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Note about this presentation
                                             Joel Weddington MD
This PPT follows Enroll America’s directions on how to reach audiences that have average literacy, or 8 th grade
reading level. It also follows many framing principles of Herndon Alliance, and observes important research from
the RWJF. I presented (20-25 min) to one dozen people with known average literacy, or slightly above or below,
(my assessment of family and friends), and had positive reactions but rare questions. Nobody complained, fell
asleep, or left. A second group of 25 people (including some friends), many having post-grad degrees, doctor,
lawyer, PhD and Masters, had many questions, some beyond the scope of the presentation. I was able to answer
them on their level, and had resources tabled for those who might want more. There were several unsolicited
positive comments (30 minutes). No one appeared distracted or inattentive. I will continue to monitor general
audience reaction to this PPT. My sample size is too small for meaningful surveys, however I will participate in a
larger scale study if it is set up. Important resources:

         Enroll_America_BuildingBlocks_11                        RWJF-HCconsumersFEES
             www.enrollamerica.org                                   www.rwjf.org
                                          www.herndonalliance.org

  Research shows that poor framing of health care reform risks making audiences
  apathetic, uncomfortable, and intimidated. Worse, it may repel them.
  My co-speaker presented 45 minutes of wordy and detailed ACA slides to the educated group. However, in
  my opinion she is equivalent to a professional speaker, and kept the audience captivated despite the slides.
  Any comments about this PPT are appreciated, as I will continue to refine it and use it as a template for
  more specific audiences. Also “Thinking Points” by Lakoff is a decent manual for message framing. I can
  send these as email attachments for those interested.
Time 1 Introduction to the new health law
              Joel Weddington, M.D.
                      Doctors For America

Time 2 Presentation title
              Speaker
                      Organization or title

Time 3 Presentation title
              Speaker
                      Organization or title

Time 4 Q&A

If you would like to receive further information please give us your email address.



Redwood City, 1/28/2012            www.coalitionfor2014.org
Presents



  America’s
New Health Plan
Health Care Town Hall Speakers




 Additional speaker logo here
Health Care Advocate
      Partners




      patientslikeme
Joel Weddington, MD
      California State Director
joel.weddington@drsforamerica.org
We have a New Mission for 2012:
Educating One Million Americans about the
           Affordable Care Act!
We met with President Obama
            at the White House.

This is Dr. Murthy, one
of our co-founders, and
a few of our many other
members.
The President signed the bill for the
Affordable Care Act In March, 2010




Now it’s time for everyone to learn
   about the new benefits and
         How to Enroll
America’s new health care
         plan is called
The Affordable Care Act



 Because it will make it possible for 32
 million more people to get health care
         and see their doctors!
THE WHITE HOUSE SAYS
The Affordable Care Act puts in place comprehensive
health insurance reforms that will hold insurance
companies accountable, lower costs, guarantee choice,
and enhance quality health care for all Americans.




         http://www.whitehouse.gov/healthreform/timeline
NO MORE INSURANCE DENIALS WITH
        MEDICAL CONDITIONS IN CHILDREN
Taylor was a six year old girl who had
surgery for a bad kidney.
Her insurance plan would only cover half
the cost.
Then it became so expensive her parents
had to drop it. She couldn’t afford to see
the doctor.

When she was 13, her kidney was so damaged it had to
be removed.

The Affordable Care Act forces the insurance to pay for
her care, and now she can see her doctor.

 Taylor’s doctor is a member of Doctors For America (Nguyen)
KELLY WAITED 16 HOURS TO GET
          HER BROKEN ARM FIXED

The local hospital wouldn’t take
Medi-Cal so Kelly was
transferred to the county
hospital.

The entire process took 16
hours before she could get her
broken arm fixed.

How will the ACA help her now?

        Kelly’s doctor is a member of Doctors For America (Weddington)
A young lady with appendicitis




 A 23 year old woman developed abdominal pain
      so her father referred her to a doctor.

