Health reform redux: Learning from experience and politics

American Journal of Public Health

Volumn 99, Issue 5, 2009, Pages 779-786

  Ross, Johnathon S ^a  

^a MEDICAL COLLEGE OF OHIO   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

COST BENEFIT ANALYSIS; ECONOMIC ASPECT; HEALTH CARE COST; HEALTH CARE PLANNING; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HEALTH INSURANCE; HEALTH PROGRAM; HEALTH SERVICE; HISTORY OF MEDICINE; MEDICARE; POLITICS; REVIEW; SOCIAL CARE;

HEALTH CARE REFORM; HUMANS; POLITICS; UNITED STATES; UNIVERSAL COVERAGE;

EID: 68949105843     PISSN: 00900036     EISSN: 15410048     Source Type: Journal    
DOI: 10.2105/AJPH.2008.148510     Document Type: Review

References (98)

1. Birn AE, Brown TM, Fee E, Lear WJ. Struggles for national health reform in the United States. Am J Public Health. 2003;93(1):86-91.
2. DeNavas-Walt C, Procor BD, Smith JC. Income, Poverty, and Health Insurance Coverage in the United States: 2007. Washington, DC: US Census Bureau; 2008. Current Population Reports, P60-235. Available at: http://www.census. gov/prod/2008pubs/p60-235.pdf. Accessed January 21, 2009.
3. Schoen C, Davis K, How SKH, Schoenbaum SC. U.S. health system performance: a national scorecard. Health Aff (Millwood). 2006;25(6):w457-w475.
4. Schieber GJ, Poulier JP, Greenwald LM. Health system performance in OECD countries, 1980-1992. Organization for Economic Cooperation and Development. Health Aff (Millwood). 13(4):100-112.
5. World Health Organization. World health reports 2000-health systems: improving performance. Available at: http://www.who.int/whr/2000/en/index.html. Accessed January 21, 2009.
6. Lasser KE, Himmelstein DU, Woolhandler S. Access to care, health status, and health disparities in the United States and Canada: the results of a crossnational population-based survey. Am J Public Health. 2006;96(7):1300-1307.
7. Hoffman B. Tell Me Again. Why is there no national health insurance in the United States? J Health Polit Policy Law. 2006;31(4):839-848.
8. Medicare Prescription Drug, Improvement, and Modernization Act of 2003 [Page 117 STAT. 2066] Public Law 108-173. 108th Cong. Available at: http://govinfo.library.unt.edu/chc/about/law.html. Accessed January 21, 2009.
9. The Citizens Health Care Working Group. Final recommendations. Washington, DC. September 29, 2006. Available at: http://govinfo.library.unt. edu/chc/recommendations/finalrecs.html. Accessed January 21, 2009.
10. Institute of Medicine. Report brief: insuring America's health: principles and recommendations. January 14, 2004. Available at: http://www.iom.edu/CMS/3809/4660/17632.aspx. Accessed January 21, 2009.
11. Ginsburg JA, Doherty RB, et al. Achieving a high-performance health care system with universal access: what the United States can learn from other countries. Ann Intern Med. 2008;148:55-75.
12. Collins SR, Schoen C, Davis K, Gauthier AK, Schoenbaum SC. A roadmap to health insurance for all: principles for reform. Commonwealth Fund. October 2007. Available at: http://www.commonwealthfund.org/publications/ publications-show.htm?doc-id=553840. Accessed January 21, 2009.
13. The Pew Research Center for the People and the Press. Survey report, beyond red and blue, part 6. Issues and shifting coalitions. May 10, 2005. Available at: http://people-press.org/report/?pageid=948. Accessed January 21, 2009.
14. Kaiser Family Foundation/Harvard School of Public Health. Pre-election poll: voters, health care and the 2008 election. Available at: http://www.kff.org/kaiserpolls/ upload/7829.pdf. Accessed January 21, 2009.
15. Kaiser Family Foundation. Available at: http://www.health08.org. Accessed January 21, 2009.
16. Butler SM. What to do now on health care system reform. JAMA. 1995;273:253-254.
17. Gramm P. Why we need medical savings accounts. N Engl J Med. 1994; 330(24):1752-1753.
