Election 2000. What your vote may mean for health care policy.
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Biomedical subjects
Publications and source records attributed to D Durenberger.
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The mainstream health reform bill of 1994 provides an excellent starting point for the health debate of 1995 and succeeding years. It is based on consumer choice, and the use of incentives to reward cost-efficient and medically effective practice. Only by solving this problem of efficiency first can we hope to make progress on the problem of equity--the broadening of access.
Health care reform is in limbo as 1994 draws to a close. Last month's Republican sweep puts the issue in a starkly new political environment. The new Congressional leadership said last month it will put forth a reform plan in 1995. Also, the Clinton administration is working on a scaled-back proposal. To get an idea of what might happen next year, we invited 20 informed persons to give us their opinions and to tell us what action they'd prefer. Because of B&H's production schedule, the interviews took place before the election. We don't think that diminishes their insights and analyses.
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Labeling health reform proposals comprehensive or incremental erects unnecessary barriers to constructive debate. This article explains why these labels fail to adequately describe the key issues in the debate. It offers insight into the fundamental issues of infrastructure that must be addressed in order to craft enduring reform. To accomplish infrastructure reform, a new definition of health, a return to the principles of federalism, a design for private-public partnerships, and a redesign of the federal health bureaucracy are needed. Many of these issues are relevant to mental health as well.
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This month, Provider asks leaders in health care policy to address health care reform and the value of grassroots lobbying efforts. Following are interviews with national congressional leaders, administration officials, and ACHA and other industry leadership on these issues.
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