Patients' rights proposals: the insurers' perspective.
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Biomedical subjects
Publications and source records attributed to C N Kahn.
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With the Balanced Budget Act (BBA) of 1997 and a balanced federal budget, the link may be broken between the budget and Medicare policy's timing and direction. However, despite a balanced budget, Medicare's eventual financial crisis must be addressed. The BBAs of 1995 and 1997 provide two models of Medicare legislation: one based on conflict and another on consensus. Because the 1997 act became law and the 1995 act did not, the consensus model has proved to be politically feasible. However, this model appears to be inadequate for devising a solution to Medicare's long-term financial problems.
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Despite a flourishing economy and recent growth in employment-based health coverage, forty-three million Americans remain uninsured. Extending coverage to the uninsured is not an intractable public policy problem but could be addressed if the various health care stakeholders could only find common ground. We argue that to win broad-based support from across the ideological and political spectra, a meaningful proposal should achieve a balance between public- and private-sector approaches, focus attention on those who are most in need of assistance (low-income workers), and build on systems that work today. With the aim of pulling together a political coalition, we present a proposal specific enough to attract support but whose details will arise later, in the context of the legislative process.