Oregon Health Plan: Ration or Reason
Sipes-Metzler, Paige R.
Journal of Medicine and Philosophy. 1994 Aug; 19(4): 305-314.
The Oregon Health Plan gained national attention by changing the focus of health care from who is covered to what is covered. This change was facilitated by insurance reforms in the areas of small market, employer mandates, high risk pooling and Medicaid. Most controversial of the reforms is the use by the legislature of a prioritized list of health services to determine benefit levels for the insurance programs. Significant debate has occurred over whether the use of such a list is rationing or reasoning. The Oregon Health Plan represents a thoughtful and deliberate blending of fact with public value for the purpose of responsible health policy. It is that unique blending of public values developed through community participation with fact that focused the attention of the world on Oregon.
Children; Community Participation; Economics; Employment; Federal Government; Females; Government; Government Financing; Government Regulation; Health; Health Care; Health Care Delivery; Health Care Reform; Health Insurance; Health Services; Indigents; Industry; Insurance; Life; Public Participation; Public Policy; Quality of Life; Regulation; Resource Allocation; Risk; Selection for Treatment; State Government; Values;