HEALTHCARE GAP:

THE US SPENDS CONSIDERABLY MORE THAN

ANY OTHER OECD COUNTRY ON

HEALTHCARE, AND DESPITE THAT OUR

HEALTHCARE METRICS ARE MIDDLE-OF-THE-

PACK TO BELOW AVERAGE.

ACCELERATING COSTS:

WE SPEND WAY TOO MUCH ALREADY, AND YET

OUR COSTS ARE STILL INCREASING

EXPONENTIALLY.

INCREASING DISPARITIES IN PUBLIC HEALTH:

IF YOU LOOK AT INFANT MORTALITY IN BLACKS

RELATIVE TO WHITES, OR POOR FOLKS

RELATIVE TO RICHER FOLKS, YOU SEE THAT

THE DIFFERENCES ARE GROWING.

RELATIVE TO OTHER COUNTRIES…

RELATIVE TO HOW MUCH WE SPEND…

RELATIVE TO ONE ANOTHER…

…WE DON’T PRODUCE THE KINDS OF

HEALTH OUTCOMES WE WOULD LIKE.

WHAT ARE WE DOING WELL?

COMMON CAUSES?

BROADENING DISPARITY

16% OF US CITIZENS UNINSURED IN 2009

47.3 BILLION DOLLARS SPENT ON EMERGENCY

ROOMS IN 2008

MORE LIKELY TO GET SICK TO BEGIN WITH

50 BILLION DOLLARS SPENT ON LAST FEW

MONTHS OF LIFE IN 2009

WHAT DOES OBAMACARE DO?

OBAMACARE: OVERVIEW

1. FORCE PEOPLE INTO MARKET BY

SUBSIDIZING INSURANCE

2. RESTRUCTURE TO FEE-PER-OUTCOME

PAYMENT (INSTEAD OF FEE-PER-SERVICE)

PREVENTION VS. CURE

SCAFFOLDING BASED ON OUTDATED CONCEPT

OF CURE FOR INFECTIOUS DISEASES

INCENTIVES FOR CURE VS. PREVENTION