Health Affairs, 23, no. 1 (2004): 88 doi: 10.1377/hlthaff.23.1.88 © 2004 by Project HOPE	New Online   Pay Cuts For Medicare Docs   Access To Care Woes   Public Coverage More Efficient   Empowering Consumers

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Medicare Challenge

The Challenges Of A Medicare Drug Benefit

PROLOGUE: Sigmund Freud, a shrewd and perhaps compulsive observer of human nature, recognized in an early work that the cost of psychoanalytic care should be high enough that the patient felt the pinch because, he reasoned, patients will value that for which they have paid dearly. His clientele was typically well-to-do, if not well adjusted. Freud has been both venerated and pilloried, but his insights on pricing might reflect a truth that transcends that on the ego and the id. Today the challenge of pinpointing the "appropriate" price for health care, particularly the increasingly prominent prescription drug component, is engaging . . . [Full Text of this Article]

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