Health policy issues: an economic perspective on health reform
Saved in:
| Main Author: | |
|---|---|
| Format: | Book |
| Language: | English |
| Published: |
Ann Arbor, Mich.
AUPHA Press u.a.
1994
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| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XVI, 320 S. |
| ISBN: | 1567930190 |
Staff View
MARC
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| 264 | 1 | |a Ann Arbor, Mich. |b AUPHA Press u.a. |c 1994 | |
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Record in the Search Index
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| adam_text | Table of Contents
List of Figures ix
List of Tables xii
Preface xv
1 The Rise in Medical Expenditures 1
2 How Much Should We Spend on Medical Care? 12
3 Do More Medical Expenditures Produce Better Health? 24
4 In Whose Interest Does the Physician Act? 35
5 Rationing Medical Services 44
6 How Much Health Insurance Should Everyone Have? 54
7 Why Are Those Who Most Need Health Insurance Least
Able to Buy It? 64
8 Medicare and Medicaid 74
9 The New Medicare Physician Payment System 86
10 Physician Incomes 95
11 The Malpractice Crisis 106
12 Competition among Hospitals: Does It Raise or
Lower Costs? 119
vii
viii Health Policy Issues
13 Vertically Integrated Health Care Organizations 131
14 Cost Shifting 140
15 Can Price Controls Limit Medical Expenditure Increases? ... 151
16 Managed Care Competition 161
17 American Competitiveness and Rising Health Costs 172
18 Why Is It So Difficult to Get into Medical School? 182
19 The Shortage of Nurses 193
20 The High Price of Prescription Drugs 204
21 Should Kidneys (and Other Organs) Be Bought and Sold? .. 217
22 The Role of Government in Medical Care 227
23 Medical Research, Medical Education, Alcohol
Consumption, and Pollution: Who Should Pay? 237
24 The Canadian Health Care System 246
25 Employer Mandated National Health Insurance 257
26 National Health Insurance: Which Approach and Why? 267
27 Financing Long Term Care 276
28 The Politics of Health Care Reform 289
Appendix: Discussion Questions 300
Index 313
About the Author 321
List of Figures
Figure 1.1 The Nation s Health Care Dollar, 1991 4
Figure 2.1 Business Spending on Health Premiums,
1965 1989 20
Figure 2.2 Annual Percent Growth in National Health
Expenditures and the Consumer Price Index,
1965 1991 22
Figure 3.1 The Effect of Increased Medical Expenditures
on Health 27
Figure 3.2 Neonatal Mortality Rates by Race, 1950 1990 29
Figure 4.1 Number of Physicians and Physician Population
Ratio, 1950 1990 37
Figure 5.1 Health Spending and Personal Income in Different
Countries, 1990 46
Figure 5.2 The Relationship between Prices, Visits, and
Marginal Benefit of an Additional Visit 48
Figure 6.1 Deductibles, Copayments, and Catastrophic
Expenses 55
Figure 7.1 The Determinants of Health Insurance Premiums 65
Figure 8.1 Percent Distribution of Medicaid Recipients
and Medicaid Vendor Payments by Eligibility
Status, 1991 75
Figure 8.2 Growth in Real Medicare Expenditures per
Enrollee, Part A and Part B, 1966 1992 78
Figure 9.1 Medicare Physician Fee Schedule, Effect on Fees
by Specialty, 1992 90
ix
x Health Policy Issues
Figure 10.1 Annual Percent Changes in Median Physician Net
Income after Expenses before Taxes, 1982 1991 96
Figure 10.2 Average Annual Percent Change in Mean Real
Net Income of Self Employed Physicians by
Specialty, 1981 1991 97
Figure 10.3 Annual Percent Changes in the Consumer Price
Index and in Physicians Fees, 1965 1992 98
Figure 10.4 Percent Distribution of Physician Expenditures by
Source of Funds, Selected Years, 1960 1991 102
Figure 11.1 Medical Professional Liability Insurance
Premiums for Self Employed Physicians,