   A surgeon had to take her appendix out, but
everything went well. She went home the next day.
  This young lady’s physician is a member of Doctors For America (Nguyen)
Here are the costs for her medical care
    after the insurance payments!
Service         Charges Payments Amount Due
Hospital bill   $11,800   $1,500    -$10,300
Surgeon          $3,600   $1,800     -$1,800
Anesthestist     $1,800     $900       -$900
Pathologist        $350     $120       -$230
Radiologist        $120      $60        -$60
ECG reading         $75      $30        -$45

Total           $17,745   $4,210 -$13,335
SO HOW IS THE ACA
     GOING TO FIX THIS?

Subsidies or credits for low & mid income
families will limit costs, and…
There will be a cap on out-of-pocket costs, so
no one goes into major debt or bankruptcy,
and….
What about kids who turn 19 and get kicked off their
              parent’s health insurance?

  ACA: children stay on parents’ plan to age 26




2.5 MILLION young adults have already been signed up
               for this new program.

  That’s more people than in many large cities
We figured out it cost $2.5 Trillion for
  health care in the U.S. last year




Calculators don’t even have that many
               zeros!
How are we going to pay for
               all this new health care?
       By following a plan that’s fair to everybody.
                   Here’s a few ways:
 We’re going to make insurance companies compete against
  each other. They will have to lower prices to attract customers.
 We are going to catch people who commit fraud and cheat
  the system. This will save billions and billions of dollars.
 We will use preventive care so people don’t get so sick.
  Then they won’t need such expensive treatments.
 People with high incomes will pay more for Medicare.

    We can actually save money in the long run
WHAT’S HAPPENING TO OUR
      SENIOR CITIZENS ON MEDICARE?
 Many people on Medicare have to skip or ration their
      medications, because they’re so expensive.




With the Affordable Care Act help is on the way. Seniors are
      getting a $250 rebate and a 50% discount to afford
  prescription drugs, and it’s going to get even better over the
                        next few years.

          Members of Doctors For America provide care for thousands of seniors.
What’s the deal with Medicare Part D
      and the “Doughnut Hole”?




Over the next few
 years the ACA is
going to close that
 Doughnut Hole!
DO YOU KNOW THAT SENIORS ON
   MEDICARE CAN GET FREE CHECKUPS?
   That’s one free wellness visit every year.




This is the time to sit with your doctor and ask questions
               about your medical problems.
 You will get guidance and ways to seek better health.
         Some Doctors For America members are seniors too.
MORE BENEFITS FOR SENIORS COMING
  FROM THE AFFORDABLE CARE ACT



                                     Further preventive
                                       care will be
                                       provided, such as
                                       mammograms
                                       and cancer
                                       screening with no
                                       additional costs

Protect the ACA! Politicians who are trying to repeal it
              will take away these benefits


       Some Doctors For America members are seniors too.
The ACA and Women
         More security for your family:
 Working families cannot be denied coverage due to a
  pre-existing condition

 Cannot lose their coverage or be forced into
  bankruptcy when someone gets sick.
The ACA and Women




 Insurers can’t charge women more than men for the
  same coverage

 Birth control and contraceptives provided at no cost

         Coverage for maternity care
              will be required.
My job covers my medical insurance




  More and more, employees are finding they cannot
   afford the insurance their employer offers.

  Skimpy coverage - the employee goes broke when
   they get a serious injury or illness.
The largest private employer in the U.S. is
   cutting health care benefits by 50%.
 This will affect over 1 million employees




                 Walmartization
My job doesn’t give me any
       good medical benefits

In the ACA, employers
who don’t offer health
benefits and make
employees receive public
funds or Medicaid, will
pay a penalty.

This should help ensure
those employers do not
take advantage of
American taxpayers.
WHY CANT WE GET ALL OUR BENEFITS NOW?




BUT INSURANCE PLANS AND DRUG MANUFACTURERS
    AREN’T HELPING! THEY ARE MAKING UNFAIR
                    PROFITS.
How 38 Million Californians
           Get Coverage Now
•   Employer-Based Coverage
         Around Half, 18-19 Million
•   Public Programs: About a Third (10-11 million)
         Medicare: 4 million
         Medi-Cal: 7.7 million
    •    Healthy Families: Nearly 1 million
•   Individual Insurance Market
         About 5% (around 2 million)
•   Uninsured: Around 7 million
However, it’s not a done deal.
          We’ve just lost our “CLASS ACT”
            Community living assistance services and support.
This was for seniors to receive assistance to help them live alone at home.




