how will you pay for it? You do not qualify for Medicaid because you’re over 21 and not certified as disabled. You do not qualify for MN Care because you have to be without insurance for 4 months and then it only covers up to $10,000 per year.\nYou’re not over 65, so you don’t qualify for Medicare. You spent enormous amounts of time and energy and will end up stressed beyond belief...Losing your home, losing everything, bankruptcy is a real possibility. \n
Right now: Real life American Story\n\nYou find a job that has HI-->Relief. 3 life needs ($, work, HI) met\nNow, comes the crazy part. It’s New Year’s eve and you decide to take a walk with some friends. You fall and fracture your neck (or you have a stroke). You really need all your resources for healing and adjusting to your new life. You are here in the US of American. So what happens next? What happens next is appalling. \nAren’t able to work for who knows how long. You know you won’t be able to go back to your current job.\nYou are not able to work. No income. Your HI will change. COBRA-18 months, but how will you pay for it? You could go on MCHA, but how will you pay for it? You do not qualify for Medicaid because you’re over 21 and not certified as disabled. You do not qualify for MN Care because you have to be without insurance for 4 months and then it only covers up to $10,000 per year.\nYou’re not over 65, so you don’t qualify for Medicare. You spent enormous amounts of time and energy and will end up stressed beyond belief...Losing your home, losing everything, bankruptcy is a real possibility. \n
Right now: Real life American Story\n\nYou find a job that has HI-->Relief. 3 life needs ($, work, HI) met\nNow, comes the crazy part. It’s New Year’s eve and you decide to take a walk with some friends. You fall and fracture your neck (or you have a stroke). You really need all your resources for healing and adjusting to your new life. You are here in the US of American. So what happens next? What happens next is appalling. \nAren’t able to work for who knows how long. You know you won’t be able to go back to your current job.\nYou are not able to work. No income. Your HI will change. COBRA-18 months, but how will you pay for it? You could go on MCHA, but how will you pay for it? You do not qualify for Medicaid because you’re over 21 and not certified as disabled. You do not qualify for MN Care because you have to be without insurance for 4 months and then it only covers up to $10,000 per year.\nYou’re not over 65, so you don’t qualify for Medicare. You spent enormous amounts of time and energy and will end up stressed beyond belief...Losing your home, losing everything, bankruptcy is a real possibility. \n
Right now: Real life American Story\n\nYou find a job that has HI-->Relief. 3 life needs ($, work, HI) met\nNow, comes the crazy part. It’s New Year’s eve and you decide to take a walk with some friends. You fall and fracture your neck (or you have a stroke). You really need all your resources for healing and adjusting to your new life. You are here in the US of American. So what happens next? What happens next is appalling. \nAren’t able to work for who knows how long. You know you won’t be able to go back to your current job.\nYou are not able to work. No income. Your HI will change. COBRA-18 months, but how will you pay for it? You could go on MCHA, but how will you pay for it? You do not qualify for Medicaid because you’re over 21 and not certified as disabled. You do not qualify for MN Care because you have to be without insurance for 4 months and then it only covers up to $10,000 per year.\nYou’re not over 65, so you don’t qualify for Medicare. You spent enormous amounts of time and energy and will end up stressed beyond belief...Losing your home, losing everything, bankruptcy is a real possibility. \n
Right now: Real life American Story\n\nYou find a job that has HI-->Relief. 3 life needs ($, work, HI) met\nNow, comes the crazy part. It’s New Year’s eve and you decide to take a walk with some friends. You fall and fracture your neck (or you have a stroke). You really need all your resources for healing and adjusting to your new life. You are here in the US of American. So what happens next? What happens next is appalling. \nAren’t able to work for who knows how long. You know you won’t be able to go back to your current job.\nYou are not able to work. No income. Your HI will change. COBRA-18 months, but how will you pay for it? You could go on MCHA, but how will you pay for it? You do not qualify for Medicaid because you’re over 21 and not certified as disabled. You do not qualify for MN Care because you have to be without insurance for 4 months and then it only covers up to $10,000 per year.\nYou’re not over 65, so you don’t qualify for Medicare. You spent enormous amounts of time and energy and will end up stressed beyond belief...Losing your home, losing everything, bankruptcy is a real possibility. \n
