University of Wisconsin-Eau Claire Rising Costs In 2005, national health expenditures rose 6.9 percent -- two times the rate of inflation. U.S. health

University of Wisconsin-Eau ClaireUniversity of Wisconsin-Eau Claire

Rising CostsRising Costs

In 2005, national health expenditures rose 6.9 percent -- two times the rate of inflation.

U.S. health care spending is expected to continue to increase at reaching $4 TRILLION in 2015, or 20 percent of GDP


Health IndicatorsHealth Indicators



The UninsuredThe Uninsured

•http://www.nytimes.com/reuters/2009/09/18/news/news-us-usa-healthcare-deaths.html?_r=1

•http://www.msnbc.msn.com/id/6895896/ns/business-personal_finance/

•http://www.totalbankruptcy.com/filing-bankruptcy-statistics/index.html


Comparisons by Insurance StatusComparisons by Insurance Status

Those without insurance report being significantly less healthy than those with insurance






State Health Care ReformState Health Care Reform

Massachusetts* California Vermont Wisconsin


Patient Protection & Affordable Care ActPatient Protection & Affordable Care Act

http://www.healthcare.gov/

http://www.opencongress.org/bill/111-h3590/text

Expand Coverage*

Mandate coverage (fine/penalty) No denial of pre-existing conditions Purchase exchanges Subsidies and tax credits Payroll taxes Program savings (fraud, pay for outcomes)

327,911 words…..1,928 pages

House Vote

-219 Aye -all Democrat

212 Nay-34 Democrat

-178 Republican


The Massachusetts ExperienceThe Massachusetts Experience

Massachusetts has successfully implemented major health reform legislation by making both subsidized and unsubsidized products available, and enforcing an individual mandate.

The number of uninsured has fallen dramatically, and there is also evidence of improvement in access to health care across a wide variety of measures. Public support for the health reforms remains high.

At the same time, the state has been faced with unexpectedly high costs.


Learning from OthersLearning from Others

Sick Around the World

Everyone must obtain health insurance Government pays for those that cannot afford premium

Insurance cannot deny anyone coverage Insurance cannot make profit on basic care coverage

Set schedule of prices for doctors, hospitals, drugs etc…


Pressing IssuesPressing Issues New technologies and new pharmaceuticals are driving costs.

Financing is still largely fee for service.

Obesity and smoking are the two leading causes of preventable care in the US resulting in over 800,000 deaths and hundreds of billions of dollars in total costs annually. http://www.cdc.gov/obesity/index.html http://www.cdc.gov/tobacco/

No hope for meaningful reform until we live healthier lifestyles and profit is taken out of the equation.

International ComparisonInternational Comparison

•http://www.reuters.com/article/idUSSAT17732020071101

•http://www.commonwealthfund.org/

N. Gregory Mankiw, EconomistN. Gregory Mankiw, Economist

David Goldhill, BusinessmanDavid Goldhill, Businessman

David Goldhill, BusinessmanDavid Goldhill, Businessman


Economics 101Economics 101

“What is YOUR solution?”

“There are no solutions,” I said. “There are only trade-offs.”

“The people DEMAND solutions!” she shot back angrily.

I replied, “the people can demand square circles if they want. But that doesn't mean that they will get them.”

Thomas Sowell

Measure average daily FV snack consumption (3 survey days)

Morning and afternoon snack

Test difference between program and control students

Sample restricted to students who were present on all three survey days for both pre-test and post-test (n = 51, 78)


Never = 1 Sometimes = 2 Often = 3 Always = 4

1 2 3 4

1 2 3 4

1 2 3 4



1 2 3 4

1 2 3 4

1 2 3 4



1 2 3 4

1 2 3 4


Ate all or at least half = 1

Nothing

Chart &

Stickers

Chart, Stickers & Toys

Nothing

Nothing

Reminders, Modeling/Praise & Toys

The FFVP Works!The FFVP Works!

Toy PRIZES MATTER!

Homework reminders WORK!

Most successful when combined with POSITIVE MODELING & PRAISE!

A caring and dedicated teacher was able to get 70% of her students to bring FV snacks from home on a regular basis.


The FFVP Works!The FFVP Works!

Framework for schools to expand the reach of the FFVP beyond the access to free FV provided as snacks in the classroom.

Feasible and affordable in terms of time, resources and money….SCHOOLS CAN DO THIS!

It seems to work EFFECTIVELY!

Documents

University of Wisconsin-Eau Claire Rising Costs In 2005, national health expenditures rose 6.9 percent -- two times the rate of inflation. U.S. health