Слайд 2
![Overhead entitled “Health Care Delivery”](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-1.jpg)
Overhead entitled “Health Care Delivery”
Слайд 3
![UNITED STATES HEALTH CARE FACTSHEET](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-2.jpg)
UNITED STATES HEALTH CARE FACTSHEET
Слайд 4
![FACT: U.S. HEALTH CARE EXPENDITURES WERE $ 2.3 TRILLION IN](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-3.jpg)
FACT:
U.S. HEALTH CARE EXPENDITURES WERE $ 2.3 TRILLION IN 2007. IT
EXPECTED TO BE 3 TRILLION BY 2011 AND 4.2 TRILLION BY 2016.
Слайд 5
![THIS IS 16% OF THE GROSS DOMESTIC PRODUCT. PRESCRIPTION DRUGS](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-4.jpg)
THIS IS 16% OF THE GROSS DOMESTIC PRODUCT.
PRESCRIPTION DRUGS ACCOUNT FOR
NEARLY
10% OF THE COSTS AND ARE
EXPECTED TO GO HIGHER.
Слайд 6
![](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-5.jpg)
Слайд 7
![THERE ARE OVER 47,000,000 AMERICANS WITHOUT HEALTH INSURANCE, THIS INCLUDES 10 MILLION CHILDREN.](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-6.jpg)
THERE ARE OVER 47,000,000 AMERICANS WITHOUT HEALTH INSURANCE, THIS INCLUDES 10
MILLION CHILDREN.
Слайд 8
![THOSE WHO NOW HAVE HEALTH INSURANCE CAN LOSE IT BY](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-7.jpg)
THOSE WHO NOW HAVE HEALTH INSURANCE CAN LOSE IT BY BECOMING
SERIOUSLY ILL, BY LOSING A JOB, BY CHANGING JOBS, BY NEEDING TREATMENT FOR A CONDITION THE INSURANCE COMPANY DETERMINES TO BE “PRE-EXISTING.”
Слайд 9
![U.S. RANK IN WORLD HEALTH STATISTICS HAS FALLEN RAPIDLY. FOR](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-8.jpg)
U.S. RANK IN WORLD HEALTH STATISTICS HAS FALLEN RAPIDLY. FOR EXAMPLE,
THE U.S. RANKS 28TH IN THE WORLD IN THE RATE OF INFANT MORTALITY.
Слайд 10
![FOR-PROFIT HMO’S CONTROL OVER THE HEALTH CARE INDUSTRY IS APPROACHING](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-9.jpg)
FOR-PROFIT HMO’S CONTROL OVER THE HEALTH CARE INDUSTRY IS APPROACHING 25%
AND THIS PERCENTAGE IS RAPIDLY GROWING.
FOR-PROFIT HMO’S CONTROL 60% OF THE MANAGED CARE INDUSTRY.
Слайд 11
![IN 1996, 80% OF AMERICANS SAID “SOMETHING IS SERIOUSLY WRONG](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-10.jpg)
IN 1996, 80% OF AMERICANS SAID
“SOMETHING IS SERIOUSLY WRONG WITH OUR
HEALTH SYSTEM.”
“THE QUALITY OF HEALTH CARE IS COMPROMISED BY THE INTEREST OF PROFIT.”
Слайд 12
![TODAY….ALMOST 50% OF THE AMERICAN PUBLIC SAY THEY WORRY ABOUT](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-11.jpg)
TODAY….ALMOST 50% OF THE AMERICAN PUBLIC SAY THEY WORRY ABOUT HAVING
TO PAY MORE FOR THEIR HEALTH CARE OR INSURANCE.
42% WORRY ABOUT NOT BEING ABLE TO AFFORD HEALTH CARE SERVICES.
Слайд 13
![“QUALITY HEALTH CARE IS ALMOST UNAFFORDABLE FOR THE AVERAGE PERSON.”](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-12.jpg)
“QUALITY HEALTH CARE IS ALMOST UNAFFORDABLE FOR THE AVERAGE PERSON.”
