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Curing the crisis Book

Curing the crisis
Curing the crisis, With private health insurance costs averaging over $300 per month, per person - and with 36 million Americans lacking coverage of any sort - it is easy to understand why health care has captured the public imagination as the domestic policy issue of the 1, Curing the crisis has a rating of 4 stars
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Curing the crisis, With private health insurance costs averaging over $300 per month, per person - and with 36 million Americans lacking coverage of any sort - it is easy to understand why health care has captured the public imagination as the domestic policy issue of the 1, Curing the crisis
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  • Curing the crisis
  • Written by author Michael D. Reagan
  • Published by Boulder : Westview Press, 1992., 1992/09/01
  • With private health insurance costs averaging over $300 per month, per person - and with 36 million Americans lacking coverage of any sort - it is easy to understand why health care has captured the public imagination as the domestic policy issue of the 1
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Pt. 1 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
Pt. 2 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
Pt. 3 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
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
Pt. 4 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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