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Document Name & Link to Document
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Description
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File Size /Type**
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A Better-Quality
Alternative: Single-Payer National Health System Reform
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MANY MISCONSTRUE US health system reform options
by presuming that "trade-offs" are needed to counter-balance
the competing goals of increasing access, containing costs,
and preserving quality.1, 2 Standing as an apparent
paradox to this zero-sum equation are countries such as Canada
that ensure access to all at a cost 40% per capita less, with
satisfaction and outcomes as good as or better than those
in the United States
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A National
Health Program for the United States: A Physicians' Proposal
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Our health care system is failing. Tens of millions
of people are uninsured, costs are skyrocketing, and the bureaucracy
is expanding. Patchwork reforms succeed only in exchanging
old problems for new ones.
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Although few
prospective long-term survival and health care cost studies
are available for hepatitis C, it has been possible to
estimate the life-long economic impact of the disease for
both the individual patient and for the U.S. population with
chronic hepatitis B. Lifetime health care costs for a
patient with chronic hepatitis B has been estimated at
$65,000 in the absence of liver transplantation. For the
150,000 HBV carriers with significant liver damage, the
lifetime health care costs in the U.S. have been estimated
to be $9 billion. Assuming an estimated survival of 25
years, the annual health care costs for the affected U.S.
population with chronic hepatitis B is $360 million. Based
on the same economic analysis, treatment of chronic
hepatitis B with interferon is projected to increase life
expectancy by about three years and reduce the aggregate
health care costs. |
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BUDGETING FOR HIV/AIDS - Costing the ‘Indirect Impact’ on
the Health Sector |
PowerPoint
Presentation |
139 kb |
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Clyde
Winter on Health Care
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While legislators, judges and politicians and
their families enjoy at no cost, for the rest of their lives,
the finest comprehensive medical care benefits taxpayers can
provide, one out of every six Americans has no medical care
insurance.
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Competition
in the Medicare Program
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Policy analysts and politicians alike recognize
the evolving demographic changes that mandate that reforms
be made in our Medicare program that will assure that funding
will always be available to ensure that health care need never
be an issue for the retired and for those with long term disabilities.
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DECLARATION OF ALMA-ATA |
Under WHO
director Mahler of Denmark (1973-88) the goal of "Health for
All" was proposed and was formally put forth in the 1978
WHO-UNICEF Alma-Ata Declaration. The attendees of the
conference realized that improving health called for a
comprehensive approach whereby primary health care was seen
as "the key to achieving an acceptable level of health
throughout the world in the foreseeable future as a part of
social development and in the spirit of social justice."
WHO, Declaration of Alma Ata, as reported in "Report on the
international conference on primary health care".
The Alma-Ata Declaration affirmed health as a fundamental
human and right and called for a transformation of
conventional health care systems and for broad intersectoral
collaboration and community organizing. |
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The Deteriorating
Administrative Efficiency of the US Health Care System
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In 1983 the proportion of health care expenditures
consumed by administration in the United States was 60 percent
higher than in Canada and 97 percent higher than in Britain.
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We offer a monthly newsletter dealing with
the various issues surrounding infectious diseases. To
find out more click
HERE. |
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Dispelling
Myths Angel
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Myths about universal coverage and the look
at these misconceptions
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PDF / 110 KB
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Executive
Summary of Bill-HR 676
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The United States National Health Insurance
Act (HR676) establishes a new American national health insurance
program by creating a single payer health care system. The
bill would create a publicly financed, privately delivered
health care program that uses the already existing Medicare
program by expanding and improving it to all U.S. residents,
and all residents living in U.S. territories.
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Financing
National Health Insurance
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By eliminating unnecessary, duplicative paperwork
(with single-source financing) and adopting rational, proven
mechanisms to stretch our health care dollars (such as bulk
purchasing of medications), the United States can provide
comprehensive health care coverage - including long-term care
- to every resident of the United States for less than what
we are currently spending.
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FOR IMMEDIATE
RELEASE
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The legislation proposes an effective mechanism
for controlling skyrocketing health costs while covering all
42 million uninsured Americans. The bill also restores free
choice of physician to patients and provides comprehensive
prescription drug coverage to seniors, as well as younger
people.
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French health
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Questions and Answers about the French Health
System
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PDF / 86 KB
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Health Insurance Coverage: 2001 |
Reversing two years of falling uninsured rates, the share of the
population without health insurance rose in 2001. An estimated
14.6 percent of the population or 41.2 million people were
without health insurance coverage during the entire year in 2001,
up from 14.2 percent in 2000, an increase of 1.4 million people
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How Much Cost
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Universal coverage could be finance with a 7%
payroll tax
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PDF / 111 KB
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Impact of AIDS on the Health Sector |
The AIDS
epidemic poses enormous challenges to the health systems of
developing countries. The magnitude of the epidemic requires
medical care and social support for those infected. Yet, the
threat of future infections demands an effective preventive
programme. And AIDS must compete for resources with acute
infectious diseases and the growing burden of chronic diseases |
51 kb pdf |
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International
Health Systems
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Health care systems in the Organization for
Economic Cooperation and Development (OECD) countries primarily
reflect three types of programs:
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Key Features of Single-Payer
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A single-payer national health program would
eliminate the jobs of hundreds of thousands of people who
currently perform billing, advertising, eligibility determination,
and other superfluous tasks. These workers must be guaranteed
retraining and placement in meaningful jobs.
