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Financing for Single Payer National Healthcare

Financing HR 676, The United States National Health Insurance Act, (Medicare For All)

 

Medicare For All (H.R. 676) would reduce health spending in 2005 from $1,918 trillion to $1,861.3 trillion (a savings of over $56 billion) while covering all the uninsured. Ninety-five percent of families would pay less for health care than they do today. This is a 3% reduction in over-all health care spending: what a family pays, business, and government for health care.

Sources of Revenue (2005)

1. Government: $852.5 billion

2. Keep existing federal, state and local revenues that currently pay for Medicare (employer and employee payroll taxes of 1.45% each or $194 billion) and other federal and state programs.

4. Employers and Employees: $441.6 billion

5. Implement a modest payroll tax of 3.3% on all public and private employers and employees, while eliminating employer premiums for private health plans. This is in addition to the 1.45% payroll tax that people are already paying. So the total payroll tax is 4.75% on the employer, and 4.75% on the employee.

5. 5% Health tax on the richest 5% of Americans; 10% tax on richest 1%: $221.8 billion

6. Tax on stock and bond transactions: $144.6 billion
Anyone who buys or sells a stock will pay a transaction tax equal to one quarter of one percent of the purchase price. For example, a $100 stock purchase will be taxed a total of 50 cents.

7. Close corporate tax shelter loopholes: $105.2 billion

8. Repeal the Bush tax cut of 2001 and invest the Bush 'economic stimulus plan' of 2003 into health care: $206 billion

9. Household: $65.9 billion

Since all medically necessary services including prescription drugs will be covered, the only expenses left for individuals will be over-the-counter drugs such as aspirin, elective cosmetic surgery, etc. This represents an 80% reduction in current out-of-pocket expenses.

Existing non-patient revenues: $44.5 billion

Existing funds raised from philanthropic donations from individuals and foundations, and from hospital gift shops will continue to contribute a small percentage of the total budget.

Total budget: $1.861 trillion *This progressive funding package was developed in 2001 by Tony Mazzochi (Labor Party) and Drs. David Himmelstein and Steffie Woolhandler (Harvard), with assistance from Dean Baker (Center for Economic Research and Policy). For more info, contact Joel Segal, Rep. Conyers, 202 225-5126.

 

The Full Text of the Bill HR 676
Print Out the Summary

 

WHY WE NEED H.R.676

Corporate Medicine Profit Break Down

(*Data from IHSP, “The Institute for Health and Socio-Economic Policy,” the research arm of the California Nurses Association, December 9, 2006)

Why Does Your Health Care Cost So Much?

On March 2004, a national survey from the Common Wealth Fund found that 2 out of 5 adults have medical bill problems or accrued medical debt.

The 20 largest HMOs’ in the U.S. made $10.8 billion in profits in the most recent fiscal year, (2005). 12 top HMO executives pocketed $222.6 million in direct compensation in the most recent fiscal year. (2005).

The top seven U.S. health insurers earned a combined $10 billion dollars-nearly triple their profits of 5 years earlier. (Wall Street Journal, August 2006.)

In 2004, top executives of the 11 largest health insurers, made a combined $85 million per year in one year. (Weiss Reports)

In 2004, the world’s 13 largest drug companies recorded $62 billion in profits. The top 12 drug companies’ executives collected $192.7 million for the same period.

 

* Dr. William McGuire, CEO of United Health, the nation’s second leading health insurers, had $1.6 billion in exercisable options at the end of 2005. (CBN News, October 16, 2006)


* The aggregate profits for U.S. hospitals reached a record $26.3 billion in 2004, and profits have risen substantially the past few years even as the number of hospitals and hospital beds has been shrinking.

 

The nations’ 100 most expensive hospitals set their gross charges at an average of 680% (up from 673% in 2002-2003) of their costs.

 

The diagnostic imaging technology category has grown to nearly a $100 billion dollar a year business. (Strategy & Business News, 3/31/04, U.S. Health Care’s Technology Cost Crisis)

For more information, please call Joel Segal, legislative assistant, Rep. John Conyers

at 202 225-5126, Joel.Segal@mail.house.gov