Слайд 14
![ECONOMIC STATUS OF UNITED STATES EMPLOYMENT UNSTEADY: CURRENTLY 9.4%. PEOPLE](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-13.jpg)
ECONOMIC STATUS OF UNITED STATES
EMPLOYMENT UNSTEADY: CURRENTLY 9.4%. PEOPLE WHO LOSE
THEIR JOBS USUALLY LOSE THEIR HEALTH INSURANCE. NEW JOB CREATION TOP PRIORITY.
Слайд 15
![A 1999 STUDY CALCULATED THAT FOR EACH 0.5 PERCENTAGE POINT](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-14.jpg)
A 1999 STUDY CALCULATED THAT FOR EACH 0.5 PERCENTAGE POINT INCREASE
IN THE UNEMPLOYMENT RATE, AN ESTIMATED ONE MILLION PEOPLE LOSE HEALTH INSURANCE COVERAGE.
Слайд 16
![ECONOMIC DOWNTURN: HEALTH INSURANCE COVERAGE DECLINES IN A DOWNTURN OR](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-15.jpg)
ECONOMIC DOWNTURN:
HEALTH INSURANCE COVERAGE DECLINES IN A DOWNTURN OR RECESSION
BECAUSE SMALL FIRMS MAY DROP COVERAGE TO MAINTAIN SALARIES OR SIMPLY TO STAY IN BUSINESS
Слайд 17
![HIGHER INSURANCE PREMIUMS AND HEALTH COSTS IN 2007 EMPLOYER HEALTH](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-16.jpg)
HIGHER INSURANCE PREMIUMS AND HEALTH COSTS
IN 2007 EMPLOYER HEALTH CARE INSURANCE
PREMIUMS ROSE 6.1%.
THE ANNUAL PREMIUM COVERING A FAMILY OF FOUR ROSE TO $12,000.
Слайд 18
![SINCE 2000, EMPLOYMENT BASED INSURANCE PREMIUMS HAVE INCREASED 100%. WAGES](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-17.jpg)
SINCE 2000, EMPLOYMENT BASED INSURANCE PREMIUMS HAVE INCREASED 100%.
WAGES HAVE INCREASED
15%
INFLATION HAS INCREASED 14%
Слайд 19
![AMONG BUSINESS FIRMS, THE SMALLEST ARE THE MOST VULNERABLE. AMONG INDIVIDUALS, THE LOW-INCOME ARE MOST VULNERABLE.](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-18.jpg)
AMONG BUSINESS FIRMS, THE SMALLEST ARE THE MOST VULNERABLE.
AMONG INDIVIDUALS, THE
LOW-INCOME ARE MOST VULNERABLE.
Слайд 20
![](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-19.jpg)
Слайд 21
![A DISTINCTIVE SYSTEM OF HEALTH CARE DELIVERY](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-20.jpg)
A DISTINCTIVE SYSTEM OF HEALTH CARE DELIVERY
Слайд 22
![▪ U.S. HEALTH CARE SYSTEM IS NOT A SYSTEM](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-21.jpg)
▪ U.S. HEALTH CARE SYSTEM IS NOT A SYSTEM
Слайд 23
![▪ IT IS A KALEIDOSCOPE OF FINANCING, INSURANCE, DELIVERY, AND](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-22.jpg)
▪ IT IS A KALEIDOSCOPE OF FINANCING, INSURANCE, DELIVERY, AND PAYMENT
MECHANISMS THAT REMAIN UNSTANDARDIZED AND LOOSELY COORDINATED.
Слайд 24
![▪ MAJOR PART OF THE SYSTEM IS IN PRIVATE HANDS](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-23.jpg)
▪ MAJOR PART OF THE SYSTEM IS IN PRIVATE HANDS
Слайд 25
![▪ A MARKET DRIVEN ECONOMY INVITES THE PARTICIPATION OF NUMEROUS PRIVATE ENTITIES TO SERVE THESE FUNCTIONS.](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-24.jpg)
▪ A MARKET DRIVEN ECONOMY INVITES THE PARTICIPATION OF NUMEROUS PRIVATE
ENTITIES TO SERVE THESE FUNCTIONS.