1974_1991 107
Figure 11.2 Average Incidence of Medical Professional
Liability Claims by Specialty, 1985 1991 108
Figure 11.3 Malpractice Premiums as a Percentage of Total
Physician Expenses, 1982 1991 109
Figure 11.4 Jury Awards for Medical Professional Liability
Cases, 1974 1990 110
Figure 11.5 Annual Percent Changes in Medical Professional
Liability Insurance Premiums for Self Employed
Physicians, 1975 1991 Ill
Figure 12.1 Trends in Hospital Expenditures, 1966 1991 121
Figure 12.2 Annual Percent Changes in the Consumer Price
Index and the Hospital Room Price Index,
1965 1992 122
Figure 12.3 The Number of Hospitals in Metropolitan
Statistical Areas, 1991 127
Figure 12.4 Comparison of Inflation Adjusted Cumulative
Growth in Per Capita Hospital Expenditures,
1980 1991 128
Figure 14.1 The Profit Maximizing Price with and without a
Change in Variable Cost 142
Figure 16.1 The Trend toward Managed Care 163
Figure 16.2 Allocation of the Premium Dollar by HMOs 165
Figure 16.3 Average Annual Growth in Per Capita Health
Expenditures by Selected States, 1980 1991 169
Figure 17.1 Inflation Adjusted Compensation and Wages per
Full Time Employee, 1965 1992 177
Figure 18.1 Medical School Applicants and Enrollments,
1950 1991 183
List of Figures xi
Figure 19.1 RN Vacancy Rates, 1979 1992 194
Figure 19.2 RN Vacancy Rates, Annual Percent Changes in
Real RN Wages, and the National Unemployment
Rate, 1979 1992 199
Figure 19.3 Nursing School Enrollments, 1960 1991 200
Figure 20.1 Annual Percent Changes in the Consumer Price
Index and the Prescription Drug Price Index,
1965 1993 205
Figure 20.2 Direct Patient Payments as a Percentage of Health
Care Expenditures by Selected Categories, 1991 ... .206
Figure 20.3 Pharmaceuticals as a Percentage of Total Health
Care Expenditures in Different Countries, 1990 213
Figure 21.1 Demand for Organs and the Total Number of
Organs Donated, 1988 1992 218
Figure 21.2 Number of Organ Transplants, Selected Years,
1981 1992 219
Figure 23.1 The Correct Rate of Output 238
Figure 24.1 Number of Selected High Technology Facilities
per Million Persons, 1989 251
Figure 24.2 Average Annual Growth in Per Capita Health
Expenditures, 1980 1991 253
Figure 24.3 Annual Percent Growth in Real Per Capita Health
Expenditures in Canada and the United States,
1965 1991 255
Figure 25.1 Percent Distribution of the Uninsured Population
by Age Group 258
Figure 27.1 Percent of United States Population 65 and Over,
1980 2030 277
Figure 27.2 Percent Distribution of Caregivers for People 65
Years and Older, 1982 278
List of Tables
Table 1.1 Personal Health Care Expenditures by Source of
Funds, 1965 and 1991 2
Table 1.2 National Health Expenditures, Selected Calendar
Years, 1965 1991 (billions of dollars) 3
Table 2.1 Federal Spending on Health, Fiscal Years
1965 1998 (billions of dollars) 18
Table 3.1 Cost per Life Saved among Three Programs to
Reduce Neonatal Mortality 30
Table 3.2 Leading Causes of Death by Age Group, 1989 32
Table 6.1 Value of Health Care Exclusion for Typical
Families, 1991 61
Table 7.1 Distribution of Health Expenditures for the
U.S. Population by Magnitude of Expenditures,
Selected Years, 1928 1987 71
Table 8.1 Money Income of Families, Percent Distribution
by Income Quintile 80
Table 10.1 Annual Percent Changes in Physician
Expenditures, Fees, and Inflation, 1965 1991 100
Table 14.1 Hospitals Revenues and Costs by Payer, 1991 141
Table 14.2 Determining the Profit Maximizing Price 142
Table 22.1 Health Policy Objectives and Interventions 229
Table 22.2 Determining the Redistributive Effects of
Government Programs 229
Table 22.3 Health Policy Objectives under Different Theories
of Government 236
xii
List of Tables xiii
