Health Policy Issues: An Economic Perspective, Fourth Edition | by Paul J. Feldstein | ISBN: 9781567932744

Health Policy Issues: An Economic Perspective, Fourth Edition
by Paul J. Feldstein
ISBN:9781567932744
Including extensive updates to many figures and tables, as well as new discussions of topical issues, this book provides a comprehensive view of the economic forces that shape change in today’s healthcare delivery system.

Health Policy Issues—An Economic Perspective, Fourth Edition
Preface







Chapter 1 – The Rise in Medical Expenditures
Before Medicare and Medicaid
Effects of Medicare and Medicaid
Government Response to Rising Costs
The Current Period
Summary
Discussion Questions
References

Chapter 2 – How Much Should We Spend on Medical Care?
Consumer Sovereignty
Economic Efficiency
Government and Employer Concerns over Rising Medical Expenditures
Approaches to Limiting Increases in Medical Expenditures
Summary
Discussion Questions
References
Additional Readings

Chapter 3 – Do More Medical Expenditures Produce Better Health?
Medical Services Versus Health
Health Production Function
Improving Health Status Cost Effectively
Relationship of Medical Care to Health over Time
Summary
Discussion Questions
References

Chapter 4 – In Whose Interest Does the Physician Act?
The Physician as a Perfect Agent for the Patient
Supplier-Induced Demand
Increase in Physician Supply
Insurers’ Response to Demand Inducement
HMOs
Informed Purchasers
Summary
Discussion Questions
References
Additional Readings

Chapter 5 – Rationing Medical Services
Government Rationing
Rationing by Ability to Pay
Decision Making by Consumers of Medical Services
Marginal Benefit Curve
Summary
Discussion Questions
References




Chapter 6 – How Much Health Insurance Should Everyone Have?
Definitions of Insurance Terms
Insurance-Purchasing Decision Making
Tax-Free, Employer-Paid Health Insurance
Summary
Discussion Questions
References

Chapter 7 – Why Are Those Who Most Need Health Insurance Least Able to Buy It?
Overview
Medical Loss Ratios
How Health Insurance Markets Work
Improving the Health Insurance Market
Summary
Discussion Questions
References
Additional Reading




Chapter 8 – Medicare
Current State of Medicare
Concerns About the Current Medicare System
Impending Bankruptcy of Medicare
Proposals for Medicare Reform
Politics of Medicare Reform
Summary
Discussion Questions
References

Chapter 9 – Medicaid
Overview
An Illustration of Medicaid Eligibility
State Children’s Health Insurance Program (SCHIP)
Medicaid Beneficiaries and Medicaid Expenditures
Medicaid Policy Issues
Medicaid Managed Care
Reforming Medicaid
Summary
Discussion Questions
References
Additional Readings

Chapter 10 – How Does Medicare Pay Physicians?
Previous Medicare Physician Payment System
Reasons for Adopting the New Payment System
Components of the New Payment System
Effects of Medicare’s Payment System
Summary
Discussion Questions
References
Additional Readings

Chapter 11 – Is There an Impending Shortage of Physicians?
Overview
Definitions of a Physician Shortage or Surplus
Consequences of an Imbalance in the Supply and Demand for Physicians
Economic Evidence on Trends in Physician Demand and Supply
Longer-term Outlook for Physicians
Summary
Discussion Questions
References

Chapter 12 – The Changing Practice of Medicine
Types of Medical Groups
Changes in the Size of Medical Groups
Reversal of Fortunes of Large Multispecialty Groups
Outlook for Medical Group Practices
Summary
Discussion Questions
References

Chapter 13 – The Malpractice Crisis
Overview
Explanations for the Rise in Malpractice Premiums
Objectives of the Malpractice System
Proposed Changes to the Malpractice System
No-Fault Malpractice
Enterprise Liability
Summary
Discussion Questions
References
Additional Reading

Chapter 14 – Do Nonprofit Hospitals Behave Differently than For-Profit Hospitals?
Overview
Why Are Hospitals Predominantly Nonprofit?
Performance of Nonprofit and For-Profit Hospitals
The Question of Tax-Exempt Status
Summary
Discussion Questions
References
Additional Reading

Chapter 15 – Competition Among Hospitals: Does it Raise or Lower Costs?
Origins of Nonprice Competition
Transition to Price Competition
Price Competition in Theory
Price Competition in Practice
Summary
Discussion Questions
References

Chapter 16 – The future Role of Hospitals
From Medicare to the Present
Hospital Revenues
Cost of Providing Hospital Care
Hospital Spending
Summary
Discussion Questions
References

Chapter 17 – Cost Shifting
Overview
Setting Prices to Maximize Profits
Origins of Claims of Cost Shifting
Price Discrimination
Conditions Under Which Cost Shifting Can Occur
Summary
Discussion Questions
References
Additional Readings

Chapter 18 – Can Price Controls Limit Medical Expenditure Increases?
Effect of Price Controls in Theory
Effect of Price Controls in Practice Medicaid
Global Budgets
Summary
Discussion Questions
References

