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The American Public Health Association Endorses Single-Payer Health System Reform.
King, Ben; Spadaro, Anthony; Schiff, Gordon; Rodriguez-Monguio, Rosa; Jordan, Alison O; Flaherty, Lisa; Lee, Wei-Chen; Zito, Julie; Fein, Oliver.
Afiliación
  • King B; Department of Health Systems and Population Health Sciences, College of Medicine, University of Houston, Houston, TX.
  • Spadaro A; Department of Emergency Medicine and Associate Fellow, Center for Public Health Initiatives at the University of Pennsylvania, Hospital of the University of Pennsylvania, Philadelphia, PA.
  • Schiff G; Center for Primary Care, Harvard Medical School, Boston, MA.
  • Rodriguez-Monguio R; Medication Outcomes Center, University of California San Francisco, San Francisco, CA.
  • Jordan AO; ACOJA Consulting LLC, New York, NY.
  • Flaherty L; Community Health and Preventive Medicine, Flaherty Medication Management, LLC, Wilmington, DE.
  • Lee WC; Department of Internal Medicine-Endocrinology, University of Texas Medical Branch, Galveston, TX.
  • Zito J; Pharmaceutical Health Services Research, University of Maryland, Baltimore, MD.
  • Fein O; Weill Cornell Medicine, New York, NY.
Med Care ; 60(6): 397-401, 2022 06 01.
Article en En | MEDLINE | ID: mdl-35471488
Health care is a human right. Achieving universal health insurance coverage for all US residents requires significant system-wide reform. The most equitable and cost-effective health care system is a public, single-payer (SP) system. The rapid growth in national health expenditures can be addressed through a system that yields net savings over projected trends by eliminating profit and waste. With universal health insurance coverage through SP financing, providers can focus on optimizing delivery of services, rather than working within a system covered by payers who have incentives to limit costs regardless of benefit. Rather, with a SP, the people act as their own insurer through a partnership with provider organizations where tax dollars work for everyone. Consumer choice is then based on the best care to meet need with no out-of-pocket payments. SP financing is the best option to ensure equity, fairness, and public health priorities align with medical needs, providing incentives for wellness. Consumer choice will drive market forces, not provider network profits or insurer restrictions. This approach benefits public health, as everyone will have universal access to needed care, with treatment plans developed by providers based on what works best for the patient. In 2021, the American Public Health Association adopted a policy statement calling for comprehensive reforms to implement a SP system. The proposed action steps in this policy will help build a healthier nation, saving lives and reducing wasted health care expenditures while addressing inequities rooted in social, demographic, mental health, economic, and political determinants.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sistema de Pago Simple / American Public Health Association Tipo de estudio: Risk_factors_studies Aspecto: Equity_inequality Límite: Humans Idioma: En Revista: Med Care Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sistema de Pago Simple / American Public Health Association Tipo de estudio: Risk_factors_studies Aspecto: Equity_inequality Límite: Humans Idioma: En Revista: Med Care Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos