Universal New York Health Care: A Single-Payer Strategy Linking Cost Control and Universal Access
Beauchamp, Dan E.
Rouse, Ronald L.
New England Journal of Medicine. 1990 Sep 6; 323(10): 640-644.
Planners from the New York State Department of Health describe the Department's proposal for universal access to care that would combine all existing payers into one framework. The proposed system, Universal New York Health Care or UNY-Care, would retain the present system of public and private insurance but interpose a governmental one-payer structure and one-card system of membership between providers and payers. Beauchamp and Rouse describe the goals of UNY-Care and outline proposals for reforming and expanding private insurance, for reforming the current bill and payment system, and for implementing a system of cost control. They also discuss issues of feasibility and financing, employer and insurance company opposition to UNY-Care, and integration of Medicare into the new structure. Beauchamp and Rouse conclude with arguments for creating a new state agency to administer UNY-Care. (KIE abstract)
Clinical Ethics; Economics; Employment; Ethics; Financial Support; Goals; Government; Government Financing; Health; Health Care; Health Care Delivery; Health Insurance; Indigents; Industry; Insurance; Medical Fees; National Health Insurance; Physicians; Public Policy; Remuneration; State Government;
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