Medicare: Preparing for the Challenges of the 21st Century (Conference of the National Academy of Social Insurance) [Paperback]

Robert D. Reischauer (Editor), Stuart Butler (Editor), Judith R. Lave (Editor)

Book Description

ISBN-10: 0815773994 | ISBN-13: 978-0815773993 | Publication Date: January 1998

In this cross-cutting analysis, some of the nation's most prominent social insurance experts go beyond recent budget debates to examine the fundamental and technical choices Medicare poses for the American people in the next century. The book begins with a consideration of the underlying social contract between Medicare's beneficiaries and workers. Pointing out that Medicare historically has had particular significance for civil rights and women's economic security in addition to providing health security, the authors debate the appropriate social contract for the future. The book also lays out the challenges in financing Medicare as health care costs rise and the population ages. Several authors explore how the growth in managed care is likely to affect Medicare beneficiaries with particular emphasis on beneficiaries with chronic illness, and they address some of the policy changes needed to make managed care better. In addition, they also look at how managed-care tools could be applied to the fee-for-service sector. The book concludes with an examination of how public opinion, politics, and leadership affect the prospects for significant Medicare restructuring in the near and long term. Copublished with the National Academy of Social Insurance

Editorial Reviews

From the Publisher

Copublished with the National Academy of Social Insurance

About the Author

Robert D. Reischauer is a senior fellow at the Brookings Institution and former director of the Congressional Budget Office. Stuart Butler is vice president and director of domestic and economic policy studies at the Heritage Foundation. Judith Lave is a professor of health economics in the graduate school of public health at the University of Pittsburgh. Michael Gluck is director of health policy studies at the National Academy of Social Insurance.

Contributors include Robert Ball, Theda Skocpol, Robert Blendon, Celinda Lake, William McInturf, E. J. Dionne, Sheila Burke, Stuart Butler, William Gradison, and Marilyn Moon.

Product Details

• Paperback: 329 pages
• Publisher: Brookings Inst Pr (January 1998)
• Language: English
• ISBN-10: 0815773994
• ISBN-13: 978-0815773993
• Product Dimensions: 9 x 6 x 0.9 inches
• Shipping Weight: 15.2 ounces
• Amazon Best Sellers Rank: #3,717,902 in Books (See Top 100 in Books)