Options for Dialing Down From Single Payer.
Am J Public Health
; 109(11): 1517-1520, 2019 11.
Article
em En
| MEDLINE
| ID: mdl-31536411
ABSTRACT
There are formidable institutional obstacles to passing a single-payer health program in the United States. Advocates should consider incremental improvements that may better match legislative realities. There are three potential directions for incremental coverage policy.One possibility is to build on the successes of the Affordable Care Act; this might include rolling back regulatory changes, further incentivizing Medicaid expansion, enhancing coverage in the Affordable Care Act marketplaces, and imposing regulations on private employer-based insurance to ensure that all Americans have access to affordable coverage that provides adequate financial security. A second direction is to offer more publicly sponsored insurance options, which might involve offering a public option to those eligible for marketplace coverage, creating a Medicare or Medicaid buy-in program, lowering the eligibility age for Medicare, or developing a public plan that serves as a default for those who do not choose to buy alternative private coverage. A third direction is to build on federalism, offering states incentives to expand coverage.Federal and state legislators could also consider incremental cost-containment steps, such as rate setting.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Política
/
Governo Estadual
/
Patient Protection and Affordable Care Act
/
Seguro Saúde
Tipo de estudo:
Prognostic_studies
Limite:
Humans
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article