Curing the crisis: options for America's health care
With private health insurance costs averaging over
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Boulder u.a.
Westview Press
1992
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Zusammenfassung: | With private health insurance costs averaging over In a short, readable, and objective presentation, Curing the Crisis offers insight into the following questions: What has happened to the availability and cost of health care in recent years, and what are current trends? What are the problems with our current health care system, and why do so many Americans lack health insurance despite our spending more per person on health care than any other country? What major proposals for health care reform aim at making sure everyone is covered, and what are the pros and cons of each? What can we learn from health care systems in Canada, Great Britain, and Germany? What are the major proposals for reducing the rate of cost inflation in health care, and how are medical professionals and economists reacting to such plans? Without advocating any single plan, the author - a scholar and policy specialist - boldly outlines the features he considers essential to a medically, financially, and politically effective cure to the health care system's ailme ts. In addition to synthesizing and "translating" information from a wide variety of sources, he provides special feature boxes, health care vignettes, a glossary of terms, and case studies from all over the globe for an accessible and engaging presentation. Curing the Crisis is appropriate for a variety of readers who want to stay abreast of the issues in American health care that develop in the political arena as well as close to home |
| Beschreibung: | VIII, 196 S. |
| ISBN: | 0813381797 0813381800 |
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| 520 | 3 | |a With private health insurance costs averaging over | |
| 520 | 3 | |a In a short, readable, and objective presentation, Curing the Crisis offers insight into the following questions: What has happened to the availability and cost of health care in recent years, and what are current trends? What are the problems with our current health care system, and why do so many Americans lack health insurance despite our spending more per person on health care than any other country? What major proposals for health care reform aim at making sure everyone is covered, and what are the pros and cons of each? What can we learn from health care systems in Canada, Great Britain, and Germany? What are the major proposals for reducing the rate of cost inflation in health care, and how are medical professionals and economists reacting to such plans? Without advocating any single plan, the author - a scholar and policy specialist - boldly outlines the features he considers essential to a medically, financially, and politically effective cure to the health care system's ailme | |
| 520 | 3 | |a ts. In addition to synthesizing and "translating" information from a wide variety of sources, he provides special feature boxes, health care vignettes, a glossary of terms, and case studies from all over the globe for an accessible and engaging presentation. Curing the Crisis is appropriate for a variety of readers who want to stay abreast of the issues in American health care that develop in the political arena as well as close to home | |
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Datensatz im Suchindex
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| adam_text | Contents
PART ONE A Snapshot of Health Care Delivery Today
1 Perspectives and Perceptions 3
2 The Changing Profile of U.S. Health Care 13
The System Today, 13
Box: HMOs, PPOs, EPOs, and Hybrids, 18
Reversing Incentives: Don t Do More, Do Less, 23
How the System Developed: A Hospital Oriented
Sketch, 27
Cross Subsidies and the Loss of Community, 34
PART TWO Understanding the Problems
3 What Are the Problems? 39
Access: Who Has It? Who Does Not? 39
Box: Lack of Care from Coast to Coast, 44
Health Care Leads the Inflation Index, 50
We, the People, Expect Better Health Care, 54
4 What s Causing the Problems? 57
How a Market System Works: No Insurance,
No Access, 57
Why Do Costs Rise So Much, So Fast? 64
High Tech: Its Use, Abuse, and Costs, 67
Payment Perversities and Moral Hazard, 72
The Changing Picture of Incentives, 77
Where Are the Levers of Budgetary Control? 78
PART THREE What Are the Options?
