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Biomedical subjects

G A Silver

Publications and source records attributed to G A Silver.

At least 55 records · Page 3Linked to original sources
PubMed1979

Cost containment: medical system rehabilitation or reform.

Cost containment is considered the premier goal for improvement of the medical care system. Before any other steps can be taken to improve availability, accessibility, or quality, or before introduction of any governmental programs for the removal of economic obstacles to obtaining medical care,--in other words, before any effort to make the medical care system more equitable--the rapid hyperinflation of medical care costs must be arrested. It is argued here that the defects of the system as currently operating are such that no cost control effort can be effective without radical change and reorganization of the system itself: methods of practice, methods of reimbursing providers, and methods of assuring accountability and supervision. And it is further argued, that if only cost control measures are instituted, not only will inflation not be stemmed, but it will be further aggravated and at the same time, the poor and minorities now suffering the consequences of an inadequate, ineffective, and unresponsive medical care system will be further deprived.

Cost Control↗
PubMed1976

Medical politics, health policy. Party health platforms, promise and performance.

Health policy in the United States is a product of medical politics. "Medical politics" includes not only traditional patterns of interest group pressures but traditional political party philosophies and patient expectations as well. Characteristic Republican politics reflects narrower governmental spending and greater emphasis on support of entrepreneurial effort. Desired effects will "trickle down" to the needy. Democratic politics tend to follow a more generous spending line, not neglecting the entrepreneurs, but spreading some of the funds around to the needy themselves. In addition, Republicans tend to distrust salaried officials, placing governmental power (through government funds) into the hands of private agencies or companies. Democrats hesitate less to build bureaucratic structures. On the record, both parties follow roughly similar lines in spite of these philosophic differences, which turn out to be differences in style. Both parties have practiced restraint in financing of medical services, only recently undertaking payment for these, and only recently undertaking to pay for medical education. Research has been a favored federal focus. Rapid and seemingly uncontrollable inflation has forced both parties to take a harder line. Political platforms are not necessarily clear signals of eventual party action. Nevertheless, they underline what the parties consider to be the problems as the voters see them and they express what the parties see as the appropriate response to these problems. This paper suggests what the party platforms will look like for the presidential election this year and also what the parties will probably do thereafter.

Aged↗
PubMed1974

EPSDT.

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Adult↗