No developed nation relies exclusively on the private sector to finance health care for citizens. This book begins by exploring the deficiencies in private health insurance that account for this. It then recounts the history and examines the legal character of America’s public health care entitlements – Medicare, Medicaid, and tax subsidies for employment-related health benefits. These programs are increasingly embattled, attacked by those advocating privatization (replacing public with private insurance); individualization (replacing group and community-based insurance with approaches based on individual choice within markets); and devolution (devolving authority over entitlements to state governments and to private entities). Jost critically analyzes this movement toward disentitlement. He also examines the primary models for structuring health care entitlements in other countries – general taxation-funded national health insurance and social insurance – and considers what we can learn from these models. The book concludes by describing what an American entitlement-based health care system could look like, and in particular how the legal characteristics of our entitlement programs could be structured to support the long-term sustainability of these vital programs.
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- Medicare Tax? Health Care for the Elderly? Let’s look at the facts about the proposed Medicare Tax … and a medical care program for the aged that already exists! What’s the hurry here? The supporters of the proposed Medicare Tax would have you believe that passage of this controversial bill is urgent … that persons over 5 are deprived of needed medical care because they can’t pay for it. Nothing could be further from the truth. The Kerr-Mills Law, passed by Congress in 1960 – enabled individual states to guarantee to every elderly person who needs help the health care he or she requires. We call this health program … Health Opportunity for the Elderly. Thousands of people every day are being helped by its generous benefits. And unlike Medicare, which would substantially increase your Social Security Tax payroll deductions, existing programs are being paid for now by a part of your present tax dollar! Medicare? NO. Health Care for the Elderly? YES! ….. 1964 American Medical Association Ad, A5157.
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