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

by Aaron, Henry

• ISBN13: 9780815700098
• ISBN10: 0815700091
• Format: Paperback
• Copyright: 1995-12-01
• Publisher: Brookings Institution Press

Summary

In this volume, the authors discuss the history and failure of the Clinton health plan and analyze what went wrong with the reform attempts. They also 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.

Table of Contents

The Problem That Won't Go Away	p. 1
Why Did the Clinton Plan Fail?
Clinton's Health Reform in Historical Perspective	p. 15
The Rise and Resounding Demise of the Clinton Health Security Plan	p. 34
Comments: Margaret Weir and James J. Mongan	p. 54
The Debate That Wasn't: The Public and the Clinton Health Care Plan	p. 70
Comments: Drew E. Altman, Karlyn H. Bowman and Uwe Reinhardt	p. 91
Interest Groups in the Health Care Debate	p. 110
Comments: Julie Kosterlitz and Fred Grandy	p. 130
How Can Information Be Improved?
Estimating the Effects of Reform	p. 147
Comments: John F. Shiels, Len M. Nichols and Kenneth Thorpe	p. 165
What Does the Future Hold?
Market-Based Reform: What to Regulate and by Whom?	p. 185
How Does Antitrust Enforcement Fit In?	p. 207
Comments: William L. Roper and Helen Darling	p. 213
Incremental Reform
Steps toward Universal Coverage	p. 225
The Conservative Agenda	p. 236
Cutting Costs and Improving Health	p. 250
Bite-Sized Chunks of Health Care Reform: Where Medicare Fits In	p. 266
Using Tax Credits for Health Insurance and Medical Savings Accounts	p. 274
Contributors	p. 291
Index	p. 293
Tables
Characteristics of Health Insurance, by Firm Size, 1991	p. 254
Detailed Calculations of Cost Implications of Medical Savings Accounts	p. 281
Examples of Maximum Deductible and Out-of-Pocket Limits under a Medical Savings Account Proposal	p. 283
Figures
Slippery Slope from Universality to Diminished Coverage	p. 60
Existing Data on Health Care Delivery and Financing	p. 172
Lewin-VHI, The Individual Tax Credit Program: Estimated Cost and Impacts	p. 241
Growth of Health Costs per Enrollee	p. 256
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