A National Health Program for the United States: A Physicians' Proposal
Himmelstein, David U.
New England Journal of Medicine. 1989 Jan 12; 320(2): 102-108.
A physician-proposed and -endorsed national health program is described that would fully cover everyone in the U.S. under a single, comprehensive public insurance program; pay hospitals and nursing homes a total (global) annual amount for all operating expenses, thereby eliminating the costs of billing; fund capital costs through separate appropriations; and disperse all payments from a single pool. Physicians' services would be paid through fee-for-service schedules, global budgets for hospitals and clinics employing salaried doctors, or on a per capita basis. Problems such as nonfinancial barriers to access, high medical school tuitions which discourage low-income applicants, and the medical malpractice crisis remain unanswered, but a pragmatic framework is set out for public debate of health policy reform. (KIE abstract)
Costs and Benefits; Drugs; Doctors; Economics; Federal Government; Government; Health; Health Care; Health Facilities; Health Insurance; Health Personnel; Hospitals; Indigents; Industry; Insurance; Malpractice; Medical Fees; Nursing Homes; Organizations; Physicians; Public Policy; Remuneration; State Government;
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Grumbach, Kevin; Bodenheimer, Thomas; Himmelstein, David U.; Woolhandler, Steffie (Physicians for a National Health Program, 1991-05-15)The Physicians for a National Health Program proposes to cover all Americans under a single, comprehensive public insurance program without copayments or deductibles and with free choice of provider. Such a national health ...