COMPARING HEALTH SYSTEMS

The Institute of Medicine of the National Academy of Sciences in 2004 recommended five principles to reform our health system:

  1. Coverage should be universal
  2. Coverage should be continuous
  3. Coverage should be affordable to individuals and families
  4. Health insurance strategy should be affordable and sustainable for society
  5. It should enhance health and well-being with care that is effective, efficient, safe, timely, patient-centered and equitable

Details on these recommendations are here

The current method of health insurance is a mix:

  • Direct government funding (Medicare, Medicaid, SCHIP, Veterans Administration, governmental employees at all levels) -- about 40%
  • Indirect government funding (business tax deductions, untaxed employee benefits, uncompensated care)
  • Employer purchased insurance: fewer companies (roughly 60%) offer this benefit and those who do are transferring more costs to employees
  • Privately purchased health insurance
  • About 16% of the population have no health insurance at all, others poor coverage
  • There are many thousands of insurance policy scenarios for treatments covered, deductibles, co-pays, denials, provider network limits

Governor Rendell's 2007 legislation, Prescription For Pennsylvania, would provide some coverage to some of Pennsylvania's uninsured.  It retains the existing method of health insurance, expands limited coverage to low-income residents, and proposes many quality and cost-containment features.  Read details of this legislation here.

The Family and Business Health Security Act of 2007 (SB 300) proposes a single-payer health system for Pennsylvania, plus a no-fault medical malpractice option, plus quality, cost-containment and education features.  If you look at any of the comparisons on this web site, you'll agree it is a vastly better plan for all Pennsylvanians.  Read more here.

The National Health Insurance Bill H.R. 676 had 78 co-sponsors in the 109th Congress. A grassroots push is on for co-sponsors in the 110th Congress in Washington.  H.R.676 proposes a federally funded system administered by the states.  It is also called “Improved Medicare For All.”  Read the details here

You can find answers to many questions about our comparisons between the governor's plan and the Family and Business Health Security Act at the following links.

What Is Single-Payer Insurance?:  http://www.pnhp.org/facts/single_payer_resources.php
Key Features of Single-Payer:  http://www.pnhp.org/facts/key_features_of_singlepayer.php
Single-Payer FAQ:  http://www.pnhp.org/facts/singlepayer_faq.php

The Physicians for a National Health Program (PNHP) is made up of 14,000 physicians and health professionals supporting universal single-payer health care since 1987. 
 


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