National Health Insurance: Panel Discussions Before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, Ninety-fourth Congress, First Session ....U.S. Government Printing Office, 1975 - 463 pages |
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Page 9
... question of how the financial cost of disease care can be reduced through preventive medicine . In summary , we have emphasized the roles which ambulatory care , preventive care , allied health professionals can , and should play in a ...
... question of how the financial cost of disease care can be reduced through preventive medicine . In summary , we have emphasized the roles which ambulatory care , preventive care , allied health professionals can , and should play in a ...
Page 18
... question in a moment . In thinking about designing a national health insurance system one could have three distinct objectives in mind . The first objective would be to design a system simply to be a bona fide health insurance system ...
... question in a moment . In thinking about designing a national health insurance system one could have three distinct objectives in mind . The first objective would be to design a system simply to be a bona fide health insurance system ...
Page 24
... question social scientists who have evaluated such proposed changes they cannot in all honesty tell you that these proposed changes are unambiguously advantageous . Finally , I make a plea that in designing National Health Insur- ance ...
... question social scientists who have evaluated such proposed changes they cannot in all honesty tell you that these proposed changes are unambiguously advantageous . Finally , I make a plea that in designing National Health Insur- ance ...
Page 28
... question on which the experts invited to this Committee are unlikely to agree . In connection with the issue of coinsurance it may be observed that some opponents to cost - sharing appear to rest their case on mutually inconsistent ...
... question on which the experts invited to this Committee are unlikely to agree . In connection with the issue of coinsurance it may be observed that some opponents to cost - sharing appear to rest their case on mutually inconsistent ...
Page 30
... question inviting sustained empirical analysis . A priori it can be argued that if an HMO is permitted to package one year's costs into the next year's capitation premium , the incentive to minimize the cost of health maintenance may be ...
... question inviting sustained empirical analysis . A priori it can be argued that if an HMO is permitted to package one year's costs into the next year's capitation premium , the incentive to minimize the cost of health maintenance may be ...
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Common terms and phrases
administrative American believe Bellin benefits bill Blue Shield catastrophic CATHLES Chairman coinsurance committee Congress consumer CORMAN cost control COTTER coverage Dan Rostenkowski delivery system demand doctors DUNCAN economic effective employees expenditures Federal Government fee-for-service FEIN FELDSTEIN financing FREYMANN going health care system Health Department health insurance plan health insurance program health insurance system Health Maintenance Organizations health planning hospital incentives income increase individual inflation Kavaler legislation major medicare Medicare and Medicaid medicine ment million national health insurance National Health Service nursing home organization panel Pap smear patient payment percent physicians podiatrists podiatry political population practice practitioner premium present private insurance private sector problem professional Professor PSRO question reimbursement responsibility ROSTENKOWSKI Social Security staff subcommittee Sweden Thank things tion United utilization utilization review VANIK York City
Popular passages
Page 197 - Nothing in this title shall be construed as authorizing the Secretary or any other officer or employee of the United States to interfere in any way with the practice of medicine or with relationships between practitioners of medicine and their patients, or to exercise any supervision or control over the administration or operation of any hospital. (2) The term "period of disability...
Page 433 - Lenin was certainly right. There is no subtler, no surer means of overturning the existing basis of society than to debauch the currency. The process engages all the hidden forces of economic law on the side of destruction, and does it in a manner which not one man in a million is able to diagnose.
Page 441 - Lenin is said to have declared that the best way to destroy the capitalist system was to debauch the currency. By a continuing process of inflation, governments can confiscate, secretly and unobserved, an important part of the wealth of their citizens.
Page 149 - Up to 1965, the National Association of Manufacturers, the US Chamber of Commerce, and the Republican leadership were generally allies of the AMA.
Page 447 - Common thought and parlance tend to conceal or deny the fact that demand for all practical purposes is unlimited. The vulgar assumption is that there Is a definable amount of medical care 'needed', and that if that 'need' was met, no more would be demanded. This is absurd. Every advance in medical science creates new needs that did not exist until the means of meeting them came into existence, or at least into the realm of the possible. For every heart-lung machine or artificial kidney in operation...
Page 447 - Medical care under the National Health Service is rendered free to the consumer at the point of consumption — " p. 26 "Consequently supply and demand are not kept In balance by price. Since, therefore, resources are limited, both theoretically and in practice at any given time, or the demand is unlimited, supply has to be rationed by means other than price. The forms of rationing adopted deliberately or by default, and usually unrecognized certainly unproclaimed as such, are among the major irritant...
Page 260 - ... of the problem. For there are two— and really only two— key ingredients to understanding the rise in hospital costs: the changing nature of the hospital product, and the impact of insurance. Of these, the second is the more crucial— and largely explains the first. The changing hospital product The most obvious thing about hospital care today is that it is very different from what it was 25 years ago. Today's care is more complex, more sophisticated, and, it is to be hoped, more effective....
Page 263 - These premiums are also not subject to social-security taxes or state income taxes. Thus, even for a relatively low-income family, the inducement to buy insurance can be quite substantial. Because of the income and payroll taxes, a married man who has two children and earns $8,000 a year will take home an additional $70 for each $100 the employer adds to his income. If the employer buys health insurance instead, the full $100 can be applied against the premium and there is no tax to be paid. In this...
Page 143 - The alinement is clear — on the one side the forces representing the great foundations, public health officialdom, social theory — even socialism and communism — inciting to revolution; on the other side, the organized medical profession of this country urging an orderly evolution guided by controlled experimentation which will observe the principles that have been found through the centuries to be necessary to the sound practice of medicine.
Page 263 - ... expansion in the demand for expensive care, why has insurance grown so rapidly? In part, this growth reflects a family's rational demand for protection against unexpected illness. It is unfortunate but inevitable that this process tends to be self-perpetuating.