2. Why Health Care Is On the Agenda: Escalating Cost Average Annual Premiums for Single and Family Coverage, 1999-2008 Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2008.

3. International Comparison: Universal Coverage at Less Cost -- They Must Be Doing Something Right! * PPP = Purchasing Power Parity. Data: OECD Health Data 2008, June 2008 version. Average spending on health per capita ($US PPP*) None rely on private for-profit insurance, all have a strong role for government.

5. The Epidemic of Underinsurance Source: Too Great a Burden , Families USA, December 2007 Number of people spending more than 10% of income on health care (Millions)

6. Medical costs create serious financial problems for millions of us Source: Health Tracking Poll, Kaiser Family Foundation, April 2008

7. Health Care Costs Are Concentrated Among a Few People in Any One Year This Year’s Underinsured Source: Medical Expenditure Panel Survey, US Agency for Healthcare Research and Quality, 1999 Percent of Health Care Costs While millions are underinsured, millions more don’t think there’s a problem!

9. The Progress of US Health Care Reform Employer mandate Public option** Individual mandate* * “each eligible individual must enroll in an applicable health plan for the individual and must pay any premium required with respect to such enrollment.” (S.1775) ** “you can choose to enroll in the new public plan”

12. The Massachusetts Plan: Insurance Still Costly and Unaffordable * Also physician & hospital co-pays Source: www.mahealthconnector.org (Boston Area, Jan 2009) Family Characteristics Annual Income Annual Cost Deductible* 30-year old individual $31,212 or more $2,459 $2,000 30-yr old couple w/2 children $63,612 or more $8,900 $3,500 55-year old couple $42,012 or more $10,476 $4,000

23. How We Pay for Health Care Today Private Insurance 34% Out of pocket 12% Other private funds (charity, etc.) 7% State and Local Government (existing Medicaid, other) 13% Federal Government (existing Medicare, Medicaid, other) 34% Source: Health Affairs , Feb. 2008; data for 2006

24. How Single Payer Could Be Paid For: One Example from a Recent Study of a California Plan Note: Payroll and income taxes between $7,000 and $200,000 only. Source: Health Care for All Californians Act: Cost and Economic Impacts Analysis, The Lewin Group, January 2005

25. Billing and Insurance: Nearly 30% of All Health Care Spending 28% Source: James G. Kahn et al, The Cost of Health Insurance Administration in California: Estimates for Insurers, Physicians, and Hospitals , Health Affairs, 2005 Allocation of Spending for Hospital and Physician Care Paid through Private Insurers

29. We Can’t Wait Another 16 Years! Will We Get Real Health Care Reform Before the Premium Takes All our Income? Source: American Family Physician, November 14, 2005 Today