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Biomedical subjects

J C Lewin

Publications and source records attributed to J C Lewin.

15 recordsLinked to original sources
PubMed1994

Reflections on national health care reform based on Hawaii's experience.

In 1974, Hawaii began addressing the problem of health care accessibility. As a result of legislative action, near universal health care coverage has been achieved. These include employer mandates to provide adequate health insurance, regulation of insurance products, control of costly health care facilities, and government assistance to those not provided health insurance through employment. By providing primary care, total health care costs are considerably below national average--even though actual cost of living is over 30% greater. Public health statistics suggest a healthier population than the national average. This cannot be attributed to a healthy or relaxed lifestyle or ethnic mix, but rather to the state health care system itself. Economically and culturally, Hawaii closely resembles the rest of the United States, and there has been no evidence of reduced employment due to the aforementioned employer mandate.

Hawaii↗
PubMed1993

Hawaii's employer mandate and its contribution to universal access.

Much national debate centers around national models in which an employer mandate plays an important role in providing for health care coverage for all Americans. Hawaii has had the nation's only health insurance employer mandate for almost 20 years, yet little is known nationally about the mandate itself or Hawaii's experience with it. This article describes the long-term effects of Hawaii's employer mandate on health care access and costs, and offers reflections on the potentials of national health care reform based on Hawaii's experience.

Commerce↗
PubMed1989

Meeting the challenge of Hawaii's mental health crisis: new opportunities and innovations in the state mental health system for the 1990s.

Recently, Hawaii's mental health care system has been in the news because of its alleged infamy as one of the poorest systems in the United States of America today. Hawaii has not always been considered a state with a conspicuously poor commitment to mental health. The Department of Health (DOH), the oldest department of health in the United States of America, was formed in 1850 by King Kamehameha III. In fact, Kamehameha III, recognizing the importance of developing programs in mental health, was one of the earliest political leaders in history to support government-sponsored mental health services.

Delivery of Health Care↗