1. The Costs of Health Reform (and of Doing Nothing) Len Nichols, Ph.D. Director, Health Policy Program New America Foundation American College of Cardiology February 1, 2009 Washington, DC

3. Percent of median family income required to purchase family health insurance Source: Author’s calculations, using KFF and AHRQ premium data, CPS income data, plus projections from Carpenter and Axeen, The Cost of Doing Nothing, 2008.

4. Cunningham, Peter J., and Laurie E. Felland, Falling Behind: Americans’ Access to Medical Care Deteriorates, 2003-2007 , Tracking Report No. 19, Center for Studying Health System Change, Washington, D.C. (June 2008).

5. OOP Expenditures Source: New America Foundation analysis of MEPS Household Component Data, 2004. Average Expenditure by Self and Family Likelihood of Being in top 10% of Expenditures Average Expenditure of Top 10% of Spenders Insured Population $680.29 10.5% $3,695.15 Uninsured Population $416.58 6.77% $3,763.08

6. Premium Payments v. GDP Growth Rate Source: NIPA, BEA/Commerce Dept.

7. Employer Contribution Rates and Hourly Cost of Health Benefits, Selected Top Trading Partners Country (rank in total trade with the US, 2005) Employer Contribution Rate Hourly Pay, Manufacturing U.S. dollars Hourly Cost of Health Benefits, Manufacturing US dollars United States 11.3% 13.0% for Manufacturing $18.32 $2.38 Canada (1) 4.5%* $19.21 $0.86 Japan (4) 3.74% $18.06 $0.68 Germany (5) 6.65%** $25.53 $1.70 United Kingdom (6) 1.92%*** $20.91 $0.40 France (9) 12.8%**** $16.93 $2.17 Weighted avg. 4.9% $19.79 $0.96

8. Put figure 2 from recent MEDPAC testimony here, Shows medicare not sustainable over time Source: Social Security and Medicare Trustees Report Summary, 2008.

24. Reform’s Virtuous Cycle of Feasibility