               Class was just dismissed –
            An entire title of the ACA is gone
WE NEED YOUR HELP TO SUPPORT THE NEW
            HEALTH PLAN
        WWW.HEALTHCARE.GOV




WILL YOU HELP US SHARE THE
   NEWS ABOUT THE ACA?
    2010                          Additional Funding for CHIP.
   Prohibits Insurance from Dropping Coverage                            2014
   Children with pre‐existing conditions get         Most individuals are required to get health
    coverage.                                          insurance Establish State‐based health
   Dependent children must get coverage up to         insurance exchanges
    age 26.                                           Premium tax credits become available for some
   No limits on benefits because of customers'       Insurance plans can’t exclude pre‐existing
    illness.                                           conditions.
   Medicare part D doughnut hole will begin to       Employers who opt not to provide coverage will
    close.                                             pay an annual fee of $2,000 for each full‐time
                                                       employee.
                       2011
   Brand‐name drugs in the Medicare Part D                               2015
    coverage gap are discounted by 50 percent.        Paying Physicians Based on Value Not Volume
   Medicare Advantage payments frozen at 2010        Electronic systems for processing claims,
    level.                                             payments
   Medicare free annual wellness visits start.                           2017
   CLASS Act                                         State insurance exchanges ok for large
                       2012                           employers
   Linking Payment to Quality Outcomes.                                  2018
   Encouraging Integrated Health Systems- ACOs       40% excise tax on high‐cost health plans.
   .A phased‐in reduction of Medicare Advantage
    payments relative to current levels begins.
                                                                          2019
                                                      32 M more Americans are supposed to be
                       2013                           insured
   Improving Preventive Health Coverage.
                                                                          2020
   Increasing Medicaid Payments for PCPs.
                                                      The discount on brand‐name drugs for Medicare
   Expanded Authority to Bundle Payments.             recipients rises, closing the "doughnut hole."
Joel Weddington, MD
      California State Director
joel.weddington@drsforamerica.org
End of ACA presentation for low to
average literacy audience. Customize to
fit speakers, location, partners, patient
    examples. Consider handouts and
 speaking as ways to reach additional
                 groups.




    Joel Weddington MD
    joelwedd@yahoo.com
    415-314-0490

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Affordable Care Act for lower-literacy audience

