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Health Care Issues. Cost – To Society Access Quality. Cost. Access: % without Health Insurance. Quality. Health Care Market. Competition large number of buyers and sellers Information buyer and seller have full information Externalities third parties do not bear costs or benefits.

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Presentation Transcript
Health care issues
Health Care Issues

  • Cost – To Society

  • Access

  • Quality





Health care market
Health Care Market

  • Competitionlarge number of buyers and sellers

  • Informationbuyer and seller have full information

  • Externalitiesthird parties do not bear costs or benefits


Competition
Competition

  • Licenses limit number of suppliers

  • Patents on pharmaceuticals create monopolies

  • Increasing number of health insurance providers limits bargaining powerall this increases costs


Information
Information

  • Doctors, not patients, have most of the information

  • Doctors (providers) make the major decisions, but do not bear the costs


Externalities
Externalities

  • Socialized costs: Insurance (government and private).

  • Socialized benefits: communicable diseases.

  • Government tax benefits subsidize expensive insurance.

  • Cost of care for uninsured passed on to the insured.


History of us health care
History of US Health Care

  • U.S. Health Care History

  • 1919: California Health Insurance defeated

  • 1935: Social Security Act: No Health Ins.

  • 1937: National Institute of Health

  • 1946: Hill-Burton Act: Hospital construction

  • 1950: Truman NHI defeated; AMA opposed

  • 1950's AMA supports Blue Cross\Blue Shield Health Insurance Tax deductible


History continued
History (Continued)

  • 1965: Medicaid and Medicare: (AMA opposed)

  • 1973: Health Maintenance Organizations (tax and regulatory preferences)

  • 1974: National Health Planning and Resources Development Act: {Certificates of Need}

  • 1986 (COBRA) – (continue plan after losing job)

  • 1994 Clintons' Health Care Plan defeated

  • 1996: Health Insurance Portability and Accountability Act -- continued coverage pre-existing conditions

  • 1997: CHIPS (children’s health insurance)

  • 2003: Health Savings Accounts


Health care europe and us

Europe

National Health Service, or

National Health Insurance

Covers 80-100% of pop

Covers 70-90 of costs

United States

Medicare (elderly) {Parts A & B}

Medicaid (poor)

Tax exclusion for employer coverage (middle class)

Indian Health Services

CHIPS (working poor, children)

Veterans Health Care

More………….

Health Care: Europe and US


Us programs continued

Black Lung Health Benefits

Municipal Hospitals

Community Health Clinics

Community Mental Health

Kidney dialysis program

Covers 45% of pop

Covers 45% of cost (excluding tax benefits)

US Programs (continued)