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Health care napkin 4

Dan Roam
Dan Roam

4th and final napkin in my health care series. This napkin illustrates what the options mean to us and offers three concluding thoughts.

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2009 息 Digital Roam Inc. Dan Roam dan@danroam.com www.thebackofthenapkin.com
Health care napkin 4
Quick review: 3 insurance options are on the table: All 3 require universal coverage for all citizens. The difference is the amount of government-backed coverage. 3
Note: when the debate started, there was a 4th, all-government option. Sen. Conyers (D-MI) proposed H.R. 676, an all-government national health insurance plan. 4
This single-payer option has been removed from the debate. The White House has pulled support. H.R. 676 is effectively dead. 5
At the end of the day, what do the 3 options mean to me? 6
1) If Im presently employed and insured, all options will cost me more. Higher premiums Indirect taxes Direct taxes. as private insurers through loss of costs rise to cover untaxed more people. insurance benefit. 7
So why reform? Because if we do nothing, its going to cost even more. People concerned that reforms will bankrupt the USA need to recognize that health costs are already bankrupting us. 8
The additional costs are unknown. All I can choose is how my money will be taken from my pocket. Ill pay higher Ill lose a presently Ill pay more private insurance untaxed employment direct taxes. premiums. benefit. 9
2) A key issue to debate is whether I will pay directly or through my employer. Switching the tax benefit to a tax credit will give the government an additional $250 Billion per year with no impact on my compensation. 10
3) In all cases, my actual health will at least not get worse. All plans let me All plans let me All plans will help keep my existing keep my existing more people be coverage. providers. covered. 11
Although todays debate is really insurance reform, there are issues on the other side: Although theyre not core to todays insurance debate, we need to address cost-cutting options on the provider side. 12
In the end, how we each decide to support reform will be guided by 3 questions: Should health be Change is coming; Will I be better a profit-driven how do I want to off shouting or business? pay for it? thinking? 13
Dan Roam dan@danroam.com www.thebackofthenapkin.com

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Health care napkin 4

  • 1. 2009 息 Digital Roam Inc. Dan Roam dan@danroam.com www.thebackofthenapkin.com
  • 3. Quick review: 3 insurance options are on the table: All 3 require universal coverage for all citizens. The difference is the amount of government-backed coverage. 3
  • 4. Note: when the debate started, there was a 4th, all-government option. Sen. Conyers (D-MI) proposed H.R. 676, an all-government national health insurance plan. 4
  • 5. This single-payer option has been removed from the debate. The White House has pulled support. H.R. 676 is effectively dead. 5
  • 6. At the end of the day, what do the 3 options mean to me? 6
  • 7. 1) If Im presently employed and insured, all options will cost me more. Higher premiums Indirect taxes Direct taxes. as private insurers through loss of costs rise to cover untaxed more people. insurance benefit. 7
  • 8. So why reform? Because if we do nothing, its going to cost even more. People concerned that reforms will bankrupt the USA need to recognize that health costs are already bankrupting us. 8
  • 9. The additional costs are unknown. All I can choose is how my money will be taken from my pocket. Ill pay higher Ill lose a presently Ill pay more private insurance untaxed employment direct taxes. premiums. benefit. 9
  • 10. 2) A key issue to debate is whether I will pay directly or through my employer. Switching the tax benefit to a tax credit will give the government an additional $250 Billion per year with no impact on my compensation. 10
  • 11. 3) In all cases, my actual health will at least not get worse. All plans let me All plans let me All plans will help keep my existing keep my existing more people be coverage. providers. covered. 11
  • 12. Although todays debate is really insurance reform, there are issues on the other side: Although theyre not core to todays insurance debate, we need to address cost-cutting options on the provider side. 12
  • 13. In the end, how we each decide to support reform will be guided by 3 questions: Should health be Change is coming; Will I be better a profit-driven how do I want to off shouting or business? pay for it? thinking? 13
  • 14. Dan Roam dan@danroam.com www.thebackofthenapkin.com