Status of Ohio Health Care Profiled in HHS Report

Status of Ohio Health Care Profiled in HHS Report

Average Family Health Premiums up 92% Since 2000

Top 2 Private Insurers Corner 58% of Health Care Market

by John Michael Spinelli

June 26, 2009

COLUMBUS, OHIO: In a report released Friday by the U.S. Department of Health and Human Resources profiling the status of health care for each state, a laundry list of why Ohio needs reform from the status quo was presented as another front in the now explosive, partisan debate taking place in Washington about whether private insurance companies remain at the center of health care delivery or whether a so-called public option, where government is in charge and can use its size and clout to negotiate better deals for its members, is allowed to compete, giving Americans another choice as they decide what's best and most affordable for them.

The HHS report, released under the stewardship of its leader, Kathleen Sebelius, former Governor of Kansas and daughter of former Democratic Ohio Gov. John Gilligan, reflects the public policy stance of President Obama, who says he is committed to working with Congress to pass comprehensive health reform this year in order to control rising health care costs, guarantee choice of doctor, and assure high-quality, affordable health care for all Americans.

"We know that we need health reform to ensure Americans get the high-quality, affordable care they need and deserve. Under the status quo, too many Americans can’t get the affordable care they need when they fall ill. But health reform must make health care more than just sick care," Sebelius said on the Web site HealthReform.gov.

Sebelius, who was chosen to lead HHS after former Sen. Tom Daschle, Obama's first choice, withdrew his name from consideration, says President Obama wants to work with Congress to "enact health care reform legislation that protects what works about health care and fixes what is broken." Ohioans know that inaction is not an option, it said, noting that "sky-rocketing health care costs are hurting families, forcing businesses to cut or drop health benefits, and straining state budgets." It's stark case for change is based on its belief that "millions are paying more for less...and families and businesses in Ohio deserve better."

So what's the profile HHS laid out for Ohio? Here it is in detail:

OHIOANS CAN’T AFFORD THE STATUS QUO

• Roughly 7.4 million people in Ohio get health insurance on the job, where family premiums average $12,689 about the annual earning of a full-time minimum wage job.
• Since 2000 alone, average family premiums have increased by 92 percent in Ohio.
• Household budgets are strained by high costs: 20 percent of middle-income Ohio families spend more than 10 percent of their income on health care.
• High costs block access to care: 12 percent of people in Ohio report not visiting a doctor due to high costs.
• Ohio businesses and families shoulder a hidden health tax of roughly $1,000 per year on premiums as a direct result of subsidizing the costs of the uninsured.6
  

AFFORDABLE HEALTH COVERAGE IS INCREASINGLY OUT OF REACH IN OHIO

• 11 percent of people in Ohio are uninsured, and 64 percent of them are in families with at least one full-time worker.
• The percent of Ohioans with employer coverage is declining: from 71 to 65 percent between 2000 and 2007.
• Much of the decline is among workers in small businesses. While small businesses make up 72 percent of Ohio businesses,9 only 47 percent of them offered health coverage benefits in 2006 -- down 5 percent since 2000.
• Choice of health insurance is limited in Ohio. WellPoint Inc. (BCBS) alone constitutes 41 percent of the health insurance market share in Ohio, with the top two insurance providers accounting for 58 percent.
• Choice is even more limited for people with pre-existing conditions. In Ohio, premiums can vary based on demographic factors and health status, and coverage can exclude pre-existing conditions or even be denied completely.
  

OHIOANS NEED HIGHER QUALITY, GREATER VALUE, AND MORE PREVENTATIVE CARE

The overall quality of care in Ohio is rated as “Average.”

Preventative measures that could keep Ohioans healthier and out of the hospital are deficient, leading to problems across the age spectrum:

• 19 percent of children in Ohio are obese.
• 21 percent of women over the age of 50 in Ohio have not received a mammogram in the past two years.
• 39 percent of men over the age of 50 in Ohio have never had a colorectal cancer screening.
• 72 percent of adults over the age of 65 in Ohio have received a flu vaccine in the past year.
  

For those of us over age 60, having access to affordable, quality health care is a top priority. With Ohio under the gun as Democrats and Republicans try to reach accommodation on a budget that is way out of balance, and that can only be brought back by either more harsh cuts, many of which will affect the poorest and least able to fend for themselves, or by raising taxes, a voodoo dance no elected political official wants to engage in. It's one thing to have a sick budget, it's another to have a sick population that seems boxed in by the rules of the road private insurance companies have put in place. Reform at the state and federal level is long overdue. But the final form of reform will be a prescription some will eagerly swallow while others will find unappetizing at best.

