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At least 37 records · Page 2Linked to original sources
PubMed1989

A national health program for the United States. A physicians' proposal.

Our health care system is failing. Tens of millions of people are uninsured, costs are skyrocketing, and the bureaucracy is expanding. Patchwork reforms succeed only in exchanging old problems for new ones. It is time for basic change in American medicine. We propose a national health program that would (1) fully cover everyone under a single, comprehensive public insurance program; (2) pay hospitals and nursing homes a total (global) annual amount to cover all operating expenses; (3) fund capital costs through separate appropriations; (4) pay for physicians' services and ambulatory services in any of three ways: through fee-for-service payments with a simplified fee schedule and mandatory acceptance of the national health program payment as the total payment for a service or procedure (assignment), through global budgets for hospitals and clinics employing salaried physicians, or on a per capita basis (capitation); (5) be funded, at least initially, from the same sources as at present, but with all payments disbursed from a single pool; and (6) contain costs through savings on billing and bureaucracy, improved health planning, and the ability of the national health program, as the single payer for services, to establish overall spending limits. Through this proposal, we hope to provide a pragmatic framework for public debate of fundamental health-policy reform.

Budgets↗
PubMed1988

The arguments against a national health program: science or ideology?

This article provides empirical information that questions some of the major arguments put forward against the establishment of a comprehensive and universal health program in the United State. The positions that (1) "Americans do not want a further expansion of government roles in their lives," (2) "a National Health Program would further increase the rate of growth of health expenditures," (3) "the federal deficit is too large and needs to be reduced before establishing a National Health Program," and (4) "people do not want to pay higher taxes," are shown to be ideological rather than scientific. The author presents evidence that questions each of these assumptions.

Budgets↗
PubMed1989

The rediscovery of the National Health Program by the Democratic Party of the United States: a chronicle of the Jesse Jackson 1988 campaign.

This report chronicles the major developments in the Jesse Jackson 1988 Campaign and their consequences for the establishment of a national health program in the United States. It describes the characteristics of the Jackson 1988 Campaign, and the set of events that led to the rediscovery of the national health program by the Democratic Party of the United States.

Health Benefit Plans, Employee↗
PubMed2005

Concentration of U.S. hospitals, 1991--1999, and its implications for a national health program.

Concentration of hospitals into systems increased from 1991 to 1999. The share of patient care in systems as opposed to independent hospitals rose from 39 to 57 percent. More concentration occurred among secular not-for-profit hospitals than among for-profit hospitals. Systems of hospitals raise the concentration ratio in local markets dramatically. The change in economic structure and market power challenges traditional proposals and strategies aiming to achieve a national health program.

Hospitals↗
PubMed1988

Free care: a quantitative analysis of health and cost effects of a national health program for the United States.

We estimate the health and cost effects of instituting a National Health Program (NHP) in the United States that would provide universal, comprehensive free care. Based on empiric studies of the relationship of health service use to cost and health outcomes, we estimate that an NHP would increase use of health services by 14.6 percent and save between 47,000 and 106,000 lives annually. Because the United States faces a growing surplus of hospital beds and physicians, additional services could be provided at low cost. Simplifying the health bureaucracy that currently enforces unequal access to care would also result in substantial savings. Consequently, an NHP would actually decrease costs 2.4 percent, $10.2 billion annually, since the $35.7 billion spent for additional services would be offset by $45.9 billion saved on bureaucracy.

Comprehensive Health Care↗
PubMed1978

A national health program for infants, children and youth.

Health care in the United States is widely considered to be a right of infants, children and youth. With our current national concern for the increase in the cost of health care, children and youth represent a possible candidate population for early special coverage under a national health program.

Adolescent↗
PubMed1987

Towards a national health program. The components of care.

The writer contends that incorporating all the components of health, not only medical care, should be our goal as we strive for a comprehensive national system. In discussing the prospects for a national health program, Terris draws on the ideas and observations of Henry Sigerist, the noted medical historian who brilliantly analyzed the political preconditions for the establishment of national health insurance. Finally, he argues that the lessons of Canada offer progressives here a valuable point of departure.

Canada↗