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Historical and comparative reflections on the U.S. national health insurance reforms

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  • Light, Donald W.

Abstract

The 2010 US reforms addressed forms of public and private insurance designed to reinforce a delivery system that developed to maximize the autonomy of physicians and hospitals. That autonomy emphasizes fees and specialization, which led to for-profit incorporation and overtreatment. Powerful corporate lobbies have defeated previous reforms and diluted the impact of the Obama reform. It barely passed and does little to manage costs or rationalize medicine. US health care does not fit established models of welfare states and contains five different models of health care delivery. Most interesting are forms of democratically run community health centres. Selected features of the reforms are highlighted.

Suggested Citation

  • Light, Donald W., 2011. "Historical and comparative reflections on the U.S. national health insurance reforms," Social Science & Medicine, Elsevier, vol. 72(2), pages 129-132, January.
    • Handle: RePEc:eee:socmed:v:72:y:2011:i:2:p:129-132
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    Citations

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    Cited by:

    1. Shireen Assaf & Stefano Campostrini & Cinzia Di Novi & Fang Xu & Carol Gotway Crawford, 2014. "Analyzing Disparities Trends for Health Care Insurance Coverage Among Non-Elderly Adults in the US: Evidence from the Behavioral Risk Factor Surveillance System, 1993-2009," Working Papers 2014: 14, Department of Economics, University of Venice "Ca' Foscari".
    2. Arturo Vargas Bustamante & Claudio A. Méndez, 2016. "Regulating self-selection into private health insurance in Chile and the United States," International Journal of Health Planning and Management, Wiley Blackwell, vol. 31(3), pages 219-234, July.
    3. Shireen Assaf & Stefano Campostrini & Cinzia Di Novi & Fang Xu & Carol Gotway Crawford, 2017. "Analyzing disparity trends for health care insurance coverage among non-elderly adults in the US: evidence from the Behavioral Risk Factor Surveillance System, 1993–2009," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(3), pages 387-398, April.
    4. Lee, Nancy S., 2015. "Framing choice: The origins and impact of consumer rhetoric in US health care debates," Social Science & Medicine, Elsevier, vol. 138(C), pages 136-143.
    5. Grignon Michel, 2012. "Roadblocks to Reform: Beyond the Usual Suspects," Centre for Health Economics and Policy Analysis Working Paper Series 2012-01, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.

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