The Problem That Won't Go Away: Reforming U.S. Health Care Financing

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Overview

In The Problem That Won't Go Away, economists, political scientists, sociologists, public opinion experts, and government staff recount the history of the Clinton health 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.

Appropriate for: Health Economists, Health Policy Professionals.

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Product Details

  • ISBN-13: 9780815700098
  • Publisher: Brookings Institution Press
  • Publication date: 11/28/1995
  • Edition description: New Edition
  • Pages: 312
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.70 (d)

Table of Contents

1 The Problem That Won't Go Away 1
2 Clinton's Health Reform in Historical Perspective 15
3 The Rise and Resounding Demise of the Clinton Health Security Plan 34
Comments: 54
Comments: 58
4 The Debate That Wasn't: The Public and the Clinton Health Care Plan 70
Comments: 91
Comments: 95
Comments: 100
5 Interest Groups in the Health Care Debate 110
Comments: 130
Comments: 135
6 Estimating the Effects of Reform 147
Comments: 165
Comments: 169
Comments: 174
7 Market-Based Reform: What to Regulate and by Whom? 185
8 How Does Antitrust Enforcement Fit In? 207
Comments: 213
Comments: 217
9 Steps toward Universal Coverage 225
10 The Conservative Agenda 236
11 Cutting Costs and Improving Health 250
12 Bite-Sized Chunks of Health Care Reform: Where Medicare Fits In 266
13 Using Tax Credits for Health Insurance and Medical Savings Accounts 274
Contributors 291
Index 293
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