THE US HEALTH CARE SYSTEM

US statistics
Population 313.9 million
Life expectancy 79.8
- men: 78.3
- women: 81.3
Maternal mortality 21
Teen pregnancy 34.2
Infant mortality 6.2
New HIV cases 16.3

Philadelphia statistics
Population 1.5 million (6 million metro area)
Life expectancy
- men: 72.5
- women: 80.2
Teen pregnancy 63
Late/no prenatal care 15.5%
Infant mortality 12.2
New HIV cases 26.4

Kirstin Leitner: Biography
1983 Born Vienna, Austria
1983 Immigrated to US
2001 Finished high school
2005 Graduated with B.A. in Biochemistry (Bowdoin College)
2011 Achieved M.D. (University of Pennsylvania)
Currently PGY3 resident in Obstetrics and Gynecology (Pennsylvania Hospital)

US HEALTHCARE $ STATS

• 17.9% GDP spent on healthcare sector
• Hospitals are mostly private sector owned:
• 62% non-profit
• 20% government
• 18% for-profit

INSURANCE

• Mostly through private plans
• 16+% uninsured: almost 50 million!
• EMTALA provides that all are treated
• Medicare/Medicaid are social insurance plans

MEDICAID

• Social health insurance
• Children, pregnant women, disabled
• Under 133% poverty line
• Current poverty line $11-14,000/yr
• Covers 50+ million

MEDICARE

• 65+, disabled, ESRD, ALS
• Covers ~1/2 cost for patients
• Pays for 47% inpt stays (2/2 population)
• 50 million (increase to 75 by 2030)

QUESTIONS?

OUTCOMES?

• %GDP spent on healthcare: 1/192
• BUT
• Life expectancy: 35/193
• Maternal mortality: 48/184
• Infant mortality: 34/188

THE FUTURE: AFFORDABLE CARE ACT

• Mandate for Americans to get insured
• Improvement in coverage
• No issue with preexisting conditions
• Subsidy for ppl 100-400% poverty line
• Penalty for uninsured: $95 or up to 1% income