Comprehensive health care reform and managed competition

Article Abstract:

The National Leadership Coalition for Health Care Reform has proposed a plan for health care reform with eight key elements. The Coalition is an organization formed by a wide variety of businesses, unions, associations and nonprofit groups to reform the health care system. Under the Coalition's plan, every US resident would be provided with comprehensive health insurance. The plan also includes measures to control the cost of and improve the quality of health care. Another important issue is to develop an organized delivery system that would provide a full range of services. The plan includes measures to reform the health insurance industry and malpractice procedures. It also would reduce the administrative costs associated with health care and create a public-private partnership for the provision of health care. Managed competition would create a health care system in which both the providers and the consumers of health care would be organized into different types of professional and negotiating groups.

Social policy, National Leadership Coalition for Health Care Reform

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The American Health Security Act: a single-payer proposal

Article Abstract:

The American Health Security Act of 1993 was introduced to the Senate as a proposal to control health care costs. This bill proposes a single-payer system that would provide comprehensive health care to every US citizen. Individuals would be able to select their health care provider regardless of whether they are employed or have a preexisting medical condition. The federal government would collect and distribute funds to the states to support different health care services. The amount of funding would be based on the gross domestic product. Health care providers would have an annual budget, and payment would be on a prospective or a fee-for-service basis. Health care benefits would include a wide range of both primary and preventive health care services. Short-term and long-term hospital care would also be included. Different measures would be taken to ensure a high quality of care.

Management, Medical care, Cost of, Health care costs

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The relation between universal health insurance and cost control

Article Abstract:

Health care reform probably failed in the US because many Americans believed that reducing costs also meant reducing services. However, every other economically advanced country provides universal coverage to its citizens at less cost than the US. Universal coverage is more efficient because it sets rules and fee schedules that are followed by all. It also helps control the supply of medical services so that hospitals don't duplicate services. Since there is less bureaucracy, more of the money goes to the health care professionals. And because every voter is covered by the same plan, there is political pressure to ensure the provision of adequate medical care. Canada's health care system may be the best model for the US. There is little evidence that managed competition would be a cost-effective way of delivering health care.

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