1. Democratic platform on public sector: Medicare
1.1. believe it is crucial and sacred for seniors
1.2. add new benefits
1.2.1. prevent fraud
1.3. in 10 years, new policy will save the average Medicare user around $4,200
1.4. don't want it privatized into plans
1.5. give ALL access to equal healthcare, including low-income & disabled
1.6. seniors come before anything else (ex: making prescription companies money)
1.7. offer more coverage for low-income people via federal health care programs
1.8. add prescription drug benefits
1.9. make Medicare drug coverage universal
1.10. Medicare Part D is not beneficial
1.10.1. benefits pharmaceutical and insurance industries more than beneficiaries
1.10.2. opponents: drug-industry lobbyists
1.10.2.1. want to prevent importation of cheaper drugs from Canada
1.10.2.2. PhRMA (drug industry for trade)
1.10.3. stakeholders: states, patients, pharmacists, nursing homes,
1.10.3.1. patients could pay more for prescription drug coverage
1.10.4. pharmaceutical companies are benefiting
1.10.4.1. charging more for drugs under plan D than any other plan (up to 80% more)
1.11. financing comes through state taxes & payroll taxes of self-employed and employed citizens of U.S.
2. Republicans
2.1. views on Medicare (public health program)
2.1.1. want to provide seniors with more options
2.1.2. provide seniors with medical savings account
2.1.3. reduce administrative costs
2.1.4. eliminate "one-size-fits-all" policies, give seniors choices
2.1.4.1. allow custom choices
2.1.4.2. support health centers with more business
2.1.5. SAVE FOR FUTURE GENERATIONS!!
2.1.6. deep cuts on Medicare
2.1.7. give more power to consumers, initiate competition among rates
2.1.8. Paul Ryan on Medicare
2.1.8.1. raise age from 65 to 67
2.1.8.2. reopen "donut hole" in Medicare's coverage with prescription drugs
2.1.8.3. replace guaranteed coverage with a flat rate to purchase health care
2.2. Republican platform on public sector: Affordable Care Act
2.2.1. believe Democrats use ACA for power rather than improvement
2.2.2. view requirement to purchase health insurance as "attack"
2.2.3. too risky for small businesses
2.2.4. not ONE representative from Republican house voted for final version signed into law by Obama
2.3. Republican platform on public sector portions of Affordable Care Act
2.3.1. they were promised to be able to keep current healthcare plans
2.3.1.1. They can't!!
2.3.2. promised to keep current doctors
2.3.2.1. They can but may have to pay more
2.3.3. created the Healthcare Reform Act
2.3.3.1. attempt to repeal the ACA entirely
2.3.3.2. what would reform do?
2.3.3.2.1. save tax money
2.3.3.2.2. increase options for plans to create more competition among providers
2.3.3.2.3. lower healthcare costs
2.3.3.2.4. reform malpractice laws
2.3.3.2.5. increase access to health saving accounts
2.3.3.2.6. expand healthcare access to individuals with pre-existing illnesses
2.3.3.2.7. give seniors more choices for healthcare
2.3.3.2.8. give individuals Flexible Savings Account
2.3.3.2.9. provide better primary & preventative care
2.3.4. Medicare & Social Security are no longer affordable
2.3.4.1. need lowered to lower federal deficit
2.3.5. it's an attack on the Constitution
2.4. Republican platform on public sector: Medicare
2.4.1. reward patients who are active and participate in disease prevention
2.4.2. alternative solutions to hospitalization for chronic health problems
2.4.3. provide states ability to create programs for low-income citizens
2.4.3.1. refundable tax credit, premium supports
2.4.4. allow non-disabled individuals to enroll in private health insurance programs that best fit their needs
2.4.5. for the aged/disabled
2.4.5.1. improve quality of care
2.4.5.2. offer better in-home care plans to avoid institutionalizing patients
2.5. historical development, implementation & affected population of Medicare
2.5.1. 1995, republicans desired budget cuts, not necessarily in Medicare spending
2.5.1.1. proposed a bill to "cap" spending
2.5.1.2. President Clinton vetoed bill, led to 2 seperate gov't shutdowns
2.5.2. Balanced Budget Act
2.5.2.1. 1997: President Clinton agreed to balance a new budget
2.5.2.2. cut downs on reimbursing providers, extend payments to nursing homes, hospice, and home health care agencies