Слайд 26
![GOVERNMENT IS INVOLVED WITH THOSE UNABLE TO AFFORD THE PRIVATE SECTOR.](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-25.jpg)
GOVERNMENT IS INVOLVED WITH THOSE UNABLE TO AFFORD THE PRIVATE SECTOR.
Слайд 27
![▪ CONSIDER THE NECESSARY ELEMENTS OF RESOURCE PLANNING, QUALITY ASSURANCE,](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-26.jpg)
▪ CONSIDER THE NECESSARY ELEMENTS OF RESOURCE PLANNING, QUALITY ASSURANCE, AND
COST CONTAINMENT AND THE SYSTEM BECOMES A LABYRINTH.
Слайд 28
![THIS BLEND OF PUBLIC AND PRIVATE INVOLVEMENT IN THE DELIVERY](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-27.jpg)
THIS BLEND OF PUBLIC AND PRIVATE INVOLVEMENT IN THE DELIVERY OF
HEALTH CARE HAS RESULTED IN:
A MULTICIPLITY OF FINANCIAL ARRANGEMENTS WHICH ENABLE INDIVIDUALS TO RECEIVE HEALTH CARE SERVICES.
Слайд 29
![▪ NUMEROUS INSURANCE AGENCIES EMPLOYING VARIOUS MECHANISMS FOR INSURING AGAINST RISK.](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-28.jpg)
▪ NUMEROUS INSURANCE AGENCIES EMPLOYING VARIOUS MECHANISMS FOR INSURING AGAINST RISK.
Слайд 30
![▪ MULTIPLE PAYERS THAT MAKE THEIR OWN DETERMINATIONS REGARDING HOW](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-29.jpg)
▪ MULTIPLE PAYERS THAT MAKE THEIR OWN DETERMINATIONS REGARDING HOW MUCH
TO PAY FOR EACH TYPE OF SERVICE.
Слайд 31
![▪ A LARGE ARRAY OF SETTINGS WHERE MEDICAL SERVICES ARE DELIVERED.](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-30.jpg)
▪ A LARGE ARRAY OF SETTINGS WHERE MEDICAL SERVICES ARE DELIVERED.
Слайд 32
![▪ NUMEROUS CONSULTING FIRMS OFFERING THEIR EXPERTISE IN PLANNING, COST CONTAINMENT, QUALITY, AND RESTRUCTURING OF RESOURCES.](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-31.jpg)
▪ NUMEROUS CONSULTING FIRMS OFFERING THEIR EXPERTISE IN PLANNING, COST CONTAINMENT,
QUALITY, AND RESTRUCTURING OF RESOURCES.
Слайд 33
![AN OVERVIEW OF THE SCOPE AND SIZE OF THE SYSTEM](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-32.jpg)
AN OVERVIEW OF THE SCOPE AND SIZE OF THE SYSTEM
Слайд 34
![SYSTEM IS EXTREMELY COMPLEX EDUCATIONAL AND RESEARCH INSTITUTIONS MEDICAL SUPPLIERS INSURERS PAYERS CLAIMS PROCESSORS](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-33.jpg)
SYSTEM IS EXTREMELY COMPLEX
EDUCATIONAL AND RESEARCH INSTITUTIONS
MEDICAL SUPPLIERS
INSURERS
PAYERS
CLAIMS PROCESSORS
Слайд 35
![SERVICES PROVIDED PREVENTIVE PRIMARY SUBACUTE ACUTE AUXILIARY REHABILITATION CONTINUING CARE](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-34.jpg)
SERVICES PROVIDED
PREVENTIVE
PRIMARY
SUBACUTE
ACUTE
AUXILIARY
REHABILITATION
CONTINUING CARE
Слайд 36
![MASSIVE DELIVERY SYSTEM – PERSONNEL 700,000 MEDICAL DOCTORS 35,000 OSTEOPATHY](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-35.jpg)
MASSIVE DELIVERY SYSTEM – PERSONNEL
700,000 MEDICAL DOCTORS
35,000 OSTEOPATHY DOCTORS
1,000,000 NURSES
187,000 DENTIST
156,000
PHARMACISTS
Слайд 37
![VAST ARRAY OF INSTITUTIONS 6,580 HOSPITALS 16,700 NURSING HOMES 5,000+](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-36.jpg)
VAST ARRAY OF INSTITUTIONS
6,580 HOSPITALS
