Health Care Issues
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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.
Health Care Issues
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Presentation Transcript
Health Care Issues • Cost – To Society • Access • Quality
Health Care Market • Competitionlarge number of buyers and sellers • Informationbuyer and seller have full information • Externalitiesthird parties do not bear costs or benefits
Competition • Licenses limit number of suppliers • Patents on pharmaceuticals create monopolies • Increasing number of health insurance providers limits bargaining powerall this increases costs
Information • Doctors, not patients, have most of the information • Doctors (providers) make the major decisions, but do not bear the costs
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 • 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) • 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
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
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)