2.5.2.3. resulted in less Medicare expenses (1998)
2.5.2.4. 1997: 7 plans for seniors
2.5.2.4.1. a.k.a Medicare + Choice Program
2.5.3. most affected population: senior citizens & health care providers
2.6. Stakeholders---->
2.6.1. tax payers
2.6.2. small business: wants ability to insure employees
2.6.3. seniors: need more coverage
2.6.4. chronically ill patients
2.6.4.1. need plan that will cover preexisting illnesses
2.6.5. pharmaceutical companies
2.6.5.1. more insurance coverage = more potential prescriptions = more money
2.6.6. high-income individuals
2.6.6.1. want equal taxes as low-income
2.6.7. low-income individuals
2.6.7.1. believe they are paying for wealthy & retired, want lowers taxes
2.7. Opponents---->
2.7.1. Democrats
2.7.1.1. want equal care for low-income individuals
2.8. Proponents---->
2.8.1. physicians
2.8.2. hospitals
2.8.3. private insurance companies
2.8.4. small businesses
2.8.5. high-income & low-income families
2.8.6. Medicare & Medicaid beneficiaries
2.8.7. baby boomers
2.8.8. senior citizens
2.8.9. tax payers
2.9. Republicans on Medicaid (public program)
2.9.1. example: Governor Mike Pence of Indiana
2.9.1.1. plans to expand Medicaid coverage to very low-income individuals
2.9.1.1.1. funded by existing state-run programs & high contribution from beneficiaries
2.9.2. some Republican officials want those with Medicaid to be able to use the money to purchase private plans
2.9.3. lawmaker (in Virginia) adopted bill by Sen. John C. Watkins
2.9.3.1. extend health coverage to several hundred thousand individuals
2.9.4. House Republicans want no expansion, no negotiations, & no alternatives to Medicaid
2.9.5. Mitt Romney on Medicaid:
2.9.5.1. end the shared-state federal program
2.9.5.2. turn money back to the states by issuing block grants and allowing them to craft their own programs
3. Democrats
3.1. Historical development on Democratic approach to reform Medicare during Clinton administration
3.1.1. President Clinton's Health Security Act
3.1.1.1. desire to include prescription drug coverage in plan
3.1.1.1.1. raise the premium to $11/month with $250 deductible & cap of $1,000 on coinsurance
3.1.2. new Clinton proposal 2003: "part D"
3.1.2.1. premium at $24/month, no deductible, beneficiaries paid 1/2 of their prescription costs up to $2,500
3.1.2.2. assistance for low-income from Pharmacy Benefit Management
3.1.2.3. estimated cost of $118 billion in ten years
3.1.2.4. concerns: little support from pharm companies
3.1.2.4.1. what about retired seniors?
3.2. Stakeholders impacted by Democrat's healthcare policy
3.2.1. seniors
3.2.1.1. if readmitted within 30 days of original hospital stay, Medicare does not cover it
3.2.2. hospitals
3.2.2.1. if senior readmitted within 30 days of original stay, they do not pay the bill, Medicare does not cover it, hospital takes financial hit
3.3. Democratic platform on public sector: Affordable Care Act
3.3.1. give up to 30 million people insurance plans
3.3.1.1. stakeholders
3.3.1.1.1. pharmaceutical companies (more insured Americans = more money for them)
3.4. <---- Stakeholders
3.4.1. hosptials
3.4.2. physicians
3.4.3. senior citizens
3.4.4. medical school students
3.4.5. high-income individuals/families
3.4.6. <---- Proponents
3.4.6.1. physicians, nurses, nursing homes, seniors, hospitals, insurance providers, small & large business owners, high & low-income individuals, Medicare & Medicaid beneficiaries, tax payers
3.5. <---- Opponents
3.5.1. wealthy & retired
3.5.2. high-income families
3.5.3. private insurance companies
3.5.3.1. could result in higher premium
3.5.4. healthcare administration
3.5.5. small business owners
3.5.5.1. may not be able to offer health insurance
3.6. Democrats platform on private sector: private health insurance
3.6.1. Do not want privatized plans
3.6.2. do not believe fair rates are offered
3.6.3. those with minimal plans pay out-of-pocket for services
3.6.4. believe variations in providers is weakening our healthcare system, not offering best care
3.6.5. believe government should be heavily involved in healthcare
3.7. Other examples of public sector programs: TRICARE, Indian Health Service, CHIP
3.8. Democratic platform on private sector: portions of the Affordable Care Act
3.8.1. what has ACA achieved in regards to private-sector?
