Chronic Condition: Why Health Reform Fails

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Harvard University Press, 1997 - Medical - 279 pages
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Chronic Condition provides a compelling analysis of the causes of the current health care crisis and of the shortcomings of reform proposals. It also offers an ingenious new framework for reform that, while minimizing government interference, would provide a means for financing care for the less affluent.

Sherry Glied shows that rising health care spending is consistent with a rising standard of living. Since we can, as a nation, afford more health care, reform must address not the overall level of health care costs but the distribution of health care spending.

Prior reform proposals, Glied argues, have failed to account for the tension between the clearly manifested desire for improving the quality of health care and the equally widespread interest in assuring that the less fortunate share in these improvements. After careful analysis of the ill-fated Clinton plan, Glied proposes a new solution that would make the willingness to pay for innovation the means of financing health care improvements for the less affluent. While rejecting the idea that the distribution of health care should be perfectly equal, Glied's proposal would enable all Americans to benefit from the dynamics of the free market.

 

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Contents

Medicalists and Marketists
17
The Illusion of Inefficiency
36
Can We Afford More Health Care?
86
How Much to Whom?
122
The Institutional Structure of Reform
157
The Clinton Plan
186
A Proposal
213
Notes
233
References
251
Index
275
Copyright

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Page 257 - Acute Health Care Costs for the Aged Medicare Population: Overview and Policy Options.

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About the author (1997)

Sherry Glied is Assistant Professor of Economics and Public Health at Columbia University. She was a Senior Economist on the President's Council of Economic Advisors with special responsibility for health care policy during the Bush and Clinton administrations.

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