18. Enthoven AC. Employment-based health insurance is failing: now what? Health Aff (Millwood). 2003;(suppl Web exclusives):W3-237-W3-249.
19. Jaspen B. Another record year for dealmaking. Activity among medium-size companies fuels continued drive toward consolidation.Mod Healthc. 1996;26:37-38, 40-41, 44-46.
20. U.S. healthcare chief will get $1 billion. New York Times. June 15, 1996:B1. Available at: http://query.nytimes.com/ gst/fullpage.html?res= 9504E6D61739F936A25755C0A960958260&n. Accessed January 21, 2009.
21. Lattman P. What word best describes $1 billion? Wall Street Journal Law Blog. December 27, 2007. Available at: http://blogs.wsj.com/law/ 2007/12/27/ what-word-best-describes-1-billion. Accessed January 21, 2009.
22. Moore JDJr. Nurses' patient care outlook grim. Mod Healthc. 1996;26:44.
23. Tone B. What works? Nurse patient ratios, professionalismand safety. May 3, 1999. Available at: http://www.nurseweek.com/features/99-5/ratios. html. Accessed January 21, 2009.
24. Hugonnett S, Ickay I, Pittet D. Staffing level: a determinant of late onset ventilator-associated pneumonia. Crit Care. 2007;11:R80.
25. Aiken LH, Sochalski J, Anderson GF. Downsizing the hospital nursing workforce. Health Aff (Millwood). 1996;15(4):88-92.
26. Himmelstein DU, Lewontin JP, Woolhandler S. Who administers? Who cares? Medical administrative and clinical employment in the US and Canada. Am J Public Health. 1996;86:172-178.
27. Woolhandler S, Campbell T, Himmelstein DU. Costs of health care administration in the United States and Canada. N Engl J Med. 2003;349:768-775.
28. The Kaiser Family Foundation and Health Research and Educational Trust. Employer health benefits. 2008 summary of findings. Available at: http://ehbs.kff. org/images/abstract/7791.pdf. Accessed January 21, 2009.
29. Hearings Before the House Committee on Ways and Means, 110th Cong. 1st Sess(2007) (testimony of Diane Rowland, ScD, for the Kaiser Commission on the Uninsured and Medicaid, Economic challenges facing middle class families). Available at: http://www.kff.org/uninsured/upload/7612.pdf. Accessed January 21, 2009.
30. Findley S. Study: higher health costs to slam middle class. USA Today. April 10, 1997:A2.
31. Merlis M, Gould D, Mahato M. Out of pocket spending for medical care: a growing strain on family budgets. Commonwealth Fund. February 1, 2006. Available at: http://www.commonwealthfund.org/publications/publications-show. htm?doc-id=347500. Accessed January 21, 2009.
32. Crimmel BL. Employee choice in employer sponsored health insurance plans AHRQ/MEPS. October 2001. Available at: http://www.meps.ahrq.gov/mepsweb/data- files/publications/st29/ stat29.pdf. Accessed January 21, 2009.
33. Robinson JC. Hospital tiers in health insurance: balancing consumer choice with financial motives. Health Aff (Millwood). 2003;(suppl Web exclusive):W3-135-W3-146. Available at: http:// content.healthaffairs.org/cgi/ reprint/ hlthaff.w3.135v1. Accessed January 21, 2009.
34. Short K. Health Insurance Coverage: 1987-1990. Washington, DC: US Census Bureau; 1992. Current Population Reports, Household Economic Studies, Series P-70, No. 29. Available at: http:// www.census.gov/sipp/p70-29.pdf. Accessed January 21, 2009.
35. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: Institute of Medicine; 2001. Available at: http://www.iom.edu/ Object.File/Master/27/184/Chasm-8pager. pdf. Accessed January 21, 2009.
36. Medicare Advantage: Private Health Plans in Medicare. Washington, DC: Congressional Budget Office; 2007. Available at: http://www.cbo.gov/ftpdocs/ 82xx/doc8268/06-28-Medicare-Advantage. pdf. Accessed January 21, 2009.
37. Curbing Medicare Advantage Overpayments Would Strengthen Medicare. Washington, DC: Center on Budget and Policy Priorities; 2007. Available at: http://www.cbpp.org/12-5-07health. htm. Accessed January 21, 2009.
