

| Definition of Problem National Level Failures * Nation paying for runaway, increasing health care costs, 12% of Gross National Product in 1990, which still do not cover the health needs of its citizens. Insurance Failures * Individuals paying for runaway, increasing health care costs which still do not provide full coverage, nor cover their health needs. * Insurance policies not inclusive in coverage. * Insurance companies saddling physicians and hospitals with myriad claim forms and procedures, dissipating their time, adding to their costs, and taking the joy out of practicing medicine. * Insureds paying for duplicate coverage one or more times, and still not receiving full coverage. * Group and individual risk pools too small for reasonable and economically affordable insurance rates. * Insured persons who use medical services are dropped from in- surance policies or plans. * Non-profit Blue Cross/Blue Shield being bankrupted by preda- tory practices of commercial insurance companies. * 37 million citizens without medical insurance. * Fraud encouraged to qualify for Medicaid. * ERISA being used by federal government and insurers to block progress. |