Lives at Risk Single-Payer National Health

Lives at Risk identifies 20 myths about health care as delivered in countries that have national health insurance. These myths have gained the status of fact in both the United States and abroad, even though the evidence shows a far different reality. The authors also explore the political and economic climate of the health care system and offer alternatives to the current health care public policies.

Devon M. Herrick is a senior fellow at the National Center for Policy Analysis.

Foreword

vii

Acknowledgments

ix

Introduction: Thinking about Reform

1

(16)

Part I Twenty Myths

1 Rights

17

(10)

2 Equality

27

(16)

3 Needs

43

(6)

4 Outcomes

49

(10)

5 Technology

59

(8)

6 Quality

67

(10)

7 Costs

77

(8)

8 Efficiency

85

(8)

9 Unnecessary Care

93

(12)

10 Administrative Costs

105

(10)

11 Priorities

115

(4)

12 Prevention

119

(10)

13 Managed Care

129

(14)

14 International Competitiveness

143

(4)

15 The Elderly

147

(6)

16 Minorities

153

(6)

17 Rural Areas

159

(8)

18 Prescription Drugs

167

(10)

19 Public Opinion

177

(6)

20 Reform

183

(4)

Part II The Politics and Economics of Health Care Systems

21 The Politics of Medicine

187

(14)

22 Is Managed Competition the Answer?

201

(16)

Part III Reforming the U.S. Health Care System

23 Designing an Ideal Health Care System

217

(18)

24 Designing Ideal Health Insurance

235

(20)

Afterword

255

(2)

Index

257

(6)

About the Authors

263

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Lives at Risk Single-Payer National Health Insurance Around the World

Summary

Author Biography

Table of Contents

Supplemental Materials