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