Health Care Reform Ann Arbor, Michigan | May 12, 2011 Te AMERICAN - - PowerPoint PPT Presentation

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Health Care Reform Ann Arbor, Michigan | May 12, 2011 Te AMERICAN - - PowerPoint PPT Presentation

Nov 17, 2022 177 likes •444 views

Health Care Reform Ann Arbor, Michigan | May 12, 2011 Te AMERICAN EXPERIMENT Government or People? The people are sovereign Freedom to choose representatives Freedom to choose occupation, enterprises Free Enterprise propels

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SLIDE 1

Health Care Reform

Ann Arbor, Michigan | May 12, 2011

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SLIDE 2

Te AMERICAN EXPERIMENT

Government or People?

  • The people are sovereign
  • Freedom to choose representatives
  • Freedom to choose occupation,

enterprises “Free Enterprise” propels America to world leadership

2 of 25

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SLIDE 3

Te AMERICAN EXPERIMENT

Federal or State?

!"#"$%&'()*+*(,%,"*!"#$%&

  • The 10th Amendment limits

the Federal Government

  • States retain other rights

and responsibilities —Laboratories of Democracy

—Competition between them —Responsive to the people —Solutions fit the people —More efficient, effective, and productive

!"#"$%&*

3 of 25

(,%,"*

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SLIDE 4

Te AMERICAN EXPERIMENT

The Obama Administration fundamentally does not believe in the American Experiment. —NLRB Boeing decision —Obamacare

4 of 25

  • Distrusts free enterprise
  • Distrusts the states
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SLIDE 5

#'!!"$"-,*'"()*& A government takeover

  • f health care

MASS-CARE &

OBAMACARE

5 of 25

Help people get and keep their health insurance

./%)%0%$"* )%((10%$"*

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SLIDE 6

,2"*+,--$%$./$*& MASS-CARE &

OBAMACARE

~$500 Billion in New

  • r Increased Taxes

~$500 Billion in Medicare Cuts No New Taxes No Cuts for Seniors

6 of 25

./%)%0%$"* )%((10%$"*

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SLIDE 7

32%,*%/.4,*012$&3(.+(1$40& MASS-CARE &

OBAMACARE

  • Massachusetts citizens without insurance could

get care for free

  • Many citizens who could afford insurance chose

to forego coverage—free riders Deny them care Taxpayers pay for their care Personal responsibility

10TH AMENDMENT: A STATE DECISION

7 of 25

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SLIDE 8

5(/6'%"7.+& MASS-CARE &

OBAMACARE

8 of 25

  • About 94% insured before reform—no change for them
  • Almost 500,000 uninsured before reform in 2004
  • 400,000 of which now insured because of reform
  • No fear of losing insurance if you get sick or change jobs
  • Private insurance, premium support
  • “Relatively modest” program cost

ALL WITHOUT A TAX INCREASE

Source: Massachusetts Division of Health Care Finance and Policy; Massachusetts Taxpayers Foundation

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SLIDE 9

.5"$5'"3&

*0.-(*.!*46(6* 2"%&,2*0%$"*(7(,")* Te UNITED STATES

HEALTH CARE SYSTEM

  • High quality health care
  • Choice for consumers
  • Attracts the best and brightest
  • Most innovation in the world

8$.(*.!*46(6* 2"%&,2*0%$"*(7(,")*

9 of 25

  • High cost
  • Non-portable insurance
  • 50 million uninsured
  • Tax discrimination
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SLIDE 10

5(*"5(3(/(%$&

Te UNITED STATES

HEALTH CARE SYSTEM

10 of 25

*

./%)%0%$"*

*

8$.(*.!*46(6* 2"%&,2*0%$"*(7(,")*

  • High quality health care
  • Choice for consumers
  • Attracts the best and brightest
  • Most innovation in the world
  • Hurts health care quality
  • Reduces consumer choice
  • Repels the best and brightest
  • Discourages innovation
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SLIDE 11

5(*"5(3(/(%$&

Te UNITED STATES

HEALTH CARE SYSTEM

$/"."3,/&.,'213(%$& 5,'&'"8$%.3$.1&

A radical plan for vastly increasing federal power

11 of 25

*

./%)%0%$"*

*

  • Doesn’t lower costs
  • Raises taxes
  • Diverts Medicare funds
  • Kills jobs
  • Massive federal spending
  • Unconstitutional power

grab from the states

  • Massive new federal

bureaucracy

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SLIDE 12

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slide-13
SLIDE 13

13 of 25

$"8"%&*"5(3(/(%$&

INAUGURATION DAY

PRIORITIES

— No. 1—

Issue Executive Order paving way for Obamacare waivers for all 50 states

— No. 2—

Work with Congress to repeal Obamacare

slide-14
SLIDE 14

ROMNEY U.S.

HEALTH CARE REFORM

./9"0,'5"(*

—First— #.*-.*2%$)* (:;<=>:?<=*2<@A:?*0@;<* "BC@=D*2<@A:?*0@;<*

14 of 25

  • Lower health care costs
  • Provide portability
  • Enhance consumer choice
  • Care for those with pre-existing

conditions

  • Provide access to care for the

low-income uninsured

slide-15
SLIDE 15

15 of 25

ROMNEY U.S.

HEALTH CARE REFORM

1 RESTORE STATE LEADERSHIP 2 EMPOWER INDIVIDUAL OWNERSHIP 3 FOCUS FEDERAL REGULATION 4 REFORM MEDICAL LIABILITY 5 INTRODUCE MARKET FORCES

slide-16
SLIDE 16

16 of 25

ROMNEY U.S.

