Publications -- Health

BA #651 – Exposing the Myths of Universal Health Coverage

Recent health care reform proposals have largely focused on achieving universal coverage through a combination of private-sector mandates, regulation of insurance premiums and expansion of government insurance.  Proponents argue that adding more regulations and spreading costs across a wider insurance pool will make coverage more affordable.  Reality belies these myths.

BA #649 – 10 Surprising Facts about American Health Care

Medical care in the United States is derided as miserable compared to health care systems in the rest of the developed world. Economists, government officials, insurers and academics alike are beating the drum for a far larger government rôle in health care. Much of the public assumes their arguments are sound because the calls for change are so ubiquitous and the topic so complex. However, before turning to government as the solution, some unheralded facts about America's health care system should be considered.

Health Care Reform: Do Other Countries Have the Answers?

Although national health insurance has considerable support within the medical profession, the degree to which patient empowerment, individual choice, competition, and market incentives are being consciously and successfully used to solve health care problems is far more extensive than is commonly realized.

BA #647 – Reforming Medicare

How can we control the rising cost of Medicare? Fortunately, there are an enormous number of people who have answers. These include most of the 44 million enrollees, 650,000 doctors and 30,000 facilities participating in Medicare. In fact, almost everyone who has contact with the system can produce examples of waste and inefficiency that could be eliminated

BA #645 – Rationing Care: Oregon Changes Its Priorities

To our knowledge, the Oregon Health Plan is the first government health care program anywhere in the world that has drawn up a formal procedure for rationing.

BA #642 – Small Business Health Insurance

Small business employees are much less likely to have access to employer-sponsored health coverage than the employees of larger firms.

ST #318 – Health Care Entrepreneurs: The Changing Nature of Providers

The market for medical care does not work like other markets. Providers typically do not disclose prices prior to treatment because they do not compete for patients based on price. Payments are usually not made by patients themselves but by third parties - employers, insurance companies or government. And the amounts paid are not really market-clearing prices; they are "reimbursement" rates negotiated with bureaucratic institutions and networks. Furthermore, when providers do not compete on price, they usually do not compete on quality either. In fact, in a very real sense, doctors and hospitals are not competing for patients at all - at least not in the way normal businesses compete in markets.

How Parents Can Protect Their Kids against Staph Infections

The threat of drug-resistant bacteria infecting schoolchildren has been scaring parents
across America, after a new report from the Centers for Disease Control and Prevention
made national headlines.  However, public health officials are cautioning parents not to overreact.

ST #315 – A Framework for Medicare Reform

The most important domestic policy problem this country faces is health care. The most important component of that problem is Medicare. Forecasts by every federal agency that produces such simulations - the Congressional Budget Office (CBO), the Social Security/Medicare Trustees, the General Accounting Office (GAO) - show that we are on a dangerous and unsustainable path. Indeed, the question is not: Will reform take place? The question is: How painful will reform have to be?

BA #630 – How to Make Health Insurance Affordable

Public officials and health care experts have recently suggested a number of reforms to reduce the cost of individual health insurance.  However, most of the proposals fail to address the contribution of mandated benefits to the high cost of insurance in many states.