The current Law of the Land is the Affordable Care Act. The question? In 2017, Republicans wanted their leaders to continue the ACA repeal and replace (66 percent). It is of interest that 28 percent of Republicans were interested in improving the way the ACA was working. Democrats told their leaders that they wanted to improve the way the ACA was working (52 percent) while 43 percent wanted them [...]
In my past four posts, we have examined what our healthcare “system” choices are. To review, they are: the Beveridge National Health Service Model, the Bismarck model, the National Health Insurance model, and the Out-of-Pocket Model.” (1)(2) What current American model would be the basis for the government sponsored healthcare portion? “’About half think they’ll be able to keep their current insurance,’” says Mollyann Brodie, PhD, Executive Director of [...]
Today we will talk about RETURN ON INVESTMENT or ROI. The first questions would be how does each model, of the four major models for health care systems: the Beveridge National Health Service Model, the Bismarck model, the National Health Insurance model, and the Out-of-Pocket Model, (1) compare when we look at population coverage? (2) Every modern nation other than the United States ensures healthcare as a basic right [...]
In my previous blogs we have looked in depth at three of the four major models for health care systems: Beveridge National Health Service Model , the Bismarck Model, and the National Health Insurance Model. Today's blog post will discuss the final Out-of-Pocket Model (1)(2). The Out-of-Pocket Model: Market-driven Health Care Examples: rural areas in India, China, Africa, South America. Relevance to the U.S.: similar to treatment for uninsured or underinsured. We have discussed in [...]
Among our healthcare “system” choices are four major models: the Beveridge National Health Service Model, the Bismarck Model, the National Health Insurance Model, and the Out-of-Pocket Model (1)(2). In previous blogs we looked in depth at the Beveridge National Health Service Model and the Bismarck Model. In this blog post, we are going to examine the third of the four models: the National Health Insurance Model. The National Health Insurance Model: single-payer national health [...]
Among our healthcare “system” choices are four major models. In my last blog we looked in depth at the Beveridge National Health Service Model. Of the remaining three: the Bismarck Model, the National Health Insurance Model, and the Out-of-Pocket Model (1)(2), this week the discussion will focus on the second of the four models: the Bismarck Model. The Bismarck Model: social health insurance model Examples: Germany, Belgium, Japan, Switzerland Relevance to [...]
And what are our healthcare “system” choices? There are four major models for health care systems: Beveridge National Health Service Model Bismarck Model National Health Insurance Model Out-of-Pocket Model. (1)(2) I will discuss them one at a time. In this blog post, we will examine the Beveridge Model. The Beveridge Model: A single-payer national health service that was first developed by Sir William Beveridge in 1948. Examples: United Kingdom, [...]
In this blog I begin to discuss dollars and sense. “The legislative text (“Medicare for All” proposal) won’t include a financing plan. Opponents of a single-payer system say it would require major tax increases and cost more than $30 trillion in its first decade. Supporters say it would save money by reducing the expected pace of U.S. health-care spending. Funding options include a so-called wealth tax and increasing the [...]
I support physician leadership, even when considering a one-party payor system. The broadest division among one-party payor system advocates is how the delivery of care is organized. The Democrats have revealed their “Medicare for All” proposal. According to the Wall Street Journal. Here are the salient features. Under the Medicare for All Act of 2019, the federal government would pay for the following[1]: Health coverage for all Americans [...]
To reiterate a previous blog post, we know Health Care is an important national topic. Also, a federal judge ruling that the ACA is unconstitutional has set the stage for its continued importance. The ACA is still in place until 2019 when the mandate to have insurance goes away, thanks to the 2017 Tax Bill. Appeals have begun. The Supreme Court will become involved. Health Care will continue to be [...]