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Liberal Benefits,
Conservative Spending
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The Physicians for a National Health Program
proposes to cover all Americans under a single, comprehensive
public insurance program without copayments or deductibles
and with free choice of provider. Such a national health program
could reap tens of billions of dollars in administrative savings
in the initial years, enough to fund generous increases in
health care services not only for the uninsured, but for the
underinsured as well.
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Marketplace: News
Archives
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Articles on National Healthcare issues
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nhi bill final
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Proposed bill that would implement universal
coverage
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PDF / 105 KB
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Prescription For Danger |
"The insurance companies are
pushing all of us around, they're pushing the patient, the
consumer, they're pushing the physician and they're pushing
the pharmacist." The drugs and dosages an insurance company
prefers are called its 'formulary.' We discovered your
insurance formulary often depends on secret deals your health
plan makes with drug manufacturers. Depending on which drug is
not selling well, manufacturers give incentives -- what some
call kickbacks. |
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phantoms
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Do Canadians really use the US health system?
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PDF / 158 KB
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Press Releases
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Press Releases summarize and highlight research
done by our members, announcements from the organization,
and upcoming events, like debates and television appearances.
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Private
Health Plans Versus Social Insurance
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Private health plans are responsible for much
of the administrative waste that uniquely characterizes the
health care system of the United States. And for this outrageous
cost and inefficiency, these plans are providing highly flawed
and inequitable methods of pooling funds and allocating health
care resources.
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Proposal of
the Physicians' Working Group for Single-Payer National Health
Insurance
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Yet despite medical abundance, care is too often
meager because of the irrationality of the present health
care system. Over 39 million Americans have no health insurance
whatsoever
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rasell1-an
equitable way to pay for universal coverage
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This article describes a way to finance universal
health care coverage that preserves much of the current financing
system
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PDF / 345 KB
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We offer a monthly newsletter dealing with
the various issues surrounding infectious diseases. To
find out more click
HERE. |
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Reform
Aim High_Himmelhandler
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Single-payer national health insurance could
cover the uninsured and upgrade coverage for most Americans
without increasing costs.
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PDF / 103 KB
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romanow_final-Canada
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Future of Health care in Canada
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PDF / 2,391 KB
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Single-Payer
FAQ
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Socialized medicine is a system in which doctors
and hospitals work for the government and draw salaries from
the government. Doctors in the Veterans Administration and
the Armed Services are paid this way.
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Single-Payer
Myths; Single-Payer Facts
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In countries with a national health insurance
system, physicians are rarely questioned about their medical
practices (and usually only in cases of expected fraud). Compare
it to today’s system, where doctors routinely have to ask
an insurance company permission to perform procedures, prescribe
certain medications, or run certain tests to help their patients.
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Sullivan efficiency
of managed care plans
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The evidence in support of the claim that managed
care saves money in inconclusive. Little evidence is on the
efficiency of managed care plans compared with FFS plans.
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PDF / 59 KB
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The Social Impact of AIDS in the United States |
The U.S.
health care system stands alone among advanced industrial
countries in lacking a national program to ensure universal or
nearly universal health insurance coverage. The various public
and private insurance plans and delivery systems (such as the
Veterans Administration health system) reflect what John
Iglehart characterizes as ''society's profound ambivalence
about whether medical care for all is a social good, of which
the costs should be borne by society, or a benefit that
employers should purchase for employees and their dependents,
with government insurance for people outside the work force."
This ambivalence, and the resulting lack of any political
consensus on how to finance and deliver health services, has
resulted in an odd assortment of programs that does provide
health insurance to about 85 percent of the population, but
leaves some 36 million people uninsured. The uninsured are
primarily full-time workers and their dependents who are
employed in small firms at a low or the minimum wage. |
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universal care-how
do we pay for it
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Universal Coverage-How do we pay for it
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PDF / 107 KB
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Vermont SP Analysis
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Report on medical coverage in Vermont and how
it reduced the cost of healthcare
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PDF / 172 KB
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What
is National Health Insurance
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Every person living in the United States and
the U.S. Territories would receive a United States National
Health Insurance Card and i.d number once they enroll at the
appropriate location. Social Security numbers may not be used
when assigning i.d cards.
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What is Single
Payer
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In the case of health care, a single-payer system
would be setup such that one entity—a government run organization—would
collect all health care fees, and pay out all health care
costs.
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within the system
of no system
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Time to rescue the Uninsured-concept of National
Healthcare
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PDF / 54 KB
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Would single
payer be good for America
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Single payer insurance is commonly defined as
a single government fund within each state which pays hospitals,
physicians and other health care providers, replacing the
current multi-payer system of private insurance companies
and health plans.
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WHY DO AMERICANS HAVE SUCH POOR HEALTH? |
In order to
understand the current status of medical care in the U.S.,
Canada and Europe it is vital to understand that health care
in these 3 regions is nearly completely under the control of
the pharmaceutical industry. All major pharmaceutical firms
have interlocking boards of directors so there is no real
competition among these companies. In the United States the
primary function of the Federal Drug Administration is to
ensure the profitability of pharmaceutical firms, chemical
firms and large agricultural conglomerates |
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