Posting date: October 9, 2002
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Health Affairs, 10.1377/hlthaff.w2.311
Copyright © 2003 by Project HOPE


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Medicare Versus Private Insurance: Rhetoric And Reality

Karen Davis 1*, Cathy Schoen 2, Michelle Doty 3, Katie Tenney 4

1 Karen Davis is president of the Commonwealth Fund in New York City.
2 Cathy Schoen is vice-president for health policy, research, and evaluation at the Commonwealth Fund in New York City.
3 Michelle Doty is a senior analyst at the Commonwealth Fund in New York City.
4 Katie Tenney is special assistant to the president at the Commonwealth Fund in New York City.

*Corresponding author.

  Abstract

Many policymakers have called for the remodeling of Medicare to more closely resemble private insurance, which is often assumed to work better than public programs do. However, evidence from this 2001 survey demonstrates that Medicare beneficiaries are generally more satisfied with their health care than are persons under age sixty-five who are covered by private insurance. Medicare beneficiaries report fewer problems getting access to care, greater confidence about their access, and fewer instances of financial hardship as a result of medical bills. Making the program more like private insurance runs the risk of undermining a program that is working well from the perspective of beneficiaries.

Key Words: Access To Care, Medicare, Public Opinion


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K. Davis, S. Guterman, M. M. Doty, and K. M. Stremikis
Meeting Enrollees' Needs: How Do Medicare And Employer Coverage Stack Up?
Health Aff., July 1, 2009; 28(4): w521 - w532.
[Abstract] [Full Text] [PDF]