5 How Do We Get Coverage for Everyone? 83
The Red Herring of Socialized Medicine, 83
What Is the Range of Options? 85
vii
viii Contents
The NHS Concept and Its British Version, 86
NHI: The Canadian Case, 88
NHI: A Physician sponsored Plan, 91
UHI: The German Version, 94
UHI: The Play or Pay Approach, 97
The Mandate Approach, 103
Making Private Insurance More Accessible, 106
The Privatized, Individualized Approach, 108
6 Cutting Costs: Piecemeal Approaches 111
The Economic Model—and Its Dangers, 114
The Medical Model: Making the Practice of Medicine
More (Cost) Effective, 126
7 Cutting Costs: Overall Approaches 139
Patients and Doctors, 139
Box: Improving the Doctor Patient Relationship, 141
Capacity Constraints and Health Care Rationing, 147
PART FOUR Components of an Achievable Better System
8 Elements for an Optimal Health Care Plan 163
The Givens of Reform, 163
Box: How Much Change Is the Public Ready For? 164
Elements of an Optimal Plan, 167
Box: Preserving Pluralism, 173
Encourage Professionalism, Discourage
Micromanagement, 174
Plan A, Plan B, 175
Time for Action, Time for Leadership, 176
Notes 177
List of Acronyms and Glossary 181
Suggested Readings 187
About the Book and Author 189
Index 191
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| spelling | Reagan, Michael D. Verfasser aut Curing the crisis options for America's health care Michael D. Reagan Boulder u.a. Westview Press 1992 VIII, 196 S. txt rdacontent n rdamedia nc rdacarrier With private health insurance costs averaging over In a short, readable, and objective presentation, Curing the Crisis offers insight into the following questions: What has happened to the availability and cost of health care in recent years, and what are current trends? What are the problems with our current health care system, and why do so many Americans lack health insurance despite our spending more per person on health care than any other country? What major proposals for health care reform aim at making sure everyone is covered, and what are the pros and cons of each? What can we learn from health care systems in Canada, Great Britain, and Germany? What are the major proposals for reducing the rate of cost inflation in health care, and how are medical professionals and economists reacting to such plans? Without advocating any single plan, the author - a scholar and policy specialist - boldly outlines the features he considers essential to a medically, financially, and politically effective cure to the health care system's ailme ts. In addition to synthesizing and "translating" information from a wide variety of sources, he provides special feature boxes, health care vignettes, a glossary of terms, and case studies from all over the globe for an accessible and engaging presentation. Curing the Crisis is appropriate for a variety of readers who want to stay abreast of the issues in American health care that develop in the political arena as well as close to home Assurance-maladie - Etats-Unis ram Assurance-maladie - États-Unis Politique sanitaire - États-Unis Politique sanitaire - États-Unis ram Santé publique - États-Unis ram Soins médicaux - Coût - Etats-Unis ram Soins médicaux - Coût - États-Unis Sécurité sociale - États-Unis ram Delivery of Health Care economics United States Health Care Costs United States Health insurance United States Insurance, Health economics United States Medical care, Cost of United States Medical policy United States Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf Kosten (DE-588)4032579-9 gnd rswk-swf Krankenversicherung (DE-588)4032836-3 gnd rswk-swf USA USA (DE-588)4078704-7 gnd rswk-swf USA (DE-588)4078704-7 g Gesundheitswesen (DE-588)4020775-4 s Kosten (DE-588)4032579-9 s DE-604 Krankenversicherung (DE-588)4032836-3 s HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=004262349&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Reagan, Michael D. Curing the crisis options for America's health care Assurance-maladie - Etats-Unis ram Assurance-maladie - États-Unis Politique sanitaire - États-Unis Politique sanitaire - États-Unis ram Santé publique - États-Unis ram Soins médicaux - Coût - Etats-Unis ram Soins médicaux - Coût - États-Unis Sécurité sociale - États-Unis ram Delivery of Health Care economics United States Health Care Costs United States Health insurance United States Insurance, Health economics United States Medical care, Cost of United States Medical policy United States Gesundheitswesen (DE-588)4020775-4 gnd Kosten (DE-588)4032579-9 gnd Krankenversicherung (DE-588)4032836-3 gnd |
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| title | Curing the crisis options for America's health care |
| title_auth | Curing the crisis options for America's health care |
| title_exact_search | Curing the crisis options for America's health care |
| title_full | Curing the crisis options for America's health care Michael D. Reagan |
| title_fullStr | Curing the crisis options for America's health care Michael D. Reagan |
| title_full_unstemmed | Curing the crisis options for America's health care Michael D. Reagan |
| title_short | Curing the crisis |
| title_sort | curing the crisis options for america s health care |
| title_sub | options for America's health care |
| topic | Assurance-maladie - Etats-Unis ram Assurance-maladie - États-Unis Politique sanitaire - États-Unis Politique sanitaire - États-Unis ram Santé publique - États-Unis ram Soins médicaux - Coût - Etats-Unis ram Soins médicaux - Coût - États-Unis Sécurité sociale - États-Unis ram Delivery of Health Care economics United States Health Care Costs United States Health insurance United States Insurance, Health economics United States Medical care, Cost of United States Medical policy United States Gesundheitswesen (DE-588)4020775-4 gnd Kosten (DE-588)4032579-9 gnd Krankenversicherung (DE-588)4032836-3 gnd |
| topic_facet | Assurance-maladie - Etats-Unis Assurance-maladie - États-Unis Politique sanitaire - États-Unis Santé publique - États-Unis Soins médicaux - Coût - Etats-Unis Soins médicaux - Coût - États-Unis Sécurité sociale - États-Unis Delivery of Health Care economics United States Health Care Costs United States Health insurance United States Insurance, Health economics United States Medical care, Cost of United States Medical policy United States Gesundheitswesen Kosten Krankenversicherung USA |
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