Health Care for Us All: Getting More for Our

Health Care for Us All challenges the common belief that health care problems in the United States are difficult and possibly insoluble. Americans want to get more for their health care spending, including insurance coverage for all that is personal, portable, and permanent. They want a system that respects incentives for quality care, exhibits a responsible approach to the budget, and is sustainable. Health Care for Us All adopts these five objectives and applies an efficiency filter to identify the virtually unique framework that meets all objectives. Impediments to achieving Americans' goals can be summarized under the rubrics of too little insurance, too little income, and too little properly functioning market. The efficient remedy for each is the subject of the book. Related philosophical as well as economic issues, such as why there should be government involvement in health care, are analyzed.

List of Tables	p. x
List of Figures	p. xi
Preface	p. xiii
Acknowledgments	p. xix
Executive Summary of the Targeted Intervention Plan	p. xxi
Goals and Working Principles
Introduction	p. 3
Goals	p. 17
Goal 1: Universal Coverage	p. 19
Goal 2: Patient-Centered Coverage	p. 21
Goal 3: Respect for Incentives for High-Quality Care	p. 21
Goal 4: Cost Containment	p. 24
Goal 5: Sustainability	p. 24
Principles	p. 26
Principle 1: The Intervention Principle	p. 27
Principle 2: Incentive Symmetry	p. 29
Principle 3: Every Pot Sits on Its Own Base	p. 31
Principle 4: No Polittroughing	p. 36
Principle 5: No Governmentalizing	p. 41
Principle 6: No Ponzi Schemes	p. 44
Background Economics and Ethics
Markets, VPO's Government	p. 49
Voluntary Private Organizations	p. 51
Markets	p. 53
Government	p. 60
Implications for Efficient Intervention in Health	p. 67
Education, Charity, and the American Ethical Base	p. 69
Lessons from Education	p. 71
The American Ethical Base	p. 78
Summary on Public Provision of Private Goods and Charity	p. 87
Application
Why Government in Health Care?	p. 91
Efficient Collective Action: Reprise	p. 92
Public Provision of Private Goods Cautions	p. 99
Is Health Care Different?	p. 105
Conclusion	p. 107
Insurance	p. 109
What's Wrong with This Tale?	p. 109
Essential Insurance	p. 111
Summary and Evaluative Discussion	p. 126
The Targeted Intervention Plan	p. 130
The Plan	p. 131
Enabling Compassion	p. 148
Financing the Targeted Intervention Plan	p. 149
Transition Issues	p. 151
Mandates versus Incentives versus Leaving Some Uninsured	p. 154
Answers to Questions	p. 156
How the System Works: A Parable	p. 159
Conclusions	p. 161
Protective Measures
Forestalling Free Riders	p. 167
Background	p. 167
Massachusetts: Leveling the Playing Field	p. 168
Switzerland: Individual Responsibility in a Federalist Framework	p. 173
Lessons from Massachusetts and Switzerland	p. 176
Preserving Prices	p. 178
Background	p. 178
Pricing	p. 179
Restraining Prices in Theory	p. 185
Rationalization Suggestions	p. 189
Conclusions	p. 191
Inducing Innovation	p. 193
Introduction	p. 193
Policies toward Research and Development (R&D)	p. 195
The Intertemporal Bounty	p. 199
Conclusion	p. 205
Summary	p. 206
Top Ten Goals for the American Health Care System	p. 215
Badly Done Insurance Programs Can be Worse Than No Insurance	p. 225
Incentive Symmetry and Intervention Principle	p. 231
Notation	p. 232
Incentive Symmetry	p. 233
Intervention Principle	p. 234
Plan Workability	p. 237
Data	p. 237
Assessing the Targeted Intervention Plan	p. 238
Recommendations	p. 242
Summary and Evaluative Discussion	p. 243
Market Power Response to Insurance	p. 245
Glossary and Definitions	p. 247
References	p. 253
Index	p. 267
Table of Contents provided by Ingram. All Rights Reserved.

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Health Care for Us All: Getting More for Our Investment

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