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Reforming health insurance: A question of principles?

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  • David M. Dror

Abstract

Most industrialized countries have financed health services through health insurance. Two systems prevail: private, or public (social) health insurance. The theoretical differences between them are reviewed. It is argued that most health systems are, however, hybrids and that health insurance reform in Europe and the United States has accentuated this trend because the principles distinguishing the two systems have often been ignored. This is illustrated through the evolution of voluntary vs. compulsory affiliation, coping with moral hazard, and provider regulation.

Suggested Citation

  • David M. Dror, 2000. "Reforming health insurance: A question of principles?," International Social Security Review, John Wiley & Sons, vol. 53(2), pages 75-99, April.
    • Handle: RePEc:wly:intssr:v:53:y:2000:i:2:p:75-99
    DOI: 10.1111/1468-246X.00072
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