Table 25.1 Uninsured Workers under 65 by Size of Firm, 1990 259
Table 25.2 Percent Distribution of Uninsured Workers by
Wage Rate, 1991 260
Table 27.1 Percent of the Aged Requiring Long Term Care
Services, 1987 278
Table 27.2 Estimated Spending on Long Term Care Services
by Type of Service and Payment Source, 1988 .... 280
Table 27.3 Distribution of Expected Discounted Lifetime
Nursing Home Cost 281
|
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| spelling | Feldstein, Paul J. Verfasser aut Health policy issues an economic perspective on health reform Paul J. Feldstein Ann Arbor, Mich. AUPHA Press u.a. 1994 XVI, 320 S. txt rdacontent n rdamedia nc rdacarrier Economische aspecten gtt Gezondheidszorg gtt Ziektekostenverzekering gtt Gesundheitswesen Wirtschaft Cost Control United States Economics, Medical United States Health Care Costs United States Health insurance United States Insurance, Health United States Medical care United States Cost control Medical care, Cost of United States Medical economics United States Reform (DE-588)4115716-3 gnd rswk-swf Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf Wirtschaft (DE-588)4066399-1 gnd rswk-swf USA USA (DE-588)4078704-7 gnd rswk-swf USA (DE-588)4078704-7 g Gesundheitswesen (DE-588)4020775-4 s Reform (DE-588)4115716-3 s Wirtschaft (DE-588)4066399-1 s DE-604 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=006884554&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Feldstein, Paul J. Health policy issues an economic perspective on health reform Economische aspecten gtt Gezondheidszorg gtt Ziektekostenverzekering gtt Gesundheitswesen Wirtschaft Cost Control United States Economics, Medical United States Health Care Costs United States Health insurance United States Insurance, Health United States Medical care United States Cost control Medical care, Cost of United States Medical economics United States Reform (DE-588)4115716-3 gnd Gesundheitswesen (DE-588)4020775-4 gnd Wirtschaft (DE-588)4066399-1 gnd |
| subject_GND | (DE-588)4115716-3 (DE-588)4020775-4 (DE-588)4066399-1 (DE-588)4078704-7 |
| title | Health policy issues an economic perspective on health reform |
| title_auth | Health policy issues an economic perspective on health reform |
| title_exact_search | Health policy issues an economic perspective on health reform |
| title_full | Health policy issues an economic perspective on health reform Paul J. Feldstein |
| title_fullStr | Health policy issues an economic perspective on health reform Paul J. Feldstein |
| title_full_unstemmed | Health policy issues an economic perspective on health reform Paul J. Feldstein |
| title_short | Health policy issues |
| title_sort | health policy issues an economic perspective on health reform |
| title_sub | an economic perspective on health reform |
| topic | Economische aspecten gtt Gezondheidszorg gtt Ziektekostenverzekering gtt Gesundheitswesen Wirtschaft Cost Control United States Economics, Medical United States Health Care Costs United States Health insurance United States Insurance, Health United States Medical care United States Cost control Medical care, Cost of United States Medical economics United States Reform (DE-588)4115716-3 gnd Gesundheitswesen (DE-588)4020775-4 gnd Wirtschaft (DE-588)4066399-1 gnd |
| topic_facet | Economische aspecten Gezondheidszorg Ziektekostenverzekering Gesundheitswesen Wirtschaft Cost Control United States Economics, Medical United States Health Care Costs United States Health insurance United States Insurance, Health United States Medical care United States Cost control Medical care, Cost of United States Medical economics United States Reform USA |
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