In the ever-changing healthcare system, the question becomes: “How do we get there from here?” Follow along with me … on the Yellow Brick Road …
IMPACT OF HIGH HEALTH CARE COST
Even if you still have coverage, three percent (employer based coverage) to 8 % (Medicaid/other public insurance) went without needed care because of cost. While another 6-9% postponed seeking care. (employer based/Public based insurance). Both groups ended up with no usual source of care (12%).
REASONS FOR BEING UNINSURED
Only about two percent of folks are uninsured because they have no need for healthcare. Another 10 % had a family status change. Another 10% had emploers who did not offer health care coverage while 22% lost their job or changed employer. Some 12% had lost Medicaid. But the primary reason why people did not have health issurance is because of COST-45%.
Six percent (employer based coverage) to 14% (Medicaid/other public insurance) didn’t pick up or postponed their prescriptions. Eighteen percent of you without access to healthcare left your prescription at the pharmacy.
Allow the federal government to negotiate with drug companies to get lower drug prices for Medicare. Make it easier for generic drugs to come to market, as this removes the barriers being thrown up by the patent holding companies and increases competition while reducing cost. Require full disclosure of how patent holding drug companies set their drug prices. Place maximums on what the patent holding drug companies can charge for high-cost drugs such as biologicals, cancer and hepatitis treatment. Create an independent oversight committee to monitor and adjust drug prices. Allow the purchase of imported drugs from places such as Canada as well as online ordering. Eliminate prescription drug advertising/marketing especially direct to the public. Encourage consumer awareness by requiring higher cost share if patients elect to choose similar, higher cost drugs.
 MMR July 30, 1999/48(29),621-629
 Tarlov, “Public Policy Frameworks for Improving Population Health” Annals of NY Academy of Sciences, 1999
 Park, “Relative Contributions of a Set of Health Factors to Selected Health Outcomes” American Journal of Preventive Medicine, 49(6) 2015