{"title":"Medicare's financial status: how did we get here?","authors":"I. Wolkstein","doi":"10.2307/3349823","DOIUrl":"https://doi.org/10.2307/3349823","url":null,"abstract":"Medicare's financial problems are rooted in the program's history--from the initial cost-estimating process through successive legislative and administrative actions to control costs. Even more important has been the persistence of several implicit national health care policies, and these are unlikely to change. Frequent readjustments of financing provisions may become a necessity.","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"1 1","pages":"183-206"},"PeriodicalIF":0.0,"publicationDate":"1984-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83073144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medicare benefits: a reassessment.","authors":"W. Hsiao, N. Kelly","doi":"10.2307/3349824","DOIUrl":"https://doi.org/10.2307/3349824","url":null,"abstract":"Changes in beneficiary cost-sharing provisions must be part of any multi-faceted strategy for Medicare's fiscal solvency . The current flawed benefit structure is seen as inefficient, inequitable , and contrary to prudent insurance principles. An income-related and selective increase in cost-sharing, combined with maximum liability, is proposed.","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"9 1","pages":"207-29"},"PeriodicalIF":0.0,"publicationDate":"1984-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76991900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The politics of ideology vs. the reality of politics: the case of Britain's National Health Service in the 1980s.","authors":"R. Klein","doi":"10.2307/3349893","DOIUrl":"https://doi.org/10.2307/3349893","url":null,"abstract":"In 1979 the British people elected a government that explicitly repudiated the basis of post-war political consensus; Americans did likewise in the following year. New policies, it was expected, would be shaped by a new ideology. Britain's National Health Service offers an opportunity to examine the nature of this relationship. Political, professional, and corporate ideologies about resource allocations are inevitably constrained by the prevailing public philosophy.","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"381 1","pages":"82-109"},"PeriodicalIF":0.0,"publicationDate":"1984-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80685301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Federal statistical coordination today: a disaster or a disgrace?","authors":"J T Bonnen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of central coordination of federal statistical policy is to assure the most efficient use of the resources of a very decentralized statistical system. This goal has become more elusive over the past thirty years, even as the need for standards and order in data bases among public and private decision makers has increased--in health, energy, justice, environmental, and various other regulatory policy areas. Shortsighted dislocations and political interference have deprofessionalized and decimated our ability to control, rather than to destroy, the governance of bureaucracy.</p>","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"62 1","pages":"1-41"},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17615108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comment: federal statistical coordination.","authors":"J T Dunlop","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Criticism of the lack of federal statistical coordination often reflects a mixture of complaints and aspirations concerning structure of government, funding and allocations, personnel, and substantive policies. Specification of an attainable higher standard of performance for federal statistics is welcome, but it is more likely to be achieved through mobilizing users of data than by the arguments of statisticians. The needed safeguards will not come from well-intentioned fiat, but rather from judicious compromises.</p>","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"62 1","pages":"48-52"},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17615109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Racial inequality and the probability of occupation-related injury or illness.","authors":"J C Robinson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Public policies aimed at reducing occupational injury and illness are uncoordinated--and often at odds--with those aimed at reducing racial inequality in employment. Several dimensions of discrimination and job quality are examined empirically; the average black worker is at a 37 to 52 percent greater health risk than is the average white worker. Health policy and industrial relations policy must be coordinated if equality is to be achieved.</p>","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"62 4","pages":"567-90"},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17624823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comment on \"Alternative Medicare financing sources\".","authors":"H J Aaron","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Restoring the reality of a budget constraint in the health care plans of all patients and providers--not only in the Medicare program--is the most important issue of domestic social policy in the remainder of this century. There is no case for major new earmarked taxes to \"fix\" Medicare unless they are elements of an overall tax structure adequate to pay for the expenditures which our political process deems necessary.</p>","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"62 2","pages":"349-55"},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17484900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medicare financing reform: a new Medicare premium.","authors":"K Davis, D Rowland","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The original and continuing promise of Medicare can be preserved only through a complex package of fiscal reforms. Central to this should be a merger of Hospital Insurance and Supplementary Medical Insurance into a single Medicare trust fund, financed in part through income-related beneficiary premiums. Benefits could be expanded, while improving access and equity.</p>","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"62 2","pages":"300-16"},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17484899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An aging society and the federal deficit.","authors":"L Etheredge","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Programs of health care and economic assistance to the elderly already account for nearly half of all the federal government's domestic spending, and this proportion will rise rapidly over the next few decades. While conditions have improved for many persons, major subgroups--blacks, widowed women, and those aged 85 and over--are increasingly vulnerable. The political-economic agenda of the post-election period will have to reconsider: guns vs. canes; means testing vs. entitlement; and public insurance vs. private savings and pensions.</p>","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"62 4","pages":"521-43"},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17498768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Poorhouses and the origins of the public old age home.","authors":"M. Katz","doi":"10.2307/3349894","DOIUrl":"https://doi.org/10.2307/3349894","url":null,"abstract":"Public welfare in America--and its often ungainly structures--is as old and as varied as the history and social experiences of the last three hundred years. In the nineteenth century the poorhouse became the central arch of public welfare policy. Even in the twentieth century it did not disappear, but was gradually transformed into the public old age home.","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"38 1","pages":"110-40"},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80987845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}