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Wednesday, October 10, 2007 Universal health care coverage methods exploredTomé It's been more than a year since the Health Coverage for New Mexicans Committee (HCNMC) was formed at the request of Gov. Bill Richardson and the Legislature to obtain facts on health care reform and the related cost to universal health care coverage for all New Mexicans. The HCNMC hired Mathematica Policy Research Inc. to study the current health care system in addition to looking at three other models. Members advocating Health Care for All presented Mathematica's findings at a community forum Wednesday at the University of New Mexico-Valencia Campus. The report revealed how health care is currently funded and the cost of continuing this type of care, as well as the three different models and their associated costs. Health care consultant Robin Hunn said the key purpose of the community forum was to get community feedback. "Three models were studied over the last year," Hunn said. "In Valencia County, there are at least 15,000 who don't have health care (coverage)." Health Care for All committee member Sandra Penn, MD, said at this time the group is not endorsing any one particular plan. "We feel our job is to educate, not advocate," Penn said. "We do not think that doing nothing is an option; 432,000 (people) are uninsured in New Mexico." Penn said New Mexico is second only to Texas in number of uninsured residents and approximately $1,875 is added to premiums for insured families yearly to cover costs of uncompensated care in the state. In a Power Point presentation, the study showed premiums at about $3,401 for singles and $9,623 for families in 2005, and the premiums were projected to go up to an estimated cost of $4,500 for singles and $12,900 for families in 2007. The study conducted by Mathematica targeted people under age 65, the non-Medicare population and the non-institutionalized population, which is covered by the state. It also excluded all federally covered persons, including the Veterans Administration, active military and retirees. The cost of the current health care system for this group of people is $6.237 billion. Health Care for All Steering Committee member Dick Mason said in all three plans studied, everyone in New Mexico could be covered for a little more or a little less that what's being spent now. "All reform models will cover everyone in New Mexico," Mason said. The three models studied were:
The cost of these three plans would range from $6.03 to $6.7 billion. The study found that most uninsured New Mexicans are individuals under the age of 45 whose employers have fewer than 25 employees. Children with no type of insurance make up 12 percent, and 70 percent of children lose their coverage at some point within the year. "The cost of doing nothing is outrageous," Hunn said. "We have momentum now with the governor in the process of developing legislation." One person in the audience asked if the cost containment in the plans would be sustainable, and Mason answered that administration costs as well as how medical information would be kept would be streamlined, forms could be standardized and billing would be consolidated. "There's maybe a possibility of one-point enrollment, doing it all in one place instead of having to go all over," Penn added. Another resident asked if big businesses were being brought on board. "Unfortunately, we spend one-third more than any other industrialized country," Mason said. "I think the business community is speaking out." "We need to find solutions that make sense for everyone," Hunn said. State Rep. Elias Barela, D-Valencia County, who was the emcee for the forum, said he thinks that, for many years, the states have been waiting on the federal government to do something, and, to date, it hasn't happened. "We could wait forever," Barela said. "If we start doing reforms, hopefully the federal government will follow suit. Sometimes you have to argue that health care is a human right." One woman in the audience said she'd like to retire but she can't because of the cost of health care. Dr. David Schneider of Belen said he is for universal health care coverage and believes that it is a human right. He is also a member of the county hospital advisory board and said that a hospital in the county is necessary. "It will work," Schneider said. "Currently, we spend $800,000 elsewhere. As a doctor who loves the county I live in, a hospital is absolutely affordable and doable. There are a few who want to cause doubt (about the hospital). Eighty percent voted for this (a hospital), and a small group is trying to block what the voters authorized. The county residents deserve access to health care, and they don't need to be driving to Albuquerque." Barela went on to say that counties smaller than Valencia County have a hospital, and he believes it would be a benefit for residents here. "I think it would be a real plus to have a hospital for our community," Barela said. Mason said all the information gathered from the study, along with the community forums would help in writing legislation that will be introduced in 2008. "It has to be done because it's the right thing to do, not because it costs us money," Penn said. By 2011, the study reports, all the models will be more expensive than the current except for the Health Security Act. The plans will also rely on increases in funding for the uninsured, and there's no guarantee of federal funding. A cost to implement and transition into any one of the three plans was not implemented into the study. The plan also showed that staying with the way things are done now, by 2011, will reach $8.77 billion and the number of uninsured New Mexicans will rise to 472,000. Insurance premiums will also rise. Penn said after reviewing the research from Mathematica, the HCNMC recommended creating a New Mexico Health Care Authority that would merge the strengths of the three models, maximize Medicaid, include the insurance industry requiring standard coverage, coverage of pre-existing conditions, standard data submissions and have transparent cost-profit information in place. "If there's something you want to say about the model, now's the time to do it," Penn said. "It's important to write your governor." For more information, visit www.healthactionnm.org
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