16,700 NURSING HOMES
5,000+ MENTAL INSTITUIONS
60,000 FACILITIES FOR
THE MENTALLY RETARDED
19,000 HOME HEALTH AGENCIES
800 PRIMARY CARE PROGRAMS
Слайд 38
![HEALTH PROFESSIONAL TRAINING FACILITIES 142 MEDICAL AND OSTEOPATHIC SCHOOLS 54 DENTAL SCHOOLS 1,500 NURSING PROGRAMS](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-37.jpg)
HEALTH PROFESSIONAL TRAINING FACILITIES
142 MEDICAL AND OSTEOPATHIC SCHOOLS
54 DENTAL SCHOOLS
1,500 NURSING
PROGRAMS
Слайд 39
![INSURANCE 235 MILLION WITH COVERAGE 35.5 MILLION MEDICARE BENEFICIARIES 152](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-38.jpg)
INSURANCE
235 MILLION WITH COVERAGE
35.5 MILLION MEDICARE BENEFICIARIES
152 MILLION WHO HAVE SELF-PURCHASED
HEALTH INSURANCE
1,000 INSURANCE COMPANIES
70 BLUE CROSS/BLUE SHIELD PLANS
Слайд 40
![NEW TYPES OF PROVIDERS OVER 700 HMO’S (HEALTH MAINTENANCE ORGANIZATIONS) OVER 1,000 PPO’S (PREFERRED PROVIDER ORGANIZATIONS)](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-39.jpg)
NEW TYPES OF PROVIDERS
OVER 700 HMO’S (HEALTH MAINTENANCE ORGANIZATIONS)
OVER 1,000 PPO’S
(PREFERRED PROVIDER ORGANIZATIONS)
Слайд 41
![AND A MULTITUDE OF GOVERNMENTAL AGENCIES WHICH OVERSEE EVERYTHING LISTED ABOVE.](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-40.jpg)
AND A MULTITUDE OF GOVERNMENTAL AGENCIES WHICH OVERSEE EVERYTHING LISTED ABOVE.
Слайд 42
![A LOOK AT DEMOGRAHICS BABY BOOMERS IN THE 1990’S](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-41.jpg)
A LOOK AT DEMOGRAHICS
BABY BOOMERS IN THE 1990’S
Слайд 43
![What is new about the “baby boomers” – the group](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-42.jpg)
What is new about the “baby boomers” – the group we
know will become the largest buying population in the history of the United States.
Слайд 44
![The baby boom generation is defined as all persons between](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-43.jpg)
The baby boom generation is defined as all persons between 1946
– 1964. That generation is nearing 60+. Today “boomers” are between ages 44 – 62, but in the new century, most will be in their late forties and in their fifties. Baby boomers have entered the stage of economic and political power to shape events.
Слайд 45
![](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-44.jpg)
Слайд 46
![OVER THE NEXT 25 YEARS THE ELDERLY POPULATION WILL INCREASE](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-45.jpg)
OVER THE NEXT 25 YEARS THE ELDERLY POPULATION WILL INCREASE BY
ALMOST 80% DUE TO AGING BABY BOOMERS.
Слайд 47
![HIGHER WEALTH ACCUMULATION AND FEWER CHILDREN WILL PERMIT MANY TO](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-46.jpg)
HIGHER WEALTH ACCUMULATION AND FEWER CHILDREN WILL PERMIT MANY TO ENJOY
A RETIREMENT LIFESTYLE SIGNIFICANTLY DIFFERENT FROM ANY PREVIOUS GENERATION.
Слайд 48
![WHAT THEY BUY AND WHERE THEY RETIRE WILL HAVE SIGNIFICANT](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-47.jpg)
WHAT THEY BUY AND WHERE THEY RETIRE WILL HAVE SIGNIFICANT IMPLICATIONS
FOR FIRMS SEEKING TO MARKET TO THEM.