38. Hearings Before the Subcommittee on Health of the Senate Committee on Finance, 109th Cong. 2nd Sess (2006) (testimony of Sara R. Collins, PhD, for the Commonwealth Fund, Health savings accounts and high-deductible health plans: why they won't cure what ails U.S. health care). Available at: http://www.commonwealthfund. org/publications/publications-show.htm?doc-id= 405167. Accessed January 21, 2009.
39. Berenson RA, Cassel CK. Consumer driven health care may not be what patients need-caveat emptor. JAMA. 2009;301(3):321-323.
40. Fronstin P, Collins SR. Early Experience With High-Deductible and Consumer-Driven Health Plans: Findings From the EBRI/Commonwealth Fund Consumerism in Health Care Survey. New York, NY: Commonwealth Fund; 2005. Issue Brief. Available at: http://www.commonwealthfund. org/publications/ publications-show.htm? doc-id=326359. Accessed January 21, 2009.
41. Yee CM. Health-savings plans may not live up to name. Minneapolis/St Paul Star Tribune. April 11, 2008:C18. Available at: http://www.startribune. com/ business/17324849.html. Accessed January 21, 2009.
42. Deber RB, Forget EL, Roos LL. Medical savings accounts in a universal system: wishful thinking meets evidence. Health Policy. 2004;70(1):49-66.
43. The Price Sensitivity of Demand for Non-Group Health Insurance.Washington, DC: Congressional Budget Office; 2005. Available at: http://www.cbo.gov/ftpdocs/66xx/doc6620/08-24-HealthInsurance. pdf. Accessed 21, 2009.
44. Pauly MV, Nichols LM. The nongroup health insurance market: short on facts, long on opinions and policy disputes. Health Aff (Millwood). 2002;(suppl Web exclusive):W325-W344.
45. Alker A. Choosing Premium Assistance: What Does State Experience Tell Us? Washington, DC: Kaiser Commission on Medicaid and the Uninsured; 2008. Available at: http://www.kff.org/medicaid/upload/7782.pdf. Accessed 21, 2009.
46. Ku L, Broaddus M. Public and private health insurance: stacking up the costs. Health Aff (Millwood). 2008;27:318-337. Epub 2008 Jun 24.
47. Merlis M. The Federal Employees Health Benefits Program: Program Design, Recent Performance, and Implications for Medicare. Menlo Park, CA: Kaiser Family Foundation; 2003.
48. Federal Employees Health Benefit Program: Premium Growth Has Recently Slowed and Varies Among Participating Plans. Washington, DC: US Government Accountability Office; 2006. Available at: http://www.gao.gov/new.items/d07141. pdf. Accessed January 21, 2009.
49. Klein E. Over stated: why the "laboratories of democracy" can't achieve universal health care. Washington Monthly. July/August 2007:26-30.
50. Himmelstein DU, Woolhandler S. I am not a health reform. New York Times. December 15, 2007. Available at: http://www.nytimes.com/2007/12/15/ opinion/15woolhandler.html. Accessed 21, 2009.
51. Health plan rates may rise 14%. Boston Globe. February 15, 2008. Available at: http://www.boston.com/news/ local/articles/2008/02/15/health-plan- rates-may-rise-by-14. Accessed 21, 2009.
52. The Massachusetts model. New York Times. June 16, 2008. Available at: http://www.nytimes.com/2008/06/16/ opinion/16mon1.html?-r=1&oref=slogin. Accessed January 21, 2009.
53. Belluck P. Massachusetts universal care plan faces hurdles. New York Times. June 30, 2008. Available at: http://www.nytimes.com/2007/07/01/ health/ policy/01insure.html. Accessed 21, 2009.
54. Woolhandler S, Day B, Himmelstein DU. State health reform flatlines. Int J Health Serv. 2008;38(3):585-592.
55. Department of Health and Human Services, Centers for Medicare and Medicaid Services. Medicaid data sources, general information, Medicaid managed care enrollment as of December 31, 2006. Available at: http://www.cms. hhs.gov/MedicaidDataSourcesGenInfo/ Downloads/mmcpr06.pdf. Accessed 21, 2009.
