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American Health Care: Government, Market Processes, and the Public Interest
 
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American Health Care: Government, Market Processes, and the Public Interest [Hardcover]

Roger D. Feldman (Editor), Mark V. Pauly (Foreword)
5.0 out of 5 stars  See all reviews (2 customer reviews)

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Book Description

April 18, 2000
President Clinton's health-care reform proposals of 1993 represented the most far-reaching social engineering attempted in the United States since the passage of Medicare and Medicaid in 1965. The Clinton plan would have herded almost all Americans under age sixty-five into large, government-sponsored health insurance purchasing alliances that would have offered standard benefits at regulated prices.

Despite the recent resurgence in proposals for such shunned policies, the critical literature has failed to offer a cogent analysis of why government control of health care does not work. American Health Care delivers that analysis. This powerful volume brings together fourteen leading experts in economics, law, history, and medicine to examine why untoward consequences usually follow when government sets out to do good things.

The book demonstrates, for example, how hospital-rate regulation raises hospital prices, that "no-fault" medical malpractice increases the occurrence of faulty medicine and that FDA regulation is a major cause for the escalating cost and long delays for new drugs. Part I, "Health Insurance and Finance," traces the genesis and development of Medicare and argues the consumer advantages of medical savings accounts and written health contracts. Part II, "Health-care Services," explores the fallacies of antitrust policies and attacks community rating for making health insurance unaffordable to young workers. Part III, "Drugs, Devices and Medication," contains a powerful critique of how FDA restrictions increase health risks, and critiques health-care regulations. The concluding part, "Health-care Personnel" explores improvements in private-section regulation of fees and the supply and quality of health professionals. American Health Care proposes reasonable balances between government and market options to supply health services, showing how the market can go further in performing critical functions for the health-care industry. This volume will be essential reading for health policy-makers, economists, historians, and health-care professionals.


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Editorial Reviews

About the Author

Roger D. Feldman is professor at the Institute for Health Services Research, University of Minnesota, and research fellow at The Independent Institute in Oakland, California. Mark V. Pauly is professor in the Department of Health-care Systems of the Wharton School, University of Pennsylvania. An Independent Institute Book

Product Details

  • Hardcover: 382 pages
  • Publisher: Transaction Publishers (April 18, 2000)
  • Language: English
  • ISBN-10: 1560004304
  • ISBN-13: 978-1560004301
  • Product Dimensions: 9.2 x 6.2 x 1.2 inches
  • Shipping Weight: 1.8 pounds (View shipping rates and policies)
  • Average Customer Review: 5.0 out of 5 stars  See all reviews (2 customer reviews)
  • Amazon Best Sellers Rank: #1,530,102 in Books (See Top 100 in Books)

 

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9 of 9 people found the following review helpful:
5.0 out of 5 stars from Business Information Alert, March 12, 2001
By A Customer
"American Health Care" is a collection of multidisciplinary essays supporting the argument that government and business must assume appropriate roles within health care to effectively change it. Working within these seemingly disparate roles, government and business should focus on how the private health market can further the health care system's ability to provide social services as a function in the marketplace.

The book challenges the concept that government can effectively manage the nation's health care. This model -- the authors collectively suggest -- was questioned by the public through a lack of support for the 1993 Clinton health care reform package. The editor compiles the analyses of expert economists, physicians, lawyers, and historians to explain the underlying rationale behind the public hesitancy to accept the notion that government should and can fix the deficiencies of the US health care system.

'American Health Care" provides insight that allows learned readers to speculate about where markets can take health care now and in the future. Its authors recognize that there are no fast solutions coming down the pike. This work presents concepts that are intended to generate constructive conversation toward the improvement of health care. The ideas are supported through the substantial notes and references accompanying each chapter.

Topics of discussion covered by the contributors represent four major policy areas that provide stumbling blocks to system-wide change. Essays in the first section contain discussions of the issues involved with health insurance financing, including an in-depth analysis of the Medicare program. In part 2, contributors look at health care services and institutions, antitrust issues, and reform at the state level. The effects of regulation on the drug approval process and its impact on patient care is examined in part 3, and the final section of the book looks at issues involving liability, licensing, and the health care fee structure.

The Independent Institue of California is a public policy education and reserch organization the aims -- through its various publishing programs -- to redefine the debate over public issues. In "American Health Care," it has provided ample scholarship to do so.

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10 of 12 people found the following review helpful:
5.0 out of 5 stars Sound Analysis, April 30, 2002
The collection of original essays in this volume is impressive. Together, they explore the history and current state of government policy toward health care in the United States. Each essay is clear and relevant. And the proposals make great good sense. Health care is far too important a service to be left in the hands of politicians and bureaucrats. This book helps explain why.
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