The Voucher System in Georgia

Author(s):  
Simon Janashia
Keyword(s):  
1998 ◽  
Vol 28 (1) ◽  
pp. 29-46
Author(s):  
Jonathan Oberlander

There is growing enthusiasm for transforming Medicare into a voucher system. Advocates claim vouchers would increase the health care choices available to Medicare beneficiaries, reduce the regulatory burden on the federal government, and promote the benefits of fair market competition. In addition, some analysts contend vouchers are the only feasible solution to Medicare's short-term financing problems and the long-term “crisis” of the retirement of the baby-boom generation. The author argues against these claims. Vouchers would not work as advertised by proponents because of the limitations of risk-adjustment methods and unrealistic assumptions about consumer choice. Moreover, the elderly and disabled Medicare population is ill-suited to cope in a competitive insurance system. Implementation of vouchers would therefore pose a threat to both the health of beneficiaries and the stability of the Medicare program. The implications of this analysis for Medicare reform are discussed.


Author(s):  
Mark J Cherry

AbstractThe essays in this issue of The Journal of Medicine and Philosophy explore an innovative voucher program for encouraging kidney donation. Discussions cluster around a number of central moral and political/theoretical themes: (1) What are the direct and indirect health care costs and benefits of such a voucher system in human organs? (2) Do vouchers lead to more effective and efficient organ procurement and allocation or contribute to greater inequalities and inefficiencies in the transplantation system? (3) Do vouchers contribute to the inappropriate commodification of human body parts? (4) Is there a significant moral difference between such a voucher system and a market in human organs for transplantation? This paper argues that while kidney vouchers constitute a step in the right direction, fuller utilization of market-based incentives, including, but not limited to, barter exchanges (e.g., organ exchanges, organ chains, and organ vouchers), would save more lives and further reduce human suffering.


2020 ◽  
Vol 12 (8) ◽  
pp. 3362
Author(s):  
Ching-Sheng Hsu ◽  
Shu-Fen Tu ◽  
Zhao-Ji Huang

Issuing vouchers is a means of implementing social welfare. There are some security concerns about paper-based vouchers, such as counterfeiting, reproducing, their low operating efficiency and so on. This study explores how to apply blockchain technology and cryptography to build a secure e-voucher system in order to solve various shortcomings of paper vouchers. A feasible application model is proposed that integrates blockchain technology in the context of vouchers to support the field of social welfare. In this study, we conducted an analysis to prove that the security requirements of the e-voucher system are met when applying this model. Subsequently, we used the Hyperledger Fabric blockchain platform and Kafka ordering services to implement the campus welfare meal voucher system. A large number of experimental data were obtained to show that the system has a satisfactory performance. In the conclusion section, we discussed the theoretical and management implications of this study, and how this study meets UN Sustainable Development Goals.


1999 ◽  
Vol 33 (3) ◽  
pp. 429-432 ◽  
Author(s):  
John Little ◽  
David Stephens

Objective: The aim of this study was to demonstrate the clinical use of a patient-based voucher system for brief hospitalisation. Clinical picture: A 31-year-old male, chronically disabled, with schizophrenia, poly-substance, and borderline personality disorders presented concerns for the treating team. Treatment: Management was community based except for a single admission in which the patient chose the timing and duration via a predetermined set of vouchers. Outcome: In contrast to previous admissions, a patient-chosen, voucher-based admission was single, brief and uneventful. Conclusions: Novel approaches to chronically disabled patients with psychiatric illness enable change from therapeutic pessimism. A patient-based voucher system seemed to be of use in one patient.


1990 ◽  
Vol 13 (3) ◽  
pp. 60-68
Author(s):  
Melvin E. Modderman ◽  
Hiluard G. Rogers

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