HEALTH CARE REFORM

1 RESTORE STATE LEADERSHIP 2 EMPOWER INDIVIDUAL OWNERSHIP 3 FOCUS FEDERAL REGULATION 4 REFORM MEDICAL LIABILITY 5 INTRODUCE MARKET FORCES

Restore to the states the responsibility and resources to care for their poor, uninsured, and chronically ill

%$*1"%$*(,%,"*&"%#"$(2'8*

  • Block grant Medicaid and other payments

to states

  • Limit federal standards
  • States will experiment and learn from one

another

  • Flexibility to deal with uninsured

e.g., Charity, exchanges, subsidy for private coverage

  • Flexibility to deal with chronically ill

e.g., High-risk pools, reinsurance, risk adjustment

slide-17
SLIDE 17

17 of 25

ROMNEY U.S.

HEALTH CARE REFORM

1 RESTORE STATE LEADERSHIP 2 EMPOWER INDIVIDUAL OWNERSHIP 3 FOCUS FEDERAL REGULATION 4 REFORM MEDICAL LIABILITY 5 INTRODUCE MARKET FORCES

Give a tax deduction to those who buy their own health insurance, just like those who buy it through their employers

$3!"#$%&'-#'5'#4%&*.3-"$(2'8*

  • End tax discrimination
  • Greater consumer choice—can buy what

you want, not only what your employer wants

  • Promote portability
  • Help control health care costs
slide-18
SLIDE 18

18 of 25

ROMNEY U.S.

HEALTH CARE REFORM

1 RESTORE STATE LEADERSHIP 2 EMPOWER INDIVIDUAL OWNERSHIP 3 FOCUS FEDERAL REGULATION 4 REFORM MEDICAL LIABILITY 5 INTRODUCE MARKET FORCES

Focus federal regulation of health care

  • n making markets work
  • "/7*&!"#"$%&*$"E4&%,'.-*
  • Correct common failures in the insurance

market – Ensure that individuals with pre- existing conditions who are continuously covered for a specified period may not be denied coverage – Empower individuals and small businesses to form purchasing pools

  • Eliminate counterproductive federal

constraints – Remove barriers to the sale of insurance across state lines – Allow providers to design plans that meet consumer needs

slide-19
SLIDE 19

19 of 25

ROMNEY U.S.

HEALTH CARE REFORM

1 RESTORE STATE LEADERSHIP 2 EMPOWER INDIVIDUAL OWNERSHIP 3 FOCUS FEDERAL REGULATION 4 REFORM MEDICAL LIABILITY 5 INTRODUCE MARKET FORCES

Reduce the influence of lawsuits on medical practice and costs

%$-"%3&)"#'0%&*&'%/'&',7*

  • Cap non-economic damages in medical

malpractice lawsuits

  • Innovation grants for state reforms:

health courts, alternative dispute resolution, etc.

slide-20
SLIDE 20

20 of 25

ROMNEY U.S.

HEALTH CARE REFORM

1 RESTORE STATE LEADERSHIP 2 EMPOWER INDIVIDUAL OWNERSHIP 3 FOCUS FEDERAL REGULATION 4 REFORM MEDICAL LIABILITY 5 INTRODUCE MARKET FORCES

Make health care more like a consumer market and less like a government program

,.1%"+7/$&)%$F",*!.$0"(*

  • Unshackle HSAs—e.g., permit HSA funds

to be used to pay insurance premiums

  • Promote “co-insurance” products
  • Encourage “Consumer Reports”-type

rating of alternative insurance plans

  • Facilitate IT interoperability
  • Establish cost and quality transparency
  • Promote alternatives to “fee for service”
slide-21
SLIDE 21

ROMNEY U.S.

HEALTH CARE REFORM

/"-"!',(*

21 of 25

—First— #.*-.*2%$)* (:;<=>:?<=G*2<@A:?*0@;<* "BC@=DG*2<@A:?*0@;<*

  • Lowers health care costs
  • Provides portability
  • Enhances consumer choice
  • Cares for those with pre-existing

conditions

  • Provides access to care for the

low-income uninsured

slide-22
SLIDE 22

22 of 25

(:;<=>:?<=G*2<@A:?*0@;<*

Individuals can acquire health insurance without a tax penalty Market dynamics—consumers care what a procedure costs Malpractice reforms reduce defensive medicine Providers have incentive for quality, not quantity Medicaid no longer an “open checkbook” on the federal treasury Greater competition with cross-state purchase

  • f insurance, purchasing alliances

ROMNEY U.S.

HEALTH CARE REFORM

/"-"!',(*

  • Lowers health care costs
  • Provides portability
  • Enhances consumer choice
slide-23
SLIDE 23

23 of 25

ROMNEY U.S.

HEALTH CARE REFORM

More to Come

  • Additional specifics
  • Medicare reforms

– Ryan plan keeps Medicare solvent, adds choice and market dynamics – My plan will not be identical, but shares objectives

slide-24
SLIDE 24

24 of 25

Raises taxes Diverts Medicare for Obamacare New federal bureaucracies Reduces consumer choice May raise health care costs More government spending Mandates (individual, corporate, state) Federal responsibility for uninsured Tax discrimination Overbroad pre-existing condition rules No new taxes No Medicare diversions No new bureaucracies Increases consumer choice Lowers health care costs Less government spending No mandates State responsibility for uninsured Tax fairness Fair pre-existing condition rules

Taxes Medicare Bureaucracies Consumer Choice Health Care Costs Government Spending Mandates Responsibility Tax Treatment Pre-existing Conditions

OBAMACARE ROMNEY U.S. Reforms

HEALTH CARE RX

slide-25
SLIDE 25

25 of 25

Health Care Reform

Ann Arbor, Michigan | May 12, 2011