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Net Job Changes as % of Employment in Sector -40% Construction Manufacturing Information Business Services Wholesale Transportation and Utilities Mining Retail Finance Leisure Other Government Education Heath care -30% -20% -10% 0% 10% Employment Cumulative Decline from NBER Peak 8 1948 6 4 1953 1957 2 0 -2 -4 2007 -6 -8 1 7 13 19 25 31 37 Employment Cumulative Decline from NBER Peak 2 1990 1 0 2001 -1 -2 -3 -4 -5 2007 -6 -7 1 12 23 34 12.00 Unemployment Rate by Duration 10.00 8.00 6.00 < 5 Weeks 4.00 5 to 14 Weeks 2.00 15-26 Weeks 0.00 Jan-80 Source: BLS >26 Weeks Jan-83 Jan-86 Jan-89 Jan-92 Jan-95 Jan-98 Jan-01 Jan-04 Jan-07 Jan-10 100% Percent of unemployed by unemployment duration < 5 Weeks 75% 50% 5 to 14 Weeks 25% 15 to 26 Weeks > 26 Weeks 0% Jan-80 Source: BLS Jan-83 Jan-86 Jan-89 Jan-92 Jan-95 Jan-98 Jan-01 Jan-04 Jan-07 Jan-10 Median Duration of Unemployment (Weeks) 25 20 15 10 5 0 Jul-67 Jul-74 Jul-81 Jul-88 Jul-95 Jul-02 Jul-09 Which is the most likely cause of rising health care costs... Medical Malpractice/Litigation Government Intervention Prescription Drugs Physician Salaries Rising Incomes - 10.0 20.0 30.0 40.0 2007 Public Health Expenditures as Percent of GDP France Denmark Germany Austria Iceland Norway Sweden United States New Zealand Canada United Kingdom Italy Switzerland Ireland Finland Spain Australia Czech Republic Greece Hungary Slovak Republic Poland Korea Mexico - 2.0 4.0 6.0 8.0 10.0 Expand Coverage Increase Access Cost Controls Taxes and Fees Expand Coverage 32 Million more Americans covered, about half through Medicaid National Compensation Measures as a Share of GDP, NIPA 1960-2006 Private Group Health Insurance 56.3% of GDP Other Fringe Benefits and Payroll Taxes 3.8% 0.6% 56.4% of GDP 6.7% 4.1% Wages 51.8% 1960 45.6% 1970 1980 1990 Source: Kaiser Family Foundation analysis of data from the U.S. Department of Commerce, Bureau of Economic Analysis, National Income and Product Accounts, 1960-2006, Tables 1.1.5, 2.1, 6.11B, 6.11C, & 6.11D, 2008. 2000 2006 Cost Controls Independent Medicare Board Long Term Fiscal Problems Medicare and Medicaid. Taxes and Fees Top Marginal Tax Rate 100 Democrats Republicans 75 50 25 0 1913 1923 1933 1943 1953 1963 1973 1983 1993 2003 2013 Budget Balance as Percentage of GDP 10.0 5.0 0.0 -5.0 -10.0 -15.0 -20.0 -25.0 Year Democrats Year Republicans -30.0 -35.0 1930 1940 1950 1960 1970 1980 1990 2000 Actual Budget Balance with 5 Year OMB Forecasts 5.0 0.0 -5.0 -10.0 -15.0 1980 1985 1990 1995 2000 2005 2010 2015 Panelists Mark Glendenning, Inland Label and Marketing Services Jerry Arndt, Gundersen Lutheran Mike Cichanowski, Wenonah Canoe