56. Department of Health and Human Services, Centers for Medicare and Medicaid Services. Medicare Enrollment reports: national trends 1966-2007. Available at: http://www.cms.hhs.gov/MedicareEnRpts/Downloads/HISMI07. pdf. Accessed January 21, 2009.
57. Cunnigham P, Artiga S, Swartz K. The fraying link between work and health insurance. Kaiser Commission on Medicaid and the Uninsured. Available at: http://www.kff.org/uninsured/upload/ 7840.pdf. Accessed January 21, 2009.
58. Kaiser Family FoundationKaiser/ HRET survey of employer-sponsored health benefits. 2008. Available at: http://ehbs.kff.org/images/abstract/ 7791.pdf. Accessed 21, 2009.
59. Department of Health and Human Services, Center for Medicare and Medicaid Services. FY 2007 fourth-quarter program enrollment last day of quarter by state-total SCHIP. Available at: http:// www.cms.hhs.gov/NationalSCHIPPolicy/ downloads/FourthQuarterFFY2007PIT. pdf. Accessed January 21, 2009.
60. World Health Care Congress' Forum on the Changes Ahead (ReformPlans. com). Plan briefs - Maine. Available at: http://www.reformplans.com/Plan-Briefs/ Maine.html. Accessed January 21, 2009.
61. World Health Care Congress' Forum on the Changes Ahead (ReformPlans. com). Plan briefs - Massachusetts. Available at: http://www.reformplans.com/ Plan-Briefs/Massachusetts.html. Accessed January 21, 2009.
62. World Health Care Congress' Forum on the Changes Ahead (ReformPlans. com). Plan briefs - Vermont. Available at: http://www.reformplans.com/Plan- Briefs/ Vermont.html. Accessed January 21, 2009.
63. George W. Bush. Message to the House of Representatives [press release]. October 3, 2007. Available at: http://www.whitehouse.gov/news/releases/ 2007/10/20071003-2.html. Accessed 21, 2009.
64. Rosenbaum S. The proxy war - SCHIP and the government's role in health care reform. N Engl J Med. 2008;358(9):869-872.
65. Kaiser Family Foundation, Kaiser Commission on Medicaid and the Uninsured. States moving toward comprehensive health reform. Updated October 16, 20008. Available at: http://www.kff.org/uninsured/upload/State%20Health% 20Reform1.pdf. Accessed January 21, 2009.
66. Weil A. How far can states take health reform? Health Aff (Millwood). 2008;27(3):736-747.
67. Quadagno J. One Nation, Uninsured: Why the United States Has No National Health Insurance. New York, NY: Oxford University Press; 2005.
68. The Medicare drug war: an army of nearly a thousand lobbyists pushes a Medicare law that puts drug company and HMO profits ahead of taxpayers. Public Citizen. Congress Watch June 2004. Available at: http://www.citizen.org/documents/MedicareDrugWarReportREVISED72104. pdf. Accessed January 21, 2009.
69. Center for Media and Democracy. SourceWatch. Government-industry revolving door. Available at: http:// www.sourcewatch.org/index.php?title= Government-industry-revolving-door. Accessed January 21, 2009.
70. Christianson JB, Warrick LH, Wholey DR. Physicians' perceptions of managed care: a review of the literature. Med Care Res Rev. 2005;62(6):635-75.
71. Carroll AE, Ackerman RT. Support for national health insurance among U.S. physicians: 5 years later. Ann Intern Med. 2008;148:566-567.
72. Physicians for a National Health Program. Organizations and government bodies endorsing HR 676. Available at: http://www.pnhp.org/action/organizations- and-government-bodies-endorsing-hr-676-single-payer.php Accessed January 21, 2009.
73. Himmelstein DU, Woolhandler S, Wolfe SM. Administrative waste in the U.S. health care system in 2003: the cost to the nation, the states, and the District of Columbia, with state-specific estimates of potential savings. Int J Health Serv. 2004;34(1):79-86.
74. Shaklee J. Canadian Health Insurance: Lessons for the United States. Washington, DC: General Accounting Office; 1991. GAO/HRD-91-90.
75. Estimates of Health Care Proposals From the 102nd Congress(Analysis of HR 1200). Washington, DC: Congressional Budget Office; 1993. Available at: http://www.cbo.gov/ftpdocs/64xx/doc6432/ 93doc159.pdf. Accessed 21, 2009.
