Cover image for American health care : government, market processes, and the public interest
American health care : government, market processes, and the public interest
Feldman, Roger D.
Publication Information:
New Brunswick, N.J. : Transaction Publishers, 2000.
Physical Description:
xi, 444 pages : illustrations ; 24 cm
1. Health insurance and finance. The genesis and development of Medicare / Ronald Hamowy -- Medicare's progeny : the 1996 health care legislation / Charlotte Twight -- Making room for medical savings accounts in the U.S. health care system / Gail A. Jensen -- Freedom of contract : the unexplored path to health care reform / Clark C. Havighurst. 2. Health care services. Hospital regulation and antitrust paradoxical policies / Barbara A. Ryan -- Antidiscrimination principle in health care : community rating and preexisting conditions / Richard A. Epstein -- State health care reform : protecting the provider / Michael A. Morrisey. 3. Drugs and medication. Regulation of the pharmaceutical industry / Ronald W. Hansen -- Ignorance is death : the FDA's advertising restrictions / Paul H. Rubin -- Exploring free market certification of medical devices / Noel D. Campbell. 4. Health care personnel. Physician fees and price controls / H.E. Frech III -- The changing role of licensure in promoting incentives for quality in health care / Shirley V. Svorny -- Liability forms : traditional and radical alternatives / Patricia M. Danzon.
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RA395.A3 A523 2000 Adult Non-Fiction Central Closed Stacks

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President Clinton's health care reform proposals of 1993 represented the most far-reaching program of social engineering attempted in the United States since the passage of Medicare and Medicaid in 1965. Under the guise of reforming the health care system, the Clinton plan would have herded almost all Americans under age sixty-five into large, government-sponsored health insurance purchasing alliances that would have contracted with insurers to offer a standard set of benefits at regulated prices. The plan came under fire from both Republicans and Democrats, including moderates from both parties, but it soon became apparent that what doomed it was a public unwilling to trust government to manage their health care. The critical literature has failed to offer a cogent analysis of why government control of health care does not work. American Health Care delivers that analysis.This volume examines why untoward consequences usually follow when government sets out to do good things. The contributors demonstrate how hospital rate regulation raises hospital prices, that "no-fault" medical malpractice increases the occurrence of faulty medicine, and that FDA regulation is a major cause for the escalating cost of new drugs. Part 1, trace the genesis of Medicare and its later developments and argue the consumer advantages of medical savings accounts and written health contracts. Part 2, explore the fallacies of antitrust policies that serve the interests of competitors, attack community rating for making health insurance unaffordable to large numbers of young workers. Part 3, contains a powerful critique of the FDA for withholding vital information on the health benefits of aspirin and shows how HMOs and other plans have caused pharmaceutical marketing to shift its focus from medical effectiveness to cost effectiveness. The final section explores how the private sector is improving in the areas of regulating physician and other health professional fees and the supply and quality of health professionals.American Health Care proposes reasonable balances between government and market options for in supply of health services. Without denying the need for some governmental action, the contributors show how far the market can go farther in performing critical functions in the health care industry. This volume will be important reading for health policymakers, economists, and health care professionals.

Reviews 1

Choice Review

Why doesn't government control of health care work? In this edited volume, Feldman (Health Services Research, Univ. of Minnesota) gathers economists, lawyers, and a historian to illustrate why untoward consequences occur when government intrudes on health care policy. Divided into four parts, the book contains a collection of articles related to health insurance and finance, health care services, drugs and medication, and health care personnel. As a portrait of our health care system, this book provides an articulate perspective on the value of considering markets over government regulation. Whether one agrees or disagrees with the basic premise presented here, the articles offer thought-provoking and well-crafted arguments coupled with forthright analysis. Moreover, the speculations on the future of our health care system are sure to spark considerable debate. Written in a clear and pragmatic style, this work is recommended for all academic audiences as a cogent resource on our health care system. General readers; undergraduates through professionals. J. D. Campbell; University of Missouri--Columbia

Table of Contents

Mark V. PaulyRoger D. FeldmanRonald HamowyCharlotte TwightGail A. JensenClark C. HavighurstBarbara A. RyanRichard A. EpsteinMichael A. MorriseyRonald W. HansenPaul H. RubinNoel D. CampbellH. E. Frech, IIIShirley V. SvornyPatricia M. Danzon
Forewordp. ix
Introductionp. 1
Part I Health Insurance and Finance
1. The Genesis and Development of Medicarep. 15
2. Medicare's Progeny: The 1996 Health Care Legislationp. 87
3. Making Room for Medical Savings Accounts in the U.S. Health Care Systemp. 119
4. Freedom of Contract: The Unexplored Path to Health Care Reformp. 145
Part II Health Care Services
5. Hospital Regulation and Antitrust Paradoxical Policiesp. 171
6. Antidiscrimination Principle in Health Care: Community Rating and Preexisting Conditionsp. 201
7. State Health Care Reform: Protecting the Providerp. 229
Part III Drugs and Medication
8. Regulation of the Pharmaceutical Industryp. 269
9. Ignorance is Death: The FDA's Advertising Restrictionsp. 285
10. Exploring Free Market Certification of Medical Devicesp. 313
Part IV Health Care Personnel
11 Physician Fees and Price Controlsp. 347
12. The Changing Role of Licensure in Promoting Incentives for Quality in Health Carep. 365
13. Liability Reforms: Traditional and Radical Alternativesp. 385
About the Editorp. 419
About the Contributorsp. 421
Indexp. 427