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Graduate Medical Education

PERSPECTIVE

Another Alternative For Financing Graduate Medical Education

Two economists, Joseph Newhouse and Gail Wilensky, provide a historical perspective that helps to explain the controversial, complex, and often confusing policies that have become our nation’s method for financing postgraduate training of physicians. It is perplexing that graduate medical education (GME) is financed primarily through Medicare. This is not to say that other "payers"—for example, health insurance plans—do not also contribute. As the authors point out, "We already effectively have an all-payer scheme." Unfortunately, such payments are not explicit, and private insurers "determine what use they wish to make of teaching hospitals and what rate they are willing to . . . [Full Text of this Article]

Reform Proposals

 
MedPAC.Bipartisan Commission.

COGME’s Proposal

 
Contrast with MedPAC proposal.

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