  • 1. Note about this presentation Joel Weddington MD This PPT follows Enroll America’s directions on how to reach audiences that have average literacy, or 8 th grade reading level. It also follows many framing principles of Herndon Alliance, and observes important research from the RWJF. I presented (20-25 min) to one dozen people with known average literacy, or slightly above or below, (my assessment of family and friends), and had positive reactions but rare questions. Nobody complained, fell asleep, or left. A second group of 25 people (including some friends), many having post-grad degrees, doctor, lawyer, PhD and Masters, had many questions, some beyond the scope of the presentation. I was able to answer them on their level, and had resources tabled for those who might want more. There were several unsolicited positive comments (30 minutes). No one appeared distracted or inattentive. I will continue to monitor general audience reaction to this PPT. My sample size is too small for meaningful surveys, however I will participate in a larger scale study if it is set up. Important resources: Enroll_America_BuildingBlocks_11 RWJF-HCconsumersFEES www.enrollamerica.org www.rwjf.org www.herndonalliance.org Research shows that poor framing of health care reform risks making audiences apathetic, uncomfortable, and intimidated. Worse, it may repel them. My co-speaker presented 45 minutes of wordy and detailed ACA slides to the educated group. However, in my opinion she is equivalent to a professional speaker, and kept the audience captivated despite the slides. Any comments about this PPT are appreciated, as I will continue to refine it and use it as a template for more specific audiences. Also “Thinking Points” by Lakoff is a decent manual for message framing. I can send these as email attachments for those interested.
  • 2. Time 1 Introduction to the new health law Joel Weddington, M.D. Doctors For America Time 2 Presentation title Speaker Organization or title Time 3 Presentation title Speaker Organization or title Time 4 Q&A If you would like to receive further information please give us your email address. Redwood City, 1/28/2012 www.coalitionfor2014.org
  • 4. Health Care Town Hall Speakers Additional speaker logo here
  • 5. Health Care Advocate Partners patientslikeme
  • 6. Joel Weddington, MD California State Director joel.weddington@drsforamerica.org
  • 7. We have a New Mission for 2012: Educating One Million Americans about the Affordable Care Act!
  • 8. We met with President Obama at the White House. This is Dr. Murthy, one of our co-founders, and a few of our many other members.
  • 9. The President signed the bill for the Affordable Care Act In March, 2010 Now it’s time for everyone to learn about the new benefits and How to Enroll
  • 10. America’s new health care plan is called The Affordable Care Act Because it will make it possible for 32 million more people to get health care and see their doctors!
  • 11. THE WHITE HOUSE SAYS The Affordable Care Act puts in place comprehensive health insurance reforms that will hold insurance companies accountable, lower costs, guarantee choice, and enhance quality health care for all Americans. http://www.whitehouse.gov/healthreform/timeline
  • 12. NO MORE INSURANCE DENIALS WITH MEDICAL CONDITIONS IN CHILDREN Taylor was a six year old girl who had surgery for a bad kidney. Her insurance plan would only cover half the cost. Then it became so expensive her parents had to drop it. She couldn’t afford to see the doctor. When she was 13, her kidney was so damaged it had to be removed. The Affordable Care Act forces the insurance to pay for her care, and now she can see her doctor. Taylor’s doctor is a member of Doctors For America (Nguyen)
  • 13. KELLY WAITED 16 HOURS TO GET HER BROKEN ARM FIXED The local hospital wouldn’t take Medi-Cal so Kelly was transferred to the county hospital. The entire process took 16 hours before she could get her broken arm fixed. How will the ACA help her now? Kelly’s doctor is a member of Doctors For America (Weddington)
  • 14. A young lady with appendicitis A 23 year old woman developed abdominal pain so her father referred her to a doctor. A surgeon had to take her appendix out, but everything went well. She went home the next day. This young lady’s physician is a member of Doctors For America (Nguyen)
  • 15. Here are the costs for her medical care after the insurance payments! Service Charges Payments Amount Due Hospital bill $11,800 $1,500 -$10,300 Surgeon $3,600 $1,800 -$1,800 Anesthestist $1,800 $900 -$900 Pathologist $350 $120 -$230 Radiologist $120 $60 -$60 ECG reading $75 $30 -$45 Total $17,745 $4,210 -$13,335
  • 16. SO HOW IS THE ACA GOING TO FIX THIS? Subsidies or credits for low & mid income families will limit costs, and… There will be a cap on out-of-pocket costs, so no one goes into major debt or bankruptcy, and….
  • 17. What about kids who turn 19 and get kicked off their parent’s health insurance? ACA: children stay on parents’ plan to age 26 2.5 MILLION young adults have already been signed up for this new program. That’s more people than in many large cities
  • 18. We figured out it cost $2.5 Trillion for health care in the U.S. last year Calculators don’t even have that many zeros!
