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Avoiding the mistreatment of bad risks in a democracy: Universal Health Insurance from a constitutional perspective

Author

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  • Mark Pauly

Abstract

This paper examines the concept that social insurance for medical care may represent a kind of constitutional choice. The long-term stability of the U.S. Medicare program indicates that such programs are rarely altered. The primary reason postulated for treating subsidized medical insurance as a constitutional choice is to guard against a temporary majority of persons in good health or not at risk for a disease voting to deny benefits for the minority who are at higher risk. It is argued, however, that, although there needs to be constitutional status for social insurance, insurance need not and probably should not take the form of tax-financed equal coverage for all. Copyright George Mason University 1994

Suggested Citation

  • Mark Pauly, 1994. "Avoiding the mistreatment of bad risks in a democracy: Universal Health Insurance from a constitutional perspective," Constitutional Political Economy, Springer, vol. 5(3), pages 307-318, September.
    • Handle: RePEc:kap:copoec:v:5:y:1994:i:3:p:307-318
    DOI: 10.1007/BF02393263
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    Citations

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    Cited by:

    1. Mathias Kifmann, 2002. "Die Finanzierung der Gesetzlichen Krankenversicherung durch Kopfbeiträge aus verfassungsökonomischer Sicht," Vierteljahrshefte zur Wirtschaftsforschung / Quarterly Journal of Economic Research, DIW Berlin, German Institute for Economic Research, vol. 71(4), pages 505-512.
    2. Mathias Kifmann, 2005. "Health insurance in a democracy: Why is it public and why are premiums income related?," Public Choice, Springer, vol. 124(3), pages 283-308, September.
    3. Karolin Becker & Peter Zweifel, 2008. "Age and Choice in Health Insurance," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 1(1), pages 27-40, January.

    More about this item

    Keywords

    H4; I10; I18;
    All these keywords.

    JEL classification:

    • H4 - Public Economics - - Publicly Provided Goods
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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