We cannot get our economy back on track without repairing the American health care system. Health care reform is not just a moral imperative, but also an economic necessity. In 2007, the U.S. economy lost as much as $207 billion as a result of the poor health and shorter lifespan of the uninsured. Skyrocketing health care costs add to families' already overwhelming burden, threatening their health and financial security. We can do better. Solving America's health care crisis will improve quality of care, reduce costs and make businesses more competitive. The urgent need for reform is more apparent now in North Dakota than ever. In the past eight years, health care premiums for family coverage have risen more than twice as fast as wages. With 3.5% unemployed, many families are at risk of losing their health coverage. The message is clear: North Dakota's families urgently need Congress to take direct action on health care reform.

Supporting Facts

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• Health Insurance premiums in North Dakota increased by 74.3% from 2000 to 2007, while median earnings only increased a mere 26.4%. The median yearly wage in 2007 for North Dakota was only $24,255, but the average health care premium for a family was $10,674. This means that premiums grew 2.8 times faster than wages.


• In North Dakota, approximately 155,000 non-elderly people spent more than 10% of their pre-tax family income on health care costs in 2008. 89% of those people have insurance, but are underinsured. 138,000 North Dakotans with insurance spent more than 10% of their pre-tax income on health care costs, and 48,000 spent more than 25% of their income.


• By 2016, projections show that North Dakota families will have to pay around $20,000 for health care or over 41 percent of median household income. This would represent an 76 percent increase over 2008 levels.


• In addition, more and more North Dakotans have been forced into the exorbitantly expensive individual market, as unemployment reaches massive heights. As of December 2008, 12,848 North Dakota residents were unemployed. That reflects a loss of over 1,078 jobs statewide last year alone, increasing the state unemployment rate by over .3 percentage points.


• If the state keeps losing jobs at the rate it did last year, 14,025 people in North Dakota will be unemployed by 2010. 66% of insured North Dakotans depend on their employers for their health insurance. If nothing is done to stem the economic downturn and reform our health care system, 630 North Dakota workers will lose their current health coverage, meaning that 235 more people will likely enroll in COBRA. That leaves 395 people who will have to enroll in Medicaid, fend for themselves on the private market, or become uninsured.


• As of 2007, 14% of all state spending has gone to Medicaid and SCHIP. $513 million of North Dakota's budget went to spending on Medicaid alone.


• As of 2007 there were already 14,305 uninsured children in North Dakota, and more than 53,677 uninsured adults. 16,927 of uninsured adults in North Dakota also live below the Federal Poverty Line. North Dakota's economy lost as much as $269 million because of the poor health and shorter lifespan of the uninsured in 2007. That equates $4,400 per uninsured North Dakota resident.


• Of the top 10 employers in the state of North Dakota, 8 of them are Healthcare Providers. According to the US Census, almost 42,000 individuals work in the Heath Care Sector in the state & make an average of $3,264 per month, which accounts for $137 million in wages per month.

The health of the American economy cannot improve without addressing the healthcare crisis. Building on the existing healthcare system, quality, affordable healthcare can be guaranteed to every American. It's the reform truly needed to rebuild North Dakota's economy.