Disentitlement?: The Threats Facing Our Public Health Care Programs and a Right-Based Response

Hardcover | June 15, 2003

byTimothy Stoltzfus Jost

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No developed nation relies exclusively on the private sector to finance health care for citizens. This book begins by exploring the deficiencies in private health insurance that account for this. It then recounts the history and examines the legal character of America's public health careentitlements - Medicare, Medicaid, and tax subsidies for employment-related health benefits. These programs are increasingly embattled, attacked by those advocating privatization (replacing public with private insurance); individualization (replacing group and community-based insurance withapproaches based on individual choice within markets); and devolution (devolving authority over entitlements to state governments and to private entities). Jost critically analyzes this movement toward disentitlement. He also examines the primary models for structuring health care entitlements inother countries - general taxation-funded national health insurance and social insurance - and considers what we can learn from these models. The book concludes by describing what an American entitlement-based health care system could look like, and in particular how the legal characteristics ofour entitlement programs could be structured to support the long-term sustainability of these vital programs.

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From the Publisher

No developed nation relies exclusively on the private sector to finance health care for citizens. This book begins by exploring the deficiencies in private health insurance that account for this. It then recounts the history and examines the legal character of America's public health careentitlements - Medicare, Medicaid, and tax sub...

Timothy S. Jost is at Washington and Lee University, School of Law, Lexington, VA.
Format:HardcoverDimensions:312 pages, 6.3 × 9.09 × 1.18 inPublished:June 15, 2003Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0195151437

ISBN - 13:9780195151435

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Table of Contents

1. Introduction2. Why Entitlements Matter: The Skewed Distribution of Health Care Risks3. The Nature of American Health Care Entitlements4. The Historical Foundations of American Health Care Entitlements5. Experiments With Privatization: Medicare and Medicaid Managed Care6. Medicare "Reform": Disentitlement Through Privatization7. Health Insurance for the Poor: Disentitlement Through Devolution8. Tax Credits for Health Insurance: Disentitlement of America's Workers?9. The British National Health Service: The General Revenue-Financed Model of Health Care Entitlements10. The German Health Care System: The Social Insurance Model of Health Care Entitlements11. Toward an Entitlement-Based Health Care System

Editorial Reviews

"...a timely and important book. ...Efforts to privatize, devolve, and individualize health insurance may resonate with many lawmakers and members of the American public, particularly in these times of an uncertain economy and expanding government deficits; but Professor Jost's book reminds usthat we need to carefully examine the premises and promises of these reform initiatives." --The Journal of Legal Medicine"