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TOWARD AFFORDABLE HEALTH CARE: Prescriptions for Today
March 31, 2003
Ronald Reagan Building & International Trade Center
1300 Pennsylvania Avenue, NW
Washington, DC

INTRODUCTORY REMARKS

What do you think is the most important issue for the government to address?

1

Lack of or inadequate health insurance

32.2%

2

Prescription drugs, including for the elderly

10.3%

3

Issues directly affecting the elderly & Medicare (not prescription drugs)

6.9%

4

Cost of health care/services (excluding prescription drugs)

41.4%

5

Quality of care

4.6%

6

Other

4.6%

7

Don't know

0.0%

Which of the following statements comes closest to expressing your overall view of the nation's health care system?

1

It is fine the way that it is, don't change a thing

0.0%

2

On the whole, the system works fairly well & only minor changes are needed to make it better

18.5%

3

There are some good things in our health care system, but fundamental changes are needed to make it work better

79.3%

4

Our health care system has so much wrong with it that we need to completely rebuild it

2.2%

5

Don't know

0.0%

OPENING ADDRESS

What proportion of the elderly has insurance for prescription drugs?

1

75%

36.6%

2

50%

30.1%

3

25%

33.3%

What proportion of total Medicare expenses do think the least expensive beneficiaries incur?

1

10%

51.6%

2

25%

35.8%

3

50% - correct answer

12.6%

PANEL ONE

Should health insurance as an employee benefit be abandoned and all consumers left to buy insurance on their own with a refundable tax credit helping to cover the cost?

1

Yes, yes, yes

24.7%

2

Perish the thought

18.2%

3

Good idea, but not doable

36.4%

4

Bad idea, but I fear President Bush may try.

20.8%

In your opinion, how great of an impact will MSAs & FSAs have on moving toward consumer-driven health care?

1

No impact

1.1%

2

Little impact

24.1%

3

Moderate impact

33.3%

4

Substantial impact

41.4%

What would you do to control health care costs?

1

Increase employee co-pay/cost-sharing

38.3%

2

Increase employee premium contributions

6.7%

3

Target interventions to specific conditions

10.0%

4

Reduce or eliminate coverage

0.0%

5

Increase use of health care data in decision-making

30.0%

6

Partner with providers

5.0%

7

Add or reconfigure coverage

5.0%

8

Provide self-care information to employees

5.0%

9

Change medical/pharmacy vendors

0.0%

Does your employer offer a consumer-driven health plan option? Or if you are an employer, do you offer a consumer-driven health plan option?

1

Yes

27.0%

2

No

67.4%

3

Unsure

5.6%

If so, are you personally enrolled?

1

Yes, I am

55.2%

2

No, I'm waiting to see how it works out for others first

41.4%

3

Unsure

3.4%

Do you believe that consumer-choice is going to be the next wave of change in our health care system?

1

Definitely not

5.6%

2

Possibly

42.6%

3

Probably

46.3%

4

Definitely yes

5.6%

PANEL TWO

In your opinion, what is the main reason that lawsuit abuse has such an impact on affordability?

1

Unnecessary tests are being ordered to ensure all bases have been covered

47.3%

2

More procedures are being recommended to confirm diagnosis

33.8%

3

More drugs are being prescribed than may be medically necessary

2.7%

4

More patients are being referred to specialists more often

6.8%

5

Don't know

9.5%

Agree or disagree: A system of justice should be reliable? 

1

Strongly disagree

16.3%

2

Disagree

1.3%

3

Unsure

1.3%

4

Agree

8.8%

5

Strongly agree

72.5%

Agree or Disagree: Trial lawyers represent the best interests of patients? 

1

Strongly disagree

30.1%

2

Disagree

38.6%

3

Unsure

9.6%

4

Agree

15.7%

5

Strongly agree

6.0%

What percentage of people who are inadvertently injured by the medical system do you think get any compensation from the tort system?

1

10% - correct answer

70.1%

2

20%

18.2%

3

30%

6.5%

4

40%

2.6%

5

50%

2.6%

What percentage of that money do you think goes to lawyers and court costs?

1

10%

5.3%

2

20%

0.0%

3

30%

1.3%

4

40%

17.3%

5

50% - correct answer

76.0%

PANEL THREE

Which of the following statements comes closest to expressing your view of health care mandates?

1

Mandates provide consumers with more options & greater access to preventive services

20.8%

2

Medical errors are reduced and quality of care is improved

0.0%

3

Mandates result in increased cost of health plans due to higher premiums

64.6%

4

Mandates result in employers dropping coverage, or employees declining coverage

14.6%

Health care mandates and regulation account for approximately what percentage of the overall increase in health care costs?

1

3%

1.6%

2

6%

6.6%

3

9%

21.3%

4

12%

26.2%

5

15%

44.3%

PANEL FOUR

In order to move toward universal access to health care, which of the following would you support most?

1

Implementing a national health plan financed by taxpayers

5.3%

2

Requiring all business to provide health insurance to their employees

1.3%

3

Provide tax credits to allow the uninsured to purchase private health insurance

78.9%

4

Expanding state government programs (e.g. Medicaid & S-CHIP) for low income people

5.3%

5

Expanding neighborhood health clinics

3.9%

6

Other

5.3%

In your opinion, which of the following is most important?

1

Creating health care IRAs to give consumers skin in the game

21.4%

2

Allowing FSAs to roll-over & force consumers to be more knowledgeable about health care spending

25.7%

3

Expanding MSAs & make them permanent

37.1%

4

None of the above

5.7%

5

Don't know

10.0%

How much are we spending on free care for the uninsured per uninsured person per year?

1

$100

1.4%

2

$1,000

31.4%

3

$2,000

35.7%

4

$5,000

31.4%

PANEL FIVE

Who should have the primary responsibility for educating consumers about the cost of a particular health care service (at the point of care)?

1

The employer

8.1%

2

The health plan

17.7%

3

The health care provider

33.9%

4

The consumer (him/herself)

35.5%

5

Other entity

4.8%

Who should have the primary responsibility for educating consumers about provider quality and outcome data?

1

The employer

0.0%

2

The health plan

36.5%

3

The health care provider

15.4%

4

The consumer (him/herself)

32.7%