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You mean to tell me that we could pay for everyone’s care, for less money than we are currently spending now in total? If it is so good, then why don’t we have it.?\nProfit: Special interest groups spend enormous amounts of money to block this. They do it by lobbying our legislators and spending millions of dollars feeding us fear messages constantly.\nPolitics and politicians: Influenced by big money. Influenced by supporting those bills that will assist in getting them $ for election and get them re-elected.\nPerception: Belief systems; blocking possibilities, lack of understanding, misinformation, against govt involvement\nParanoia: Fear, stress, hopelessness, the hell we know is better than the unknown\n
You mean to tell me that we could pay for everyone’s care, for less money than we are currently spending now in total? If it is so good, then why don’t we have it.?\nProfit: Special interest groups spend enormous amounts of money to block this. They do it by lobbying our legislators and spending millions of dollars feeding us fear messages constantly.\nPolitics and politicians: Influenced by big money. Influenced by supporting those bills that will assist in getting them $ for election and get them re-elected.\nPerception: Belief systems; blocking possibilities, lack of understanding, misinformation, against govt involvement\nParanoia: Fear, stress, hopelessness, the hell we know is better than the unknown\n
You mean to tell me that we could pay for everyone’s care, for less money than we are currently spending now in total? If it is so good, then why don’t we have it.?\nProfit: Special interest groups spend enormous amounts of money to block this. They do it by lobbying our legislators and spending millions of dollars feeding us fear messages constantly.\nPolitics and politicians: Influenced by big money. Influenced by supporting those bills that will assist in getting them $ for election and get them re-elected.\nPerception: Belief systems; blocking possibilities, lack of understanding, misinformation, against govt involvement\nParanoia: Fear, stress, hopelessness, the hell we know is better than the unknown\n
You mean to tell me that we could pay for everyone’s care, for less money than we are currently spending now in total? If it is so good, then why don’t we have it.?\nProfit: Special interest groups spend enormous amounts of money to block this. They do it by lobbying our legislators and spending millions of dollars feeding us fear messages constantly.\nPolitics and politicians: Influenced by big money. Influenced by supporting those bills that will assist in getting them $ for election and get them re-elected.\nPerception: Belief systems; blocking possibilities, lack of understanding, misinformation, against govt involvement\nParanoia: Fear, stress, hopelessness, the hell we know is better than the unknown\n
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I hope I am planting a seed tonight. A seed in you that will germinate and grow when the time is right. That may be now or it may be in the future. \nRight now though, you are probably spending your energy on learning information, developing skills, focusing on tasks, and studying for tests! All important!\nBut, I can see past this. You will shift and become a professional nurse- not a student. As you gain knowledge, skills, and wisdom, you will be accumulating real life stories. I’m hoping you will be aware. Aware of the inequities and needless frustrations and suffering caused by our current health care mess. And, Aware that you can contribute to making changes. Changes based on nursing values. \nAll the graphs and statistics are difficult to grasp unless you are one of those affected. Then you know first hand how horrific and frustrating our health care mess is. Statistics dilute the problem; they separate us from the personal impact they represent. Statistics seem remote. But, as a nurse, you will see first hand how the statistics do really contain real life people. You will participate in people’s lives and experience the real pain, suffering, and devastation created by our current system. I hope you will be aware and that you will have a deeper understanding and sense of outrage and responsibility to work for change and justice. \nYou can make a difference. So, I hope when you have the energy to participate, you’ll join other nurses in becoming actively involved to create a health care system that fits the nursing values we and the people in our nation believe in and hold dear. I know as nurses, you will be impacting lives and making a difference in our world.\n