Medicalizing the Opioid Epidemic in the U.S. in the Era of Health Care Reform

2017 ◽  
Vol 49 (2) ◽  
pp. 95-101 ◽  
Author(s):  
David E. Smith
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
Opioid Epidemic ◽  
The U.S

The 2010 U.S. health care reform: approaching and avoiding how other countries finance health care

2012 ◽  
Vol 8 (3) ◽  
pp. 289-315 ◽  
Author(s):  
Joseph White
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care Reform ◽  
The United States ◽  
International Norms ◽  
Finance System ◽  
Incomplete Coverage ◽  
Health Care Legislation ◽  
The U.S

AbstractThis article describes and analyzes the U.S. health care legislation of 2010 by asking how far it was designed to move the U.S. system in the direction of practices in all other rich democracies. The enacted U.S. reform could be described, extremely roughly, as Japanese pooling with Swiss and American problems at American prices. Its policies are distinctive, yet nevertheless somewhat similar to examples in other rich democracies, on two important dimensions: how risks are pooled and the amount of funds redistributed to subsidize care for people with lower incomes. Policies about compelling people to contribute to a finance system would be further from international norms, as would the degree to which coverage is set by clear and common substantive standards – that is, standardization of benefits. The reform would do least, however, to move the United States toward international practices for controlling spending. This in turn is a major reason why the results would include less standard benefits and incomplete coverage. In short, the United States would remain an outlier on coverage less because of a failure to make an effort to redistribute – a lack of solidarity – than due to a failure to control costs.

Doctor Knows Best

2020 ◽  
pp. 60-78
Author(s):  
Eric M. Patashnik ◽  
Alan S. Gerber ◽  
Conor M. Dowling
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
Leadership Role ◽  
Evidence Based ◽  
Medical Problems ◽  
The Public ◽  
Public Opinion Surveys ◽  
Survey Results ◽  
The U.S ◽  
Ordinary Citizens

This chapter discusses the results of national public opinion surveys that illuminate how ordinary citizens think about the medical evidence problem. The surveys demonstrate that doctors possess the influence, prestige, and standing to play a leadership role in educating the public about the inefficiencies and waste of the U.S. health care system. Because most Americans believe “doctor knows best,” they tend to have confidence in the advice of doctors, not only about individual medical problems, but also about broader health care reform issues. The surveys also reveal that Americans are naturally wary of health care reform proposals they fear could constrain physician discretion, such as requiring doctors to follow evidence-based clinical guidelines. The public's anxieties about proposals to make medicine more evidence based, however, can be overcome. Physician endorsements of such reforms significantly alleviate public fears. The survey results suggest that if doctors were to become forceful advocates for reform, their reputations as trusted, well-motivated experts position them to shape the views of ordinary citizens.

scholarly journals How Did Health Care Reform in Massachusetts Impact Insurance Premiums?

2012 ◽  
Vol 102 (3) ◽  
pp. 508-513 ◽  
Author(s):  
John A Graves ◽  
Jonathan Gruber
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
Affordable Care Act ◽  
Private Insurance ◽  
Statistical Evidence ◽  
Insurance Premiums ◽  
Health Reforms ◽  
The U.S

It is widely recognized that the 2006 Massachusetts health reforms served as a blueprint for national reform under the 2010 Affordable Care Act (ACA). As such, there is interest in using the Massachusetts experience to understand how insurance premiums might change under the ACA. In this paper, we analyze changes in private insurance premiums in Massachusetts between 2002 and 2010. In contrast to earlier estimates from Massachusetts (Cogan, Hubbard and Kessler 2010), we find no statistical evidence of changes in group premiums. By contrast, we find large reductions in non-group premiums in Massachusetts relative to the rest of the U.S.

The impact of health care reform on access to ART in the U.S.

2012 ◽  
Vol 98 (3) ◽  
pp. S254
Author(s):  
A.Y. Armstrong ◽  
H. Eltoukhi ◽  
J.H. Segars
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
The Impact ◽  
The U.S

scholarly journals Health-Care Reform and School-Based Health Care

2008 ◽  
Vol 123 (6) ◽  
pp. 704-708 ◽  
Author(s):  
Julia Graham Lear ◽  
Elizabeth A. Barnwell ◽  
Donna Behrens
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health System ◽  
Health Care Reform ◽  
School Health ◽  
School Based ◽  
Obesity Interventions ◽  
The U.S

There is growing recognition that health and health care at school can significantly impact children's health. From childhood obesity interventions to new immunization mandates, schools are at the forefront of child health discussions. The 2008 presidential campaign and the renewed focus on health-care reform raise the possibility that in 2009 school health will play a larger role in health policy conversations than previously. This article explores the proposition that both school health and national health policy will benefit from closer attention to the role of school health within the U.S. health system. It offers a Maryland case study to suggest both the opportunities and operational challenges of linking school health to the larger community health system.

Health Care Financing

2013 ◽  
Author(s):  
Candyce S. Berger
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
Social Workers ◽  
Health Care System ◽  
Health Care Costs ◽  
Health Care Financing ◽  
Reimbursement Mechanisms ◽  
Public And Private ◽  
Care Costs ◽  
The U.S

The U.S. health care system is a pluralistic, market-based approach that incorporates various public and private payers and providers. Passage of Medicare and Medicaid, combined with rapid advances in technology and an aging population, has contributed to rising health care costs that typically increase faster than general inflation. This entry will review health care financing, exploring where the money is spent, who pays for health care, what the reimbursement mechanisms for providers are, and some issues central to the discussion of reform of health care financing. To effectively advocate health care reform, social workers must understand health care financing.

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