Слайд 49
![EARLY BOOMERS WILL INFLATE DRAMATICALLY THE SIZE OF THE 55-64-YEAR-OLD](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-48.jpg)
EARLY BOOMERS WILL INFLATE DRAMATICALLY THE SIZE OF THE 55-64-YEAR-OLD AGE
GROUPS.
THE SECOND-LARGEST GAINING GROUP INCLUDES YOUNGER BABY BOOMERS WHO ARE AGING INTO THEIR PRIME CAREER AND EARNING STAGES (45-54) IN THE NEXT DECADE.
Слайд 50
![](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-49.jpg)
Слайд 51
![THE 45-54-YEAR OLD EMPTY-NESTERS WILL TURN FROM A LARGE-GAINING TO](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-50.jpg)
THE 45-54-YEAR OLD EMPTY-NESTERS WILL TURN FROM A LARGE-GAINING TO A
LARGE-DECLINING CONSUMER MARKET BETWEEN 2010 AND 2020.
THE PRE-ELDERLY, WILL STAY LARGE FOR THE NEXT TWO DECADES AS BOTH HALVES OF THE BOOMER GENERATION PASS THROUGH.
Слайд 52
![](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-51.jpg)
Слайд 53
![Middle age for baby boomers will present a new challenge](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-52.jpg)
Middle age for baby boomers will present a new challenge to
providers of health care. Experts predict that the middle aged baby boomer will be a new type of consumer. Boomers will not mirror middle-aged values and attitudes of the preceding generation, nor will their habits be a continuation of their youthful behaviors.
Слайд 54
![IN THE SECOND AND THIRD DECADES OF THE NEW CENTURY,](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-53.jpg)
IN THE SECOND AND THIRD DECADES OF THE NEW CENTURY, THE
BABY BOOMERS WILL INFLATE DRAMATICALLY THE YUPPIE ELDERLY RANKS OF THE POPULATION.
Слайд 55
![](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-54.jpg)
Слайд 56
![Three Key Attitudes and Preferences](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-55.jpg)
Three Key Attitudes and Preferences
Слайд 57
![Baby boomers want to keep their options flexible. This includes](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-56.jpg)
Baby boomers want to keep their options flexible. This includes career
options, options for living arrangements, choice about health care, and retirement options.
Слайд 58
![Relationships between children and their parents will become complex as](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-57.jpg)
Relationships between children and their parents will become complex as individuals
live longer and pressures of declining health and needs for support increase. Businesses that can offer services and products to help the generations cope with the dilemma of aging parents and growing children and grandchildren will be in high demand.
Слайд 59
![It is likely that no other generation has desired more](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-58.jpg)
It is likely that no other generation has desired more strongly
to look and feel young than the baby boomer group. Baby Boomers grew up in and enamored of the and desirability of youth and these themes will continue to have an impact on the demands from baby boomers in the consumer market. Business which promote fitness, fun, fashion and health foods will have an important place in the market.
Слайд 60
![THE NEW IMMIGRANTS IN RESPONSE TO CHANGES IN THE NATION’S](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-59.jpg)
THE NEW IMMIGRANTS
IN RESPONSE TO CHANGES IN THE NATION’S IMMIGRATION LAW
AND NEW GLOBAL ECONOMIC FORCES, IMMIGRATION TO THE UNITED STATES HAS ACCELERATED DRAMATICALLY OVER THE LAST DECADE.
Слайд 61
![THE NEW IMMIGRANTS AND THEIR CHILDREN SHOULD ACCOUNT FOR MORE](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-60.jpg)
THE NEW IMMIGRANTS AND THEIR CHILDREN SHOULD ACCOUNT FOR MORE THAN
HALF OF THE 50 MILLION RESIDENTS WHO WILL BE ADDED TO OUR POPULATION DURING THE NEXT 25 YEARS.
