List of Tables | p. x |
List of Figures | p. xi |
Preface | p. xiii |
Acknowledgments | p. xix |
Executive Summary of the Targeted Intervention Plan | p. xxi |
Goals and Working Principles | |
Introduction | p. 3 |
Goals | p. 17 |
Goal 1: Universal Coverage | p. 19 |
Goal 2: Patient-Centered Coverage | p. 21 |
Goal 3: Respect for Incentives for High-Quality Care | p. 21 |
Goal 4: Cost Containment | p. 24 |
Goal 5: Sustainability | p. 24 |
Principles | p. 26 |
Principle 1: The Intervention Principle | p. 27 |
Principle 2: Incentive Symmetry | p. 29 |
Principle 3: Every Pot Sits on Its Own Base | p. 31 |
Principle 4: No Polittroughing | p. 36 |
Principle 5: No Governmentalizing | p. 41 |
Principle 6: No Ponzi Schemes | p. 44 |
Background Economics and Ethics | |
Markets, VPOs, Government | p. 49 |
Voluntary Private Organizations | p. 51 |
Markets | p. 53 |
Government | p. 60 |
Implications for Efficient Intervention in Health | p. 67 |
Education, Charity, and the American Ethical Base | p. 69 |
Lessons from Education | p. 71 |
The American Ethical Base | p. 78 |
Summary on Public Provision of Private Goods and Charity | p. 87 |
Application | |
Why Government in Health Care? | p. 91 |
Efficient Collective Action: Reprise | p. 92 |
Public Provision of Private Goods Cautions | p. 99 |
Is Health Care Different? | p. 105 |
Conclusion | p. 107 |
Insurance | p. 109 |
What's Wrong with This Tale? | p. 109 |
Essential Insurance | p. 111 |
Summary and Evaluative Discussion | p. 126 |
The Targeted Intervention Plan | p. 130 |
The Plan | p. 131 |
Enabling Compassion | p. 148 |
Financing the Targeted Intervention Plan | p. 149 |
Transition Issues | p. 151 |
Mandates versus Incentives versus Leaving Some Uninsured | p. 154 |
Answers to Questions | p. 156 |
How the System Works: A Parable | p. 159 |
Conclusions | p. 161 |
Protective Measures | |
Forestalling Free Riders | p. 167 |
Background | p. 167 |
Massachusetts: Levelling the Playing Field | p. 168 |
Switzerland: Individual Responsibility in a Federalist Framework | p. 173 |
Lessons from Massachusetts and Switzerland | p. 176 |
Preserving Prices | p. 178 |
Background | p. 178 |
Pricing | p. 179 |
Restraining Prices in Theory | p. 185 |
Rationalization Suggestions | p. 189 |
Conclusions | p. 191 |
Inducing Innovation | p. 193 |
Introduction | p. 193 |
Policies toward Research and Development (R&D) | p. 195 |
The Intertemporal Bounty | p. 199 |
Conclusion | p. 205 |
Summary | p. 206 |
Top Ten Goals for the American Health Care System | p. 215 |
Badly Done Insurance Programs Can be Worse Than No Insurance | p. 225 |
Incentive Symmetry and Intervention Principle | p. 231 |
Notation | p. 232 |
Incentive Symmetry | p. 233 |
Intervention Principle | p. 234 |
Plan Workability | p. 237 |
Data | p. 237 |
Assessing the Targeted Intervention Plan | p. 238 |
Recommendations | p. 242 |
Summary and Evaluative Discussion | p. 243 |
Market Power Response to Insurance | p. 245 |
Glossary and Definitions | p. 247 |
References | p. 253 |
Index | p. 267 |
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