Presentation was based on my summer research at Uplift International, a health and human rights nonprofit based in Seattle, Washington. Research was on 2005 Seattle right to healthcare ballot initiative and state and federal policies in health(care) and human rights.
Presentation - National Academy of Public Administration\'s Social Equity and Leadership Conference, Rutgers University - Newark
1. The Right to Healthcare and Good Health By: Marissa Beach MPA Candidate 2009 University of Washington, Seattle
2.
3.
4.
5.
6.
7.
8.
9.
10. Conclusion Many variables, problems, and actors -- but also, many striving solutions Insurance nor Legislation ≠ Good health Good health - head to toe What’s needed: hybrid solution
Notes de l'éditeur
Today we’re going to talk about two things: problems with current healthcare system and possible solutions to these problems. Pineapple - complex task, sticky, messy and hard to grip.
The majority of Americans are willing to pay more taxes to provide every American health insurance, especially children, according to a 2007 New York Times survey Private companies (HMO) set the prices - co-pays, bills, who’s covered, who’s not covered Individual states & fed programs - who’s the final decision maker? Consumer? Patient? Private ins co? Your boss? Govt?
Language ex: UHC, Healthy Families, human rights, poor, guidelines vs. recommendations vs. enforced law, etc. - 2005 Seattle right to healthcare ballot initiative, … Medicaid eligibility in 2005 ranged from 40% to over 110% of FPL depending on state
Euphemisms: friendly fire, national security, juvenile justice, universal healthcare… U.S. culture: permeated through out public policies, academia, and social life - why the guilt when sick or need to care for a loved one or mental re-charge?
At least 14 states at research time have introduced UHC bills / legislation City vs. state vs. federal coverage (govt); nonprofit sector - volunteers & low-paid staff; private sector - employment linked to insurance status
In order to brainstorm solutions, we should identify problems first, and to do that, we need more time --> let’s create a committee or task force or partner with the local university for more research Memos and reports with recommendations Time for research and identify problems and actors - what people are thinking, who’s involved, how can we solve this issue together
Linked to political dialogue - euphemisms, coined terms, etc. - who wants to claim to be the “first” (first city to cover all citizens, first state to cover all children…first to use HR language…)
By 1998, asthma was the leading cause of hospitalization among children in King County, significantly higher for children ages 1-4 and for those living where poverty is greatest
Variables: race, ethnicity, SEP, geography, gender, etc. Problems and thus policies are interlinked: transportation, anti-poverty, healthcare, human rights, immigration, etc. Striving solutions: city, state, and federal governments; third sector; everyday citizens - bartering, etc. Hybrid solution: transparency, accountability, and reform in education, policy, dialogue, and U.S. culture