Disentitlement?: The Threats Facing Our Public Health Care Programs and a Right-Based ResponseOxford University Press, 2003 M04 10 - 312 pages No developed nation relies exclusively on the private sector to finance health care for citizens. This book begins by exploring the deficiencies in private health insurance that account for this. It then recounts the history and examines the legal character of America's public health care entitlements - Medicare, Medicaid, and tax subsidies for employment-related health benefits. These programs are increasingly embattled, attacked by those advocating privatization (replacing public with private insurance); individualization (replacing group and community-based insurance with approaches based on individual choice within markets); and devolution (devolving authority over entitlements to state governments and to private entities). Jost critically analyzes this movement toward disentitlement. He also examines the primary models for structuring health care entitlements in other countries - general taxation-funded national health insurance and social insurance - and considers what we can learn from these models. The book concludes by describing what an American entitlement-based health care system could look like, and in particular how the legal characteristics of our entitlement programs could be structured to support the long-term sustainability of these vital programs. |
Contents
| 1 | |
| 8 | |
3 The Nature of American HealthCare Entitlements | 23 |
4 The Historical Foundations of American HealthCare Entitlements | 63 |
Medicare and Medicaid Managed Care | 110 |
Disentitlement through Privatization | 138 |
Disentitlement through Devolution | 162 |
Disentitlement of Americas Workers? | 184 |
The General RevenueFinanced Model of HealthCare Entitlements | 204 |
The Social Insurance Model of HealthCare Entitlements | 235 |
11 Toward an EntitlementBased HealthCare System | 265 |
Index | 283 |
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Common terms and phrases
Amendment American benefits British Budget claims Congress constitutional cost sharing cover coverage created currently decisions disabled doctors economic elderly eligibility employers entitlement programs ERISA European Observatory expenditures families federal court fee-for-service financing German Germany gram Health Affairs 21 Health Care Systems health plans health-care costs health-care entitlements health-care services HMOs hospital Ibid income Institute insurance funds judicial review Kaiser Family Foundation Kerr–Mills legislation limited managed-care plans Medicaid Managed Medicaid program Medicaid recipients medical savings accounts Medicare Medicare and Medicaid Medicare beneficiaries MedicareChoice ment National Health Service offer participation patients PAYGO payment payroll taxes persons physician Politics poor population premiums private insurance problems protection providers rates requirements risk social health insurance social insurance social insurance program Social Security Act spending statute Supreme Court surance tax credit tax subsidies Tenncare tion uninsured United Kingdom waiver Washington welfare