Serious and Unstable Condition: Financing America's Health Care

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Product Details

  • ISBN-13: 9780815700500
  • Publisher: Brookings Institution Press
  • Publication date: 1/1/1990
  • Pages: 180
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.41 (d)

Table of Contents

1. What Is the Problem? 1
Diminishing Support for the Current System 2
The Inescapable Debate 5
2. Economic Issues in Health Care 8
Consumption and Insurance 8
Production 23
Competition and the Market for Health Insurance 27
A Dilemma 37
3. Organization and Financing 38
Health Care Expenditures 38
Sources of Payment 53
The Role of Government 60
The Uninsured 73
4. International Comparisons 78
Differences in Costs 79
Measures of Health Status 89
Differences in Organization 92
International Competition 94
Implications of Foreign Experience 101
Appendix A Intertemporal and International Comparisons of Health Care Expenditures 103
Appendix B Determinants of Health Care Spending 107
5. The Terms of the Debate 109
Voluntary Incrementalism 110
Mandatory Employment-Based Insurance 119
Comprehensive Restructuring 128
The Special Problem of Long-Term Care 134
State Initiatives 135
A 1990s Agenda for Health Care Financing 137
The Universal-Access Single-Payer Health Plan 140
Index 153
Tables
Growth in U.S. Health Care Spending, Selected Years, 1950-90
Concentration of Health Care Outlays, Selected Countries and Selected Years, 1928-88
Limits on Coverage among Health Insurance Plans
Outlays and Recipients of Personal Health Care Expenditures, Selected Years, 1960-89
Source of Payments to Major Health Care Providers, Selected Years, 1960-89
Characteristics of the Uninsured
Total Health Expenditures in Selected Countries, 1987
Use of Health Care, Selected Countries, 1987
Mean Length of Hospital Stay for Selected Diseases, Selected Countries
Reported Admission Rates for Nine Common Surgical Procedures, Selected Countries, 1980
Life Expectancy in the United States and U.S. Rank among Selected Countries, by Age and Sex
Public Expenditures as a Share of Health Care Spending, Selected Countries, 1987
Reimbursement and Planning Arrangements in Selected OECD Countries
Proposed Health Care Trust Fund, 1991
Figures
The Benefits Curve
Elderly Population in the United States, Selected Years, 1950-2040
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