Слайд 62
![](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-61.jpg)
Слайд 63
![THE BABY BOOM GENERATION IS GROWING OLDER, AND THE NUMBERS](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-62.jpg)
THE BABY BOOM GENERATION IS GROWING OLDER, AND THE NUMBERS ARE
STAGGERING. AS MEDICAL SCIENCE INCREASES THE LENGTH OF OUR LIVES, IT IS INCREASING THE NEED FOR LONG TERM HEALTH CARE. EVERY EIGHT SECONDS IN AMERICA A BABY BOOMER TURNS 50.
Слайд 64
![](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-63.jpg)
Слайд 65
![END OF LECTURE FOR WEDNESDAY, AUGUST 28th, SIXTH PERIOD, 2009. QUESTIONS? DISCUSSION?](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-64.jpg)
END OF LECTURE FOR WEDNESDAY, AUGUST 28th, SIXTH PERIOD, 2009.
QUESTIONS? DISCUSSION?
Слайд 66
![PRIMARY CHARACTERISTICS](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-65.jpg)
Слайд 67
![](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-66.jpg)
Слайд 68
![](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-67.jpg)
Слайд 69
![](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-68.jpg)
Слайд 70
![](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-69.jpg)
Слайд 71
![](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-70.jpg)
Слайд 72
![](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-71.jpg)
Слайд 73
![U.S. HEALTH CARE VALUES PLURALISM AND CHOICE INDIVIDUAL ACCOUNTABILITY AMBIVALANCE TOWARD GOVERNMENT](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-72.jpg)
U.S. HEALTH CARE VALUES
PLURALISM AND CHOICE
INDIVIDUAL ACCOUNTABILITY
AMBIVALANCE TOWARD GOVERNMENT
Слайд 74
![PROGRESS, INNOVATION, AND NEW TECHNOLOGY VOLUNTEERISM AND COMMUNITARIANISM PARANOIA ABOUT MONOPOLY COMPETITION](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-73.jpg)
PROGRESS, INNOVATION, AND NEW TECHNOLOGY
VOLUNTEERISM AND COMMUNITARIANISM
PARANOIA ABOUT MONOPOLY
COMPETITION
Слайд 75
![VALUE DISAGREEMENTS HEALTH CARE AS A RIGHT EQUITY PUBLIC ADMINISTRATION](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-74.jpg)
VALUE DISAGREEMENTS
HEALTH CARE AS A RIGHT
EQUITY
PUBLIC ADMINISTRATION
Слайд 76
![GLOBAL HEALTH CARE VALUES UNIVERSALITY EQUITY ACCEPTANCE OF THE ROLE OF GOVERNMENT](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-75.jpg)
GLOBAL HEALTH CARE VALUES
UNIVERSALITY
EQUITY
ACCEPTANCE OF THE ROLE OF GOVERNMENT
Слайд 77
![SKEPTICISM ABOUT MARKETS AND COMPETITION GLOBAL BUDGETS RATIONING TECHNOLOGY ASSESSMENT AND INNOVATION CONTROL](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-76.jpg)
SKEPTICISM ABOUT MARKETS AND COMPETITION
GLOBAL BUDGETS
RATIONING
TECHNOLOGY ASSESSMENT AND INNOVATION CONTROL
Слайд 78
![TEN BASIC CHARACTERISTICS WHICH SEPARATE THE U.S. HEALTH SYSTEM FROM](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-77.jpg)
TEN BASIC CHARACTERISTICS WHICH SEPARATE THE U.S. HEALTH SYSTEM
FROM THE
REST OF THE WORLD
THERE IS NO CENTRAL AGENCY TO GOVERN THE SYSTEM.
ACCESS TO HEALTH CARE SERVICES IS SELECTIVELY BASED ON INSURANCE COVERAGE.
DELIVERY OF HEALTH CARE IS UNDER IMPERFECT MARKET CONDITIONS.
Слайд 79
![THIRD-PARTY INSURERS ACT AS INTERMEDIARIES BETWEEN THE FINANCING AND DELIVERY](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-78.jpg)
THIRD-PARTY INSURERS ACT AS INTERMEDIARIES BETWEEN THE FINANCING AND DELIVERY FUNCTIONS.
EXISTANCE
OF MULTIPLE PAYERS MAKES THE SYSTEM CUMBERSON.
