POLITICS 04/20/2018 05:46 am ET Price controls are getting a serious look in California. By Jonathan Cohn If you think the country needs dramatic, even radical action to stop medical care from getting so expensive, pay close attention to what’s happening in California. Next week, a committee in the state Assembly will vote on legislation to create a permanent, nine-member commission on health care costs, quality and access. But instead of simply proposing different ways of paying for medical care, like so many other commissions have over the years, this one would have real power ― the power to set legally binding limits on what hospitals, drugmakers and the rest of the health care industry can charge private insurers and individuals. The bill could bring government control of health care spending to the biggest state in the country, and it might not stop there. Government control of health care spending, in one form or another, is an essential … [Read more...] about The Big New Idea For Reducing Health Care Costs Is Actually Really Old
Liberal health care
France is often seen by liberals as the ideal system. It has universal health care, with few waiting lists. France has the highest level of satisfaction with their health care among all European countries. How can this be? What is their secret? France provides a basic, universal health insurances through large occupation-based funds. The General National Health Inusrance Scheme covers 83% of French workers, while other occupational specific (e.g.: for agricultural workers, for the self employed, for miners, etc.) cover the remainder. About 99% of individuals are covered by this universal health insurance system. However, France utilizes more market-based ideas than most people realized. Copayment rates for most services are 10%-40%. About 92% of French residents have complementary private health insurance. In essence, the French system avoids widespread rationing because, unlike true single-payer systems, it employs market forces. Even the OECD says that the “proportion … [Read more...] about Health Care Around the World: France ” Healthcare Economist
By John Lorinc Special to the Star Thu., May 4, 2017 Since Justin Trudeau’s federal Liberals embarked on testy negotiations with the provinces over health transfers for the next decade, Canadians have seen the re-emergence of a persistent public-policy issue: runaway medical expenses. Those expenses now soak up more than 70 per cent of some provincial budgets, and Ottawa’s initial proposal — another 3.5 per cent a year — is widely seen as inadequate. The provinces feel — even with an added $11 billion the feds say they would spend on mental health and home care over the coming decade — that is simply not enough for a population that is both aging and ailing. Almost four in 10 Canadians over the age of 20 report that they suffer from at least one of 10 major chronic conditions. But in the face of overstretched budgets, there are now other options, many of which represent the long-sought shift to prevention from cure. A growing … [Read more...] about Three startups, three ways to reduce stress on the health-care system
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Co-payments and user fees: are they compatible with universal health care? Author : Naveen TennetiNaveen is a junior doctor at Monash Health in Melbourne, Australia. He is a current distance student of Economics and Development at the University of London and recently convened the 2015 Global Ideas Forum. Universal health care (UHC) aims to ensure that all people can access the health services they need without suffering from financial hardship. UHC, by its all-encompassing nature, is necessarily an expensive endeavour. The long-term benefits that accrue from healthier populations, however, far outweigh the short-term costs. Yet this doesn’t stop the foundations of UHC being targeted by the short-termism implicit in 24-hour media cycles and political turbulence. Particularly in higher-income countries, the moral panic of ageing populations and the burden of chronic disease have led to much hand-wringing and short-sighted proposals to reduce spending. Australia, … [Read more...] about Co-payments and user fees: are they compatible with universal health care?