John Michael Spinelli is a Certified Economic Development Financing Professional, business and travel writer and former credentialed Ohio Statehouse political reporter. He is registered to lobby in Ohio and is the Director of Ohio Operations for Tubular Rail Inc. Spinelli on Assignment is syndicated by Newstex.com. SOA can be followed on Twitter @OhioNewsBureau and available for subscription to Kindle owners. To send a news tip or make comment, email ohionewsbureau@gmail.com

Brown's IMPACT Act Included in Climate Change Bill Passed by US House

Brown's IMPACT Act Included in Climate Change Bill Passed by US House

Loan Fund for Transition to Clean Energy R&D

by John Michael Spinelli

June 26, 2009

COLUMBUS, OHIO: Ohio's junior Sen. Sherrod Brown had something to crow about Friday, when the US House of Representatives included his bill to establish a $30 billion loan fund to help manufacturers transition to a clean energy economy in a climate change bill that squeaked to passage with only 7 votes.

Even though the battle to address issues related to global warming claimed 44 Democratic defectors, Brown rallied around the work of two Ohio congressmen, who he said fought to include his bill designed to help small and medium-sized manufacturers across the nation adapt to the clean energy economy by providing them with much-needed access to credit.

But another Ohio congressman, John Boehner, the Minority Leader, used his privilege as a party leader to stall the vote, according to one published report that said he consumed just over an hour by reading from a 300-page amendment added in the early hours of Friday.

Boehner and other Republicans have framed the bill as a "tax" that would lead to more job losses and to problems in the voting booth for those members who voted for it. Only eight Republicans crossed over to vote for it.

The goal of this bill is to reduce greenhouse gases in the United States to 17 percent below 2005 levels by 2020, and 83 percent by midcentury.

All Ohio's Democratic Congressmen, with the exception of Dennis Kucinich of Cleveland and Charlie Wilson from the southeast, voted for it, while Ohio Republicans voted against it as a block. Ohio currently has 18 Congressional districts, although speculation has it that the next Census will reduce this number by 2 seats.

"Our nation's traditional manufacturing industry, which helped build our nation's middle class and is critical to national security, currently faces significant challenges," Brown said in a prepared statement.

Elected in 2006 when Democrats reclaimed many offices formerly long-held by Republicans, Brown, whose gravely voice and perennially musted-up hair contribute to his trademark style, applauded Ohio Congressmen John A. Boccieri (OH-16) and Zack Space (OH-18), both Democrats, for working to include his IMPACT Act [Investments for Manufacturing Progress and Clean Technology] in the American Clean Energy and Security Act of 2009.

The bill, the heart of which is about a "cap-and-trade" system some say will lead to big changes, both positive and negative, in sectors like election power generation, agriculture, manufacturing and construction. legislation, offers opportunities to use energy better or retool for a new era of jobs realted to clean energy.

Motivated in great measure by the loss of hundreds of thousands of manufacturing jobs in Ohio, where the demise of the US auto industry as tracked by Chrysler and General Motors going in and out of bankruptcy court where they will be reshaped and reformed, Brown hopes his loan fund will help domestic manufacturers recover from the 30 percent slide since 1987 their sector has had on the nation's gross domestic product or GDP.

The manufacturing sector, which according to Brown is responsible for America's great middle class and that accounts for 12 percent or $1.6 trillion of GDP and nearly three-fourths of the nation's research and development, needs access to credit so they can become a part of and not a victim to the rise of clean energy jobs. The National Association of Manufacturers opposed the bill.

He noted that passage of the climate change bill confirms that clean energy legislation is an opportunity for Ohio manufacturing. "By creating a funding source to help Ohio manufacturers retool, we can revive Ohio manufacturing through investments in clean energy," a move he said will "go a long way toward making Ohio the Silicon Valley of clean energy manufacturing.”

Boccieri, a veteran of the war in Iraq who was elected last year, said, “This legislation represents the next step toward freeing our nation from its dependence on foreign resources and it will help fuel our economic recovery.” He said the bill is about "creating jobs right here at home that cannot be outsourced, protecting our national security, and helping our manufacturers retool to thrive in a new green economy."

The impact of IMPACT is that it will allow small and medium-sized manufacturers to improve energy efficiency, retool for the clean energy industry, and expand the nation’s clean energy manufacturing operations.

In his release today, Brown said the current economic crisis has exacerbated existing problems within the U.S. manufacturing industry, and taht manufacturers continue to face a reduction in demand and a lack of capital.

He cited a survey done in May that found that more than 70 percent of manufacturers anticipate difficulties securing credit to purchase raw material and rehire workers as business conditions improve. For the past 16 consecutive months, U.S. manufacturing has contracted. Moreover, Brown noted, according to the Federal Reserve Board, manufacturing output fell 2.7 percent in January 2009 to a level 13.1 percent below that of only 12 months earlier. And just last month, nearly half of the nation’s job losses were tied to manufacturing.

John Michael Spinelli is a Certified Economic Development Financing Professional, business and travel writer and former credentialed Ohio Statehouse political reporter. He is registered to lobby in Ohio and is the Director of Ohio Operations for Tubular Rail Inc. Spinelli on Assignment is syndicated by Newstex.com, can be followed on Twitter @OhioNewsBureau and available for subscription to Kindle owners. To send a news tip or make comment, email ohionewsbureau@gmail.com