BALANCE OF POWER AMONG VARIOUS PLAYERS PREVENTS ANY SINGLE ENTITY FROM DOMINATING THE SYSTEM.
Слайд 80
![LEGAL RISKS INFLUENCE PRACTICE BEHAVIOR. DEVELOPMENT OF NEW TECHNOLOGY CREATES](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-79.jpg)
LEGAL RISKS INFLUENCE PRACTICE BEHAVIOR.
DEVELOPMENT OF NEW TECHNOLOGY CREATES AN AUTOMATIC
DEMAND FOR ITS USE.
NEW SERVICE SETTINGS HAVE EVOLVED ALONG A CONTINUUM.
Слайд 81
![QUALITY IS NO LONGER ACCEPTED AS AN ELUSIVE GOAL IN THE DELIVERY OF HEALTH CARE.](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-80.jpg)
QUALITY IS NO LONGER ACCEPTED AS AN ELUSIVE GOAL IN THE
DELIVERY OF HEALTH CARE.
Слайд 82
![NATIONAL HEALTH INSURANCE CHARACTERISTICS THERE IS A DEFINED SET OF](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-81.jpg)
NATIONAL HEALTH INSURANCE
CHARACTERISTICS
THERE IS A DEFINED SET OF BENEFITS THAT EVERY
CITIZEN IS ENTITLED TO RECEIVE.
USE A GLOBAL BUDGET TO DETERMINE HEALTH CARE EXPENDITURES AND ALLOCATE RESOURCES.
Слайд 83
![GOVERNMENT CONTROLS PROLIFERATION OF HEALTH CARE SERVICES, ESPECIALLY HIGH COST TECHNOLOGY. UNIVERSAL ACCESS.](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-82.jpg)
GOVERNMENT CONTROLS PROLIFERATION OF HEALTH CARE SERVICES, ESPECIALLY HIGH COST TECHNOLOGY.
UNIVERSAL
ACCESS.
Слайд 84
![CANADIAN HEALTH CARE SYSTEM ESTABLISHED BY CANADA HEALTH ACT SINGLE-PAYER SYSTEM](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-83.jpg)
CANADIAN HEALTH CARE SYSTEM
ESTABLISHED BY CANADA HEALTH ACT
SINGLE-PAYER SYSTEM
Слайд 85
![CANADIAN HEALTH CARE SYSTEM Predominantly publicly financed Achieved through thirteen](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-84.jpg)
CANADIAN HEALTH CARE SYSTEM
Predominantly publicly financed
Achieved through thirteen interlocking provincial and
territorial health plans
Linked through adherence to national principles set at federal level.
Слайд 86
![NATIONAL POLICY ON HEALTH CARE All eligible residents have reasonable](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-85.jpg)
NATIONAL POLICY ON HEALTH CARE
All eligible residents have reasonable access to
medically necessary insured services
Prepaid basis
No direct charges at point of service
Слайд 87
![ROLE OF FEDERAL GOVERNMENT IN HEALTH CARE Setting and administering](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-86.jpg)
ROLE OF FEDERAL GOVERNMENT IN HEALTH CARE
Setting and administering national principles
or standards for insured health care services
Слайд 88
![Providing funding assistance to provincial/territorial health care services through fiscal](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-87.jpg)
Providing funding assistance to provincial/territorial health care services through fiscal transfers
Delivering
direct health services to specific groups of Canadians including veterans, First Nation peoples, military personnel, RCMP, and federal inmates
Слайд 89
![Fulfilling other health-related functions such as health protection, health promotion, and disease prevention.](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-88.jpg)
Fulfilling other health-related functions such as health protection, health promotion, and
disease prevention.
Слайд 90
![PRINCIPLES OF THE CANADA HEALTH ACT 1. Public Administration Non-profit](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-89.jpg)
PRINCIPLES OF THE CANADA HEALTH ACT
1. Public Administration Non-profit
governed by public
authority
subject to audit of finances
Слайд 91
![2. Comprehensiveness: Health plans must insure all medically necessary health services (hospital, physician, surgical-dental)](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-90.jpg)
2. Comprehensiveness:
Health plans must insure all
medically necessary health services (hospital,
physician, surgical-dental)
Слайд 92
![3. UNIVERSALITY: All insured persons in the provinces/territory must be](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-91.jpg)
3. UNIVERSALITY:
All insured persons in the provinces/territory must be entitled
to public health insurance on uniform terms and conditions.