  • 19. How are we going to pay for all this new health care? By following a plan that’s fair to everybody. Here’s a few ways:  We’re going to make insurance companies compete against each other. They will have to lower prices to attract customers.  We are going to catch people who commit fraud and cheat the system. This will save billions and billions of dollars.  We will use preventive care so people don’t get so sick. Then they won’t need such expensive treatments.  People with high incomes will pay more for Medicare. We can actually save money in the long run
  • 20. WHAT’S HAPPENING TO OUR SENIOR CITIZENS ON MEDICARE? Many people on Medicare have to skip or ration their medications, because they’re so expensive. With the Affordable Care Act help is on the way. Seniors are getting a $250 rebate and a 50% discount to afford prescription drugs, and it’s going to get even better over the next few years. Members of Doctors For America provide care for thousands of seniors.
  • 21. What’s the deal with Medicare Part D and the “Doughnut Hole”? Over the next few years the ACA is going to close that Doughnut Hole!
  • 22. DO YOU KNOW THAT SENIORS ON MEDICARE CAN GET FREE CHECKUPS? That’s one free wellness visit every year. This is the time to sit with your doctor and ask questions about your medical problems. You will get guidance and ways to seek better health. Some Doctors For America members are seniors too.
  • 23. MORE BENEFITS FOR SENIORS COMING FROM THE AFFORDABLE CARE ACT Further preventive care will be provided, such as mammograms and cancer screening with no additional costs Protect the ACA! Politicians who are trying to repeal it will take away these benefits Some Doctors For America members are seniors too.
  • 24. The ACA and Women More security for your family:  Working families cannot be denied coverage due to a pre-existing condition  Cannot lose their coverage or be forced into bankruptcy when someone gets sick.
  • 25. The ACA and Women  Insurers can’t charge women more than men for the same coverage  Birth control and contraceptives provided at no cost Coverage for maternity care will be required.
  • 26. My job covers my medical insurance  More and more, employees are finding they cannot afford the insurance their employer offers.  Skimpy coverage - the employee goes broke when they get a serious injury or illness.
  • 27. The largest private employer in the U.S. is cutting health care benefits by 50%. This will affect over 1 million employees Walmartization
  • 28. My job doesn’t give me any good medical benefits In the ACA, employers who don’t offer health benefits and make employees receive public funds or Medicaid, will pay a penalty. This should help ensure those employers do not take advantage of American taxpayers.
  • 29. WHY CANT WE GET ALL OUR BENEFITS NOW? BUT INSURANCE PLANS AND DRUG MANUFACTURERS AREN’T HELPING! THEY ARE MAKING UNFAIR PROFITS.
  • 30. How 38 Million Californians Get Coverage Now • Employer-Based Coverage Around Half, 18-19 Million • Public Programs: About a Third (10-11 million) Medicare: 4 million Medi-Cal: 7.7 million • Healthy Families: Nearly 1 million • Individual Insurance Market About 5% (around 2 million) • Uninsured: Around 7 million
  • 31. However, it’s not a done deal. We’ve just lost our “CLASS ACT” Community living assistance services and support. This was for seniors to receive assistance to help them live alone at home. Class was just dismissed – An entire title of the ACA is gone
  • 32. WE NEED YOUR HELP TO SUPPORT THE NEW HEALTH PLAN WWW.HEALTHCARE.GOV WILL YOU HELP US SHARE THE NEWS ABOUT THE ACA?
  • 33. 2010  Additional Funding for CHIP.  Prohibits Insurance from Dropping Coverage  2014  Children with pre‐existing conditions get  Most individuals are required to get health coverage. insurance Establish State‐based health  Dependent children must get coverage up to insurance exchanges age 26.  Premium tax credits become available for some  No limits on benefits because of customers'  Insurance plans can’t exclude pre‐existing illness. conditions.  Medicare part D doughnut hole will begin to  Employers who opt not to provide coverage will close. pay an annual fee of $2,000 for each full‐time employee.  2011  Brand‐name drugs in the Medicare Part D  2015 coverage gap are discounted by 50 percent.  Paying Physicians Based on Value Not Volume  Medicare Advantage payments frozen at 2010  Electronic systems for processing claims, level. payments  Medicare free annual wellness visits start.  2017  CLASS Act  State insurance exchanges ok for large  2012 employers  Linking Payment to Quality Outcomes.  2018  Encouraging Integrated Health Systems- ACOs  40% excise tax on high‐cost health plans.  .A phased‐in reduction of Medicare Advantage payments relative to current levels begins.  2019  32 M more Americans are supposed to be  2013 insured  Improving Preventive Health Coverage.  2020  Increasing Medicaid Payments for PCPs.  The discount on brand‐name drugs for Medicare  Expanded Authority to Bundle Payments. recipients rises, closing the "doughnut hole."
  • 34. Joel Weddington, MD California State Director joel.weddington@drsforamerica.org
  • 35. End of ACA presentation for low to average literacy audience. Customize to fit speakers, location, partners, patient examples. Consider handouts and speaking as ways to reach additional groups. Joel Weddington MD joelwedd@yahoo.com 415-314-0490

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