Chapter 19 – The Evolution of Managed Care
Why Managed Care Came About
What Is Managed Care?
Types of Managed Care Plans
How Has Managed Care Performed?
One-Time Versus Continual Cost Savings
The Change in Managed Care
Recent Developments in Managed Care
Consumer-Driven Health Care
Summary
Discussion Questions
References
Additional Readings

Chapter 20 – Has Competition Been Tried—And Has it Failed—to Improve the U.S. Health Care System?
Criteria for Judging Performance of a Country’s Medical Sector
How Medical Markets Differ from Competitive Markets
Demand-Side Market Failures
Supply-Side Market Failures Provider Consolidation
How Can Medical Markets Be More Competitive?
What Might Competitive Medical Markets Look Like?
Are the Poor Disadvantaged in a Competitive Market?
Summary
Discussion Questions
References
Additional Reading

Chapter 21 – How Will the Internet Change Health Care?
How the Internet Creates Economic Value
Internet Health Care Applications that Increase Benefits to Consumers
Profit Potential of Health Care Internet Firms
The Internet and Health Care Firms’ Strategic Response
Summary
Discussion Questions
References
Additional Readings

Chapter 22 – U.S. Competitiveness and Rising Health Costs
Who Pays for Higher Employee Medical Costs?
Who Pays for Retiree Medical Costs?
Possible Adverse Effects of Rising Medical Costs on the U.S. Economy
Summary
Discussion Questions
References
Additional Reading

Chapter 23 – Why Is Getting into Medical School So Difficult?
Overview
Market for Medical Education in Theory
Market for Medical Education in Practice
Accreditation for Medical Schools
Recommended Changes
Summary
Discussion Questions
References

Chapter 24 – The Shortage of Nurses
Measuring Nursing Shortages
Nursing Shortages in Theory
Nursing Shortages in Practice
Federal Subsidies to Nursing Schools and Students
Summary
Discussion Questions
References
Additional Reading

Chapter 25 – The High Price of Prescription Drugs
Reasons for the Rapid Increase in Pharmaceutical Expenditures
Pricing Practices of U.S. Pharmaceutical Companies
Summary
Discussion Questions
References
Additional Readings

Chapter 26 – Ensuring Safety and Efficacy of New Drugs: Too Much of a Good Thing?
History of Regulation of Prescription Drugs
FDA’S Stringent Guidelines for Safety and Efficacy
Summary
Discussion Questions
References
Additional Readings

Chapter 27 – Why Are Prescription Drugs Less Expensive Overseas?
Overview
Accuracy of Studies on International Variations in Drug Prices
Why Prescription Drugs Are Expected to Be Priced Lower Overseas
Public Policy Issues
Summary
Discussion Questions
References
Additional Readings

Chapter 28 – The Pharmaceutical Industry: A Public Policy Dilemma
Overview
Public Policy Dilemma
Structure of the Pharmaceutical Industry
Development of New Drugs by the U.S. Pharmaceutical Industry
The Medicare Prescription Drug Benefit
Consequences of Price Controls on Prescription Drugs
Summary
Discussion Questions
References

Chapter 29 – Should Kidneys and Other Organs Be Bought and Sold?
Overview
Sources of Organs for Transplant
Donor Compensation Proposals
Opposition to Financial Incentives to Organ Donation
Additional Considerations
Summary
Discussion Questions
References

Chapter 30 – The Role of Government in Medical Care
Overview
Public-Interest View of Government
Economic Theory of Regulation
Summary
Discussion Questions
References

Chapter 31 – Medical Research, Medical Education, Alcohol Consumption, and Pollution: Who Should Pay?
Overview
External Costs and Benefits
Government Policies When Externalities Exist
Divergence Between Theoretic and Actual Government Policy
Summary
Discussion Questions
References
Additional Reading

Chapter 32 – The Canadian Health Care System
Overview
Universal Coverage
Controlling Health Care Costs in Canada
Consequences of Strict Limits on Per Capita Costs
Is Canada Abandoning its Single-Payer System?
Should the United States Adopt the Canadian System?
Summary
Discussion Questions
References
Additional Reading

Chapter 33 – Employer-Mandated National Health Insurance
Overview
The Uninsured
Why the Uninsured Do Not Have Health Insurance
Consequences of Employer-Mandated Health Insurance
Political Consequences of Employer-Mandated Health Insurance
Summary
Discussion Questions
References
Additional Readings

Chapter 34 – National Health Insurance: Which Approach and Why?
Criteria for National Health Insurance
National Health Insurance Proposals
Refundable Tax Credits: An Income-Related Proposal
Summary
Discussion Questions
References
Additional Readings

Chapter 35 – Financing Long-Term Care
The Nature of Long-Term Care
Current State of Long-Term-Care Financing
Why Do So Few Aged Buy Long-Term-Care Insurance?
Approaches for Financing Long-Term Care
Summary
Discussion Questions
References

Chapter 36 – The Politics of Health Care Reform
Overview
Differing Goals of Health Care Reform
Groups Having a Concentrated Interest in Change
Prospects for Health Care Reform
Summary
Discussion Questions
References

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