Слайд 93
![4. Portability: Residents moving from one province to another must](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-92.jpg)
4. Portability:
Residents moving from one province to another must be entitled
to public health insurance coverage on uniform terms and conditions.
Слайд 94
![5. ACCESSIBILITY: Reasonable access by insured persons to medically necessary](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-93.jpg)
5. ACCESSIBILITY:
Reasonable access by insured persons to medically necessary hospital and
physician must be unimpeded by financial or other barriers.
Слайд 95
![HOW THE SYSTEM WORKS Relies on primary care physicians 51%](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-94.jpg)
HOW THE SYSTEM WORKS
Relies on primary care physicians
51% of all MD’s
are PCP’s
Usually the initial contact before further care, i.e., specialists, hospital admission, testing, etc.
Слайд 96
![PHYSICIAN PROFILE Most doctors are private practitioners Work in independent](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-95.jpg)
PHYSICIAN PROFILE
Most doctors are private practitioners
Work in independent or group practices
Some
work in community health centers, hospital based group practices.
Слайд 97
![PHYSICIAN PROFILE (CONTINUED) Bills are submitted directly to the government](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-96.jpg)
PHYSICIAN PROFILE (CONTINUED)
Bills are submitted directly to the government for reimbursement.
Some
physicians may be salaried or be paid through an alternate payment plan.
Слайд 98
![OTHER HEALTH CARE PROFESSIONALS Nurses are generally employed in the](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-97.jpg)
OTHER HEALTH CARE PROFESSIONALS
Nurses are generally employed in the hospital sector.
Also
provide community health care including home health and public health.
Слайд 99
![DENTISTS Dentists work independent of system. Exception…in-hospital dental surgery](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-98.jpg)
DENTISTS
Dentists work independent of system.
Exception…in-hospital dental surgery
Слайд 100
![ACCESSING THE HEALTH CARE SYSTEM FIRST STOP…FAMILY DOCTOR OR LOCAL CLINIC. PRESENT YOUR HEALTH INSURANCE CARD.](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-99.jpg)
ACCESSING THE HEALTH CARE SYSTEM
FIRST STOP…FAMILY DOCTOR OR LOCAL CLINIC.
PRESENT YOUR
HEALTH INSURANCE CARD.
Слайд 101
![ACCESS (CONTINUED) DO NOT PAY DIRECT FOR INSURED SERVICES FILL](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-100.jpg)
ACCESS (CONTINUED)
DO NOT PAY DIRECT FOR INSURED SERVICES
FILL OUT NO FORMS
NO
DEDUCTIONS OR CO-PAYMENTS
Слайд 102
![SUPPLEMENTAL HEALTH BENEFITS PRESCRIPTION DRUGS VISION CARE MEDICAL EQUIPMENT DISABLED WELFARE RECIPIENTS.](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-101.jpg)
SUPPLEMENTAL HEALTH BENEFITS
PRESCRIPTION DRUGS
VISION CARE
MEDICAL EQUIPMENT
DISABLED
WELFARE RECIPIENTS.
Слайд 103
![HEALTH CARE FUNDING Financed primarily through taxation in the form](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-102.jpg)
HEALTH CARE FUNDING
Financed primarily through taxation in the form of provincial
and federal personal and corporate income taxes.
Слайд 104
![SPENDING ON HEALTH CARE ABOUT 10 PERCENT OF FEDERAL BUDGET ABOUT ONE THIRD OF PROVINCIAL BUDGETS](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-103.jpg)
SPENDING ON HEALTH CARE
ABOUT 10 PERCENT OF FEDERAL BUDGET
ABOUT ONE THIRD
OF PROVINCIAL BUDGETS
Слайд 105
![I will be developing a section on the Canadian Health System for insertion here.](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/20040/slide-104.jpg)
I will be developing a section on the Canadian Health System
for insertion here.