3.8.2. Medicaid
3.8.2.1. covers benefits for low-income people
3.8.2.2. state/federal funding to cover benefits
3.8.2.3. administered by states
3.8.3. established private coverage offered to Americans, delineates responsibility of individuals, employers, and the gov't to fund to its costs
3.8.4. states should expand coverage to very low-income individuals/families
3.8.5. want employer-paid healthcare
3.8.6. young adults can stay on parents' policy until age 26
3.8.7. Health Insurance Exchanges
3.8.7.1. offers array of standardized health insurance plans
3.8.7.2. premiums paid by enrollees
3.8.7.3. 25 million potential enrollees
3.8.7.4. participating plans must accept applicants
3.8.7.5. Federal government pays the states that cover newly eligible, at 100% for 2014–2016, 90% by 2022
3.9. Democrat President Obama on Medicaid
3.9.1. expand coverage to Americans with poverty income lower than 133%
3.9.1.1. about $15,000 per indivudal
3.9.2. new plan could cover 21.3 million Americans over ten years
3.9.3. increase eligibility levels to 138%
3.9.4. financials: cover the gap of those who cannot afford it with marketplace subsidies
3.9.5. Medicaid expansion image:
3.9.6. spending of Medicaid is balanced between unpaid hospital bills & the affects the bills can have on the rising cost of permiums
3.9.7. video: http://www.youtube.com/watch?v=fGEU0a75tiw
3.10. Democratic platform on private sector: pharmaceutical companies
3.10.1. Obama plan
3.10.1.1. lower drug costs, lift patents
3.10.1.2. new deal saves consumers
3.10.1.3. save gov't over $80 billion in next ten years
3.10.1.4. seniors pay less, but taxpayers pay more
3.10.1.5. seniors pay for drugs no more than what they pay out-of-pocket
3.10.1.6. give seniors discount on generic drugs
3.10.1.7. pay 75% of seniors drug coverage up to $2,700
3.10.1.7.1. government pays the rest
3.10.2. believe pharmaceutical companies are benefitting at expense of seniors and low-income individuals
3.10.3. Republicans believe individuals are responsible for their own drug costs (insurance companies, too) and gov't should not have to pay what an individual cannot afford
4. Comparing each party's views on healthcare
4.1. both parties want to raise social security benefits
4.2. agree that Medicare and Medicaid financing is major problem
4.3. both Medicare & Medicaid are too expensive for states
4.4. too much micromanagement
4.5. give all equal care that Congress receives
4.6. each side wants to produce minimum benefit standards
4.7. both parties want to allow young adults to stay on parent's plan until age 26
4.8. offer small business incentives to provide health insurance to employees
5. Republican platform on private sector: private health insurance companies
5.1. private health insurance companies
5.1.1. want private-sector alternatives for health insurance
5.1.2. give small businesses ability & incentives to offer health insurance to employees
5.1.3. allow people in states with heavy insurance regulations to shop other states' policies
5.1.4. opponents: democrats
5.1.4.1. argue that this policy would save money for healthy people, but cost more for elderly and ill
5.1.4.1.1. propose plan that would cost $1 trillion over ten years, cover 30 million uninsured Americans
5.1.5. finances: would cost $60 billion over ten years, cover 3 million uninsured Americans
5.1.6. financed by premiums & deductibles
5.2. My views
5.2.1. agree with creating competition among health insurance companies
5.2.2. however, $60 billion to cover only 3 million uninsured seems rather expensive
5.2.3. agree with small businesses providing health insurance to employees
6. Republican platform on private sector: pharmaceutical companies
6.1. pro-business
6.2. views according to John McCain:
6.2.1. believes they exert their influence on low-income Americans
6.2.2. blames pharm companies for failed drug importations into U.S.
6.2.3. wants to lift drug patent laws
6.2.3.1. would benefit low-income individuals by giving them option to buy generic medicine at more reasonable price
7. Republican platform on private sector portions of Affordable Care Act
7.1. states can have exchanges
7.2. undocumented illegal immigrant not eligible to enroll
7.3. give states option to participate
7.4. private health insurance to be financed via deductible & premiums
7.5. patients pay healthcare providers directly
7.5.1. opponents: Democrats
7.5.1.1. believe gov't should pay for what patient cannot afford
8. Republican Paul Ryan on Medicare (Watch the short video)
8.1. Patients' Choice Act (Medicaid) video
8.1.1. give all Americans ability to purchase health insurance plans
8.1.2. get Medicaid to cover more costs
8.1.3. give Medicaid families equal tax credit
8.2. seniors will pay $1,200 more/each
9. Introduction
9.1. <---- Republican party
9.1.1. commonly called the GOP (grand old party)
9.1.2. founded 1854
9.1.3. party is associated with capitalism, low taxes, & conservative social policies
9.1.4. desire low government involvement in areas such as healthcare
9.2. <---- Democratic party
9.2.1. believe the nation is greater working together rather than individually
9.2.2. working to advance job creation and universal healthcare
9.2.3. desire to build a community that lasts