Health Affairs, 24, no. 6 (2005): 1399-1414 doi: 10.1377/hlthaff.24.6.1399 © 2005 by Project HOPE	New Online   House Health Reform Bill   Paying for Reform   Vetting AHIP's Report   HIV/AIDS Costs   Brief: Insurance Reform   HA Blog Top 10

This Article Full Text (HTML) Reprint (PDF) Submit a response to this article Comments: View responses Alert me when this article is cited Alert me when Comments are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (12) Citing Articles via Google Scholar Google Scholar Articles by Fuchs, V. R. Articles by Emanuel, E. J. Search for Related Content PubMed PubMed Citation Articles by Fuchs, V. R. Articles by Emanuel, E. J. Related Collections Health Reform Insurance Coverage Insurance - Employer-Based System Business Of Health Health Spending Politics Consumer Issues Insurance Market

Rethinking Reform

Health Care Reform: Why? What? When?

Dissatisfaction with the U.S. health care system is widespread, but no consensus has emerged as to how to reform it. The principal methods of finance—employer-based insurance, means-tested insurance, and Medicare—are deeply and irreparably flawed. Policymakers confront two fundamental questions: Should reform be incremental or comprehensive? And should priority be given to reforming the financing system or to improving organization and delivery? We consider here several proposals for incremental reform and three for comprehensive reform: individual mandates with subsidies, single payer, and universal vouchers. Over the long term, reform is likely to come in response to a major war, depression, or large-scale civil unrest.

                      What's this?

This article has been cited by other articles:

				V. Gray, D. Lowery, J. Monogan, and E. K. Godwin Incrementing Toward Nowhere: Universal Health Care Coverage in the States Publius, October 20, 2009; (2009) pjp023v1. [Abstract] [Full Text] [PDF]

				T. L. Creer Will healthcare reform actually occur in the US? Chronic Illness, June 1, 2009; 5(2): 134 - 141. [Abstract] [PDF]

				P. M. Carrera, K. K. Siemens, and J. Bridges Health Care Financing Reforms in Germany: The Case for Rethinking the Evolutionary Approach to Reforms Journal of Health Politics Policy and Law, October 1, 2008; 33(5): 979 - 1005. [Abstract] [PDF]

				J. Burdick Moral Hazard and Health Care for All Arch Surg, October 1, 2008; 143(10): 931 - 932. [Full Text] [PDF]

				E. M. Yano, B. F. Simon, A. B. Lanto, and L. V. Rubenstein The Evolution of Changes in Primary Care Delivery Underlying the Veterans Health Administration's Quality Transformation Am J Public Health, December 1, 2007; 97(12): 2151 - 2159. [Abstract] [Full Text] [PDF]

				A. S. Brett Two-Tiered Health Care: A Problematic Double Standard Arch Intern Med, March 12, 2007; 167(5): 430 - 432. [Full Text] [PDF]

				B. J. Krohmal and E. J. Emanuel Access and Ability to Pay: The Ethics of a Tiered Health Care System Arch Intern Med, March 12, 2007; 167(5): 433 - 437. [Full Text] [PDF]

				E. A. McGlynn and J. Wasserman Massachusetts Health Reform: Beauty Is In The Eye Of The Beholder Health Aff., November 1, 2006; 25(6): w447 - w449. [Abstract] [Full Text] [PDF]

				R. M. Wachter Expected and Unanticipated Consequences of the Quality and Information Technology Revolutions JAMA, June 21, 2006; 295(23): 2780 - 2783. [Full Text] [PDF]

				D. A. Cortese and R. K. Smoldt Healing America's Ailing Health Care System Mayo Clin. Proc., April 1, 2006; 81(4): 492 - 496. [Full Text] [PDF]

Comments: