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

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

by Henry Aaron
     
 

ISBN-10: 0815700091

ISBN-13: 9780815700098

Pub. Date: 12/28/1995

Publisher: Brookings Institution Press

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

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Overview

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.

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Product Details

ISBN-13:
9780815700098
Publisher:
Brookings Institution Press
Publication date:
12/28/1995
Edition description:
New Edition
Pages:
312
Product dimensions:
6.00(w) x 9.00(h) x 0.70(d)

Table of Contents

1The Problem That Won't Go Away1
2Clinton's Health Reform in Historical Perspective15
3The Rise and Resounding Demise of the Clinton Health Security Plan34
Comments:54
Comments:58
4The Debate That Wasn't: The Public and the Clinton Health Care Plan70
Comments:91
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Comments:100
5Interest Groups in the Health Care Debate110
Comments:130
Comments:135
6Estimating the Effects of Reform147
Comments:165
Comments:169
Comments:174
7Market-Based Reform: What to Regulate and by Whom?185
8How Does Antitrust Enforcement Fit In?207
Comments:213
Comments:217
9Steps toward Universal Coverage225
10The Conservative Agenda236
11Cutting Costs and Improving Health250
12Bite-Sized Chunks of Health Care Reform: Where Medicare Fits In266
13Using Tax Credits for Health Insurance and Medical Savings Accounts274
Contributors291
Index293

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