Reforming America's healthcare system through choice and competition PDF Download

Author: U.S. Department of Health and Human Services 2018
Publisher:
ISBN:
Category : Competition
Languages : en
Pages : 0

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Author: Henry Aaron
Publisher: Rowman & Littlefield
ISBN: 9780815719595
Category : Medical
Languages : en
Pages : 316

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Why did President Clinton's efforts to reform the financing of American health care fail? For years to come, politicians and scholars of public policy will revisit the debate over Clinton's health care plan. What did planners do right? And what did they do wrong? How can the mistakes of that experience be avoided in the future? What steps can now be taken to achieve some measure of reform in smaller pieces? In The Problem That Won't Go Away, economists, political scientists, sociologists, public opinion experts, and government staff offer answers to these and other crucial questions. They recount the history of the Clinton health care plan, present several alternative strategies the administration might have pursued, and conclude that none was likely to achieve the administration's goals of universal coverage and cost containment. Many support the view that the administration, Congress, and the nation lacked the political consensus and the information to credibly describe the effects of any single bill to reform the U.S. health care system. In that case, was the only option available to the administration to reach for goals far more modest than those it sought? Health care financing as a national political issue will not go away. Pressure to cut public spending to balance the budget means that medicare and medicaid will stay in the legislative spotlight; the retirement of the baby-boom generation in the beginning of the next century promises large increases in the cost of medicare; and a flood of new and costly medical technologies will continue to put financial pressure on everyone responsible for paying for health insurance. But, as this book illustrates, the nature of the debate in the years after the demise of the Clinton plan will be altogether different from that of the past several decades.

Author: Scott W. Atlas
Publisher: Hoover Inst Press
ISBN: 9780817912741
Category : Medical
Languages : en
Pages : 182

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Contains essays in which health policy experts from the United States, Canada, and Western Europe offer critical appraisals of the health care reforms enacted by the Obama administration, and suggest alternatives they believe should be considered.

Author: Earl W. Ferguson
Publisher: AuthorHouse
ISBN: 1491843136
Category : Medical
Languages : en
Pages : 109

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Book Description
Meaningful healthcare reform requires understanding of our complex healthcare system. This book was written to help clarify the difficult and poorly understood issues and problems of American healthcare. Its purpose is to help us move forward on the many difficult decisions that should be made to improve our healthcare system. Our unique combination of public-private funding and free-market capitalism system has been a major source of medical care advancements over the last half-century. The entrepreneurial spirit of risk takers who have invested billions of dollars to push forward innovative ideas and products has been key to its success. We should not lose that driving force for medical advancements and our economy. Our American healthcare system needs reform. We should fix it rationally with a scalpel, not destroy it with a meat cleaver. To optimize and appropriately guide that reform, we should first understand and concentrate on the real problems. Primarily we should fix our healthcare system by decreasing its administrative complexity and inefficiencies. The Affordable Care Act should be modified significantly to make it more acceptable as part of our national effort for more meaningful reform. Rational solutions through political compromises are not easy to find in our highly polarized political environment. It will be a long uphill climb, but it is a challenge that we must meet for our uniquely American healthcare system to survive.

Author:
Publisher: Hoover Press
ISBN: 0817912754
Category :
Languages : en
Pages : 182

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Author: Scott W. Atlas
Publisher: Hoover Press
ISBN: 0817923969
Category : Medical
Languages : en
Pages : 121

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The Affordable Care Act (ACA) granted the federal government unprecedented regulatory authority over health insurance and the health care industry. Those changes ignore the fundamental problems with the existing system: the incentives that have caused runaway costs and excluded millions of Americans from accessing the world's best medical care. Many former ACA supporters now push for an even more extreme takeover of the US system: overt single-payer health care, or “Medicare for All.”In Restoring Quality Health Care, Dr. Scott W. Atlas offers a fundamentally different approach to improving America's health care system. Instead of framing the debate with the traditional trade-offs—fewer benefits versus higher taxes—his plan is modeled around a new paradigm: restoring the appropriate market-based incentives to increase the quality of health care and reduce its costs. He proposes a six-point reform plan for US health care centering on lower-cost catastrophic coverage and universal, significantly expanded health savings accounts (HSAs). The plan transforms the US health care system and enhances innovation by instilling market-based competition and empowering consumers through incentives and strategic deregulation. Most important, the health care reforms in this plan reflect the key principles held by Americans concerning what they value and expect from health care in terms of access, choice, and quality.

Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 030946921X
Category : Medical
Languages : en
Pages : 161

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The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Author: Jennie Jacobs Kronenfeld
Publisher: Bloomsbury Publishing USA
ISBN:
Category : Health & Fitness
Languages : en
Pages : 267

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Book Description
This valuable handbook makes the U.S. health care system understandable, reviews the Affordable Care Act (ACA) or "Obamacare," describes past health care reform efforts, and covers the important organizations and people involved in U.S. health care reform. Why does the United States produce poorer outcomes for Americans in terms of health care than most other developed countries that spend a lower percentage of their Gross Domestic Product (GDP) on health care? Should health insurance be private or should it be managed by the government? The second edition of Healthcare Reform in America: A Reference Handbook addresses these complex and difficult questions and many more in its thorough treatment of one of the most controversial issues in contemporary American discourse. The work provides a broad introduction to the history and key issues in the development and reform of the U.S. health care system. It then addresses the recent passage of the Affordable Care Act and the myriad of significant expected changes due to the Act, thereby providing readers with information essential to understanding the current issues regarding health care reform. This work serves as a valuable resource to high school and college students as well as to general readers wanting to learn about the history and current focus of health care reform in the United States.

Author: Ezekiel Emanuel
Publisher: Public Affairs
ISBN: 1610393457
Category : Health & Fitness
Languages : en
Pages : 402

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The definitive story of American health care today—its causes, consequences, and confusions In March 2010, the Affordable Care Act was signed into law. It was the most extensive reform of America’s health care system since at least the creation of Medicare in 1965, and maybe ever. The ACA was controversial and highly political, and the law faced legal challenges reaching all the way to the Supreme Court; it even precipitated a government shutdown. It was a signature piece of legislation for President Obama’s first term, and also a ball and chain for his second. Ezekiel J. Emanuel, a professor of medical ethics and health policy at the University of Pennsylvania who also served as a special adviser to the White House on health care reform, has written a brilliant diagnostic explanation of why health care in America has become such a divisive social issue, how money and medicine have their own—quite distinct—American story, and why reform has bedeviled presidents of the left and right for more than one hundred years. Emanuel also explains exactly how the ACA reforms are reshaping the health care system now. He forecasts the future, identifying six mega trends in health that will determine the market for health care to 2020 and beyond. His predictions are bold, provocative, and uniquely well-informed. Health care—one of America’s largest employment sectors, with an economy the size of the GDP of France—has never had a more comprehensive or authoritative interpreter.

Author: Michael D Reagan
Publisher: Routledge
ISBN: 0429965435
Category : Political Science
Languages : en
Pages : 192

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With the demise of the Clinton health care reform plan, the debate on health care changed but did not subside. From opinion pieces in newspapers to dinner-table conversations, the debate over whether the right to quality health care is a public right, akin to educating our children, or whether it is a private one, akin to life insurance, continues. In The Accidental System Michael Reagan shows that in the American political context, health care is neither exclusively a public right nor a private privilege. This insightful policy study provides students with an excellent demonstration of how public policy intersects with private markets.