Health care for us all : getting more for our investment / Earl L. Grinols, James W. Henderson.

Format:

Book

Author/Creator:

Grinols, Earl L., 1951-

Contributor:

Henderson, James W.

Language:

English

Subjects (All):

Medical economics--United States.

Medical economics.

United States.

Medical care--United States--Evaluation.

Medical care.

Evaluation.

Health services administration--United States.

Health services administration.

Physical Description:

xxvi, 276 pages : illustrations ; 24 cm

Place of Publication:

Cambridge ; New York : Cambridge University Press, 2009.

Contents:

Part I Goals and Working Principles

1 Introduction 3

2 Goals 17

2.1 Goal 1: Universal Coverage 19

2.2 Goal 2: Patient-Centered Coverage 21

2.3 Goal 3: Respect for Incentives for High-Quality Care 21

2.4 Goal 4: Cost Containment 24

2.5 Goal 5: Sustainability 24

3 Principles 26

3.1 Principle 1: The Intervention Principle 27

3.2 Principle 2: Incentive Symmetry 29

3.3 Principle 3: Every Pot Sits on Its Own Base 31

3.4 Principle 4: No Polittroughing 36

3.5 Principle 5: No Governmentalizing 41

3.6 Principle 6: No Ponzi Schemes 44

Part II Background Economics and Ethics

4 Markets, VPOs, Government 49

4.1 Voluntary Private Organizations 51

4.2 Markets 53

4.3 Government 60

4.4 Implications for Efficient Intervention in Health 67

5 Education, Charity, and the American Ethical Base 69

5.1 Lessons from Education 71

5.2 The American Ethical Base 78

5.3 Summary on Public Provision of Private Goods and Charity 87

Part III Application

6 Why Government in Health Care? 91

6.1 Efficient Collective Action: Reprise 92

6.2 Public Provision of Private Goods Cautions 99

6.3 Is Health Care Different? 105

6.4 Conclusion 107

7 Insurance 109

7.1 What's Wrong with This Tale? 109

7.2 Essential Insurance 111

7.3 Summary and Evaluative Discussion 126

8 The Targeted Intervention Plan 130

8.1 The Plan 131

8.2 Enabling Compassion 148

8.3 Financing the Targeted Intervention Plan 149

8.4 Transition Issues 151

8.5 Mandates versus Incentives versus Leaving Some Uninsured 154

8.6 Answers to Questions 156

8.7 How the System Works: A Parable 159

8.8 Conclusions 161

Part IV Protective Measures

9 Forestalling Free Riders 167

9.1 Background 167

9.2 Massachusetts: Levelling the Playing Field 168

9.3 Switzerland: Individual Responsibility in a Federalist Framework 173

9.4 Lessons from Massachusetts and Switzerland 176

10 Preserving Prices 178

10.1 Background 178

10.2 Pricing 179

10.3 Restraining Prices in Theory 185

10.4 Rationalization Suggestions 189

10.5 Conclusions 191

11 Inducing Innovation 193

11.1 Introduction 193

11.2 Policies toward Research and Development (R&D) 195

11.3 The Intertemporal Bounty 199

11.4 Conclusion 205

12 Summary 206

A Top Ten Goals for the American Health Care System 215

B Badly Done Insurance Programs Can be Worse Than No Insurance 225

C Incentive Symmetry and Intervention Principle 231

C.1 Notation 232

C.2 Incentive Symmetry 233

C.3 Intervention Principle 234

D Plan Workability 237

D.1 Data 237

D.2 Assessing the Targeted Intervention Plan 238

D.3 Recommendations 242

D.4 Summary and Evaluative Discussion 243

E Market Power Response to Insurance 245.

Notes:

Includes bibliographical references and index.

ISBN:

9780521445665

0521445663

9780521738255

0521738253

OCLC:

268547427