| 3,962
school-aged youth participated in safe and supportive after-school
programs. |
| 14,160
people feel safer and more committed to living in their own
neighborhoods. |
| 201,227
people received food to feed their families when they found themselves
unable to provide it on their own. |
"Be the change you want to see in the world."
-Mahatma Gandhi
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In
a statewide survey in 2008, 1.3 Million Ohioans (1 out of 8) were
uninsured. Ohio’s child uninsured rate was 4%, Montgomery County had
the highest urban uninsured rate at 6.1%, Greene County has 6.6%
and Preble County had the highest uninsured rate for children in the
state at 12.4%. Ohio’s adult uninsured rate increased from 15% in
2004 to 17% in 2008. Ohio’s 18-24 year olds had the highest
uninsured rate at 29.4%. Fewer adults (62%) and children (53%) in Ohio
got insurance coverage through their employer in 2008. This was
due to fewer persons being employed, less employers offering plans,
more stringent employee eligibility requirements, and employees
electing not to take coverage because they could not afford their
portion of premiums. With the current recession, the numbers are
worse.
Ohio’s Health Care System ranks: (1st is best, 50th is worst)
• 42nd in infant mortality
• 37th in children who are overweight
• 44th in breast cancer deaths
• 38th in colorectal cancer deaths
• 37th in deaths before age 75 that were preventable with appropriate care
• 44th in Medicare hospital readmissions for preventable conditions
• 40th in Medicare hospital readmissions
• 37th in most affordable health services
• 38th in most affordable hospital care
• 45th in most affordable nursing home care
• 46th in most affordable Medicaid for seniors
In
Ohio, 1% of the population consumes 23% of total health care spending,
5% of the population consumes 50% of the total health care
spending. Management of chronically ill patients is often
uncoordinated.
This year Governor John Kasich has created
the Office of Health Transformation with Greg Moody as its
Director. This office has been challenged to get Medicaid under
control; Medicaid now consumes 30% of the Ohio budget. A strong,
temporary Medicaid crisis management team will be put in place quickly
within existing resources. A departmental reorganization of the
Medicaid programs will begin as our Ohio Medicaid policy, spending and
administration is split across multiple state and local government
jurisdictions. The current organization is perceived as
inefficient, capable of resisting change, and has no clear point of
accountability for overall health system performance. The
Medicaid modernization and cost containment priorities with be in the
State Budget bill.
The State of Ohio has challenged
the constitutionality of the Federal Health Care Law, claiming that it
cannot add 550,000 more enrollees into the state Medicaid
program. The federal law requires each state to enroll families
at 150% of the federal poverty level or the level that was in place at
the time the federal health care reform legislation passed. Under
Governor Strickland, the State Children’s Health Insurance Program
(SCHIP) eligibility threshold was 200%. This program expanded coverage
to middle-class families who are struggling to make ends meet and
affords nearly every child access to healthcare. Parents’
eligibility is at 90% of the poverty level. Access is a concern
for those families on Medicaid as many private practices do not accept
Medicaid or accept a limited number of Medicaid patients.
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United Way of the Greater Dayton Area Supports the Following Measures:
United
Way of the greater Dayton area will continue its advocacy efforts to
improve the health status of families and individuals in Montgomery,
Greene, and Preble counties. We encourage our elected officials
to enact laws which promote access to affordable healthcare, invest in
children’s health and disease prevention, improve delivery systems,
implement best practices, and incentivize programs that promote better
health outcomes. |
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Priority Issue: Healthcare
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