Universal entitlement to health care: can we get there from here?

Article Abstract:

The US Congress's Bipartisan Commission on Comprehensive Health Care is scheduled to deliver its report to Congress in March 1990. If past experience is any indication, any action to follow this report will likely be incremental. Piecemeal approaches to problems seem to suit the US political system. Unfortunately, the myriad of different organizations and interest groups attacking a problem end up in what John Dunlop, former US secretary of labor, termed "disjointed incrementalism." In this conception, each group deals only with the part of the problem which is politically expedient and there is no coordination of effort. Nobody claims that the present system of healthcare provides equitable access at a reasonable cost. It will be impossible to develop such a system without threatening at least some groups involved with health care. If politicians fail to recognize this, then changes made to the healthcare system are guaranteed to continue the inequities and inefficiencies of the present system. (Consumer Summary produced by Reliance Medical Information, Inc.)

National health insurance

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Criteria and guidelines for reforming the U.S. health care system

Article Abstract:

Responsibility and accountability are a necessary feature of any proposal for the reform of the United States health care system. A responsible nation includes the disenfranchised in its health care programs; a number of steps have been taken in this direction, most notably Sen Edward M. Kennedy's Basic Health Benefits for All Americans Act. However, since the US has not shown the same sense of social responsibility as Canada or Britain, it appears that movement towards responsible health care is likely to be slow and incremental. Any suggestions for health care plans must also include accountability, and although many organizations are instituting changes aimed at cost-effective care, it may well be impossible to achieve this goal without caps on expenditures. Many discussions about health care in the US are vague. In order to keep proposals clear, any suggestions must take into account the responsibility for health care and both clinical and fiscal accountability. (Consumer Summary produced by Reliance Medical Information, Inc.)

Management

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Health care in the 21st century

Article Abstract:

The issues concerning health care in U.S. such as inefficiencies, escalating costs, uneven quality, disparities in health care, and rising numbers of uninsured people, are addressed by focusing on the need of solutions from policymakers. It is proposed that with the use of information technology, a healthcare marketplace should be created that is expected to transform 21st-century health care system in its deserving state.

United States, HEALTH SERVICES, Health care industry

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