76. The Health Care for All Californians Act: Costs and Economic Impacts Analysis. Falls Church, VA: Lewin Group; 2005. Available at: http://www.healthcareforall. org/lewin.pdf. Accessed 21, 2009.
77. World Health Care Congress' Forum on the Changes Ahead (ReformPlans. com). Plan briefs - interest groups. Available at: http://www.reformplans.com/ Plan-Briefs/Interest-Groups.html. Accessed January 21, 2009.
78. Palmisano DJ, Emmons DW, Wozniak GD, American Medical Association. Expanding insurance coverage through tax credits, consumer choice, and market enhancements: the American Medical Association proposal for health insurance reform. JAMA. 2004;291(18):2237-2242.
79. Bruno M. Revving up the Big Three's retiree VEBA. Financial Week. May 5, 2008. Available at: http://www.financialweek.com/apps/pbcs.dll/ article?AID=/20080505/REG/176106176. Accessed 21, 2009.
80. Divided We Fail. Available at: http://www.aarp.org/issues/dividedwefail. Accessed January 21, 2009.
81. The Coalition to Advance Healthcare Reform. Available at: http://www. coalition4healthcare.org. Accessed January 21, 2009.
82. Robert Wood Johnson Foundation. Cover the Uninsured. Statement on release of health coverage coalition for the uninsured proposal and announcement of Cover the Uninsured Week 2007. Available at: http://covertheuninsured.org/ media/releases/index.php?ReleaseID=2001. Accessed January 21, 2009.
83. The Partnership for Quality Care. Available at: http://www.pqc-usa.org. Accessed January 21, 2009.
84. Keenan G. CAW, auto makers laud health system. Toronto Globe and Mail. September 13, 2002:B5.
85. Hoffman B. Health care reform and social movements in the United States. Am J Pub Health. 2003;93(1):75-86.
86. Universal Health Care Action Network. Available at: http://www.uhcan. org. Accessed January 21, 2009.
87. Everybody In, Nobody Out. Available at: http://www.everybodyinnobodyout. org. Accessed January 21, 2009.
88. Physicians for a National Health Program. Available at: http://www.pnhp.org. Accessed January 21, 2009.
89. Consumer Voices for Coverage. Advancing the movement for reform. Robert Wood Johnson Foundation and Community Catalyst. Available at: http://www.voicesforcoverage.org. Accessed January 21, 2009.
90. Unions for Single Payer Health Care. Available at: http:// unionsforsingle-payerhr676. org. Accessed January 21, 2009.
91. Sox H. Learning from the health care systems of other countries. Ann Intern Med. 2008;148:78-79.
92. Grochowski EC. Ethical issues in managed care: can the traditional physician - patient relationship be preserved in the era of managed care or should it be replaced by a group ethic? Univ Mich J Law Reform. 1999;32:619-659.
93. Hearings before the Subcommittee on Health and Environment of the House Committee on Commerce, 104th Cong. 2nd Sess (1996) (testimony of Linda Peeno, MD, Managed care ethics: the close view). Available at: http://www.thenationalcoalition.org/DrPeenotestimony. html. Accessed March 18, 2009.
94. Aaron HJ. Health Care Rationing: What it Means. Washington, DC: Brookings Institution; 2005. Institute Policy Brief 147. Available at: http://www.brookings.edu/papers/2005/ 12useconomics-aaron.aspx. Accessed January 21, 2009.
95. Schiff GD, Bindman AB, Brennan TA. A better-quality alternative: single-payer national health system reform. Physicians for a National Health Program Quality of Care Working Group. JAMA. 1994;272:803-808.
96. Woolhandler S, Himmelstein DU. Competition in a publicly funded healthcare system. BMJ. 2007;335:1126-1129.
97. Berwick DM. Improvement, trust, the healthcare workforce. Qual Saf Health Care. 2003;12:448-452.
98. America's Health Insurance Plans. A vision for reform. Available at: http://www.ahipbelieves.com/vision-for-reform.html. Accessed January 21, 2009.