National Health Care: Law, Policy, Strategy

By Donald L. Westerfield | Go to book overview

14
Proposed National
Health Care Plan

Throughout the preceding chapters, the major emphasis has been on the legislation proposed in Congress. While other foundation and individual plans have been cited and discussed indirectly, the primary focus has been on the health care proposals that are likely to become the law of the land. As scholars and foundations testify in the hearings before the respective committees in Congress, their philosophies and plan features are then incorporated into the bills that become law. The two major hearings on health care in the Congress have been the Long-Term Strategies for Health Care in the U.S. House of Representatives Ways and Means Committee and the Oversight Hearing on National Health Care Reform in the U.S. House of Representatives Committee on Education and Labor, the former in the first session of the 102nd Congress and the latter in the second session of the 102nd Congress.1

Analyzing the testimony in the hearings just cited confirms the notion that in order to have a national health care system, it must be an underlying premise of that system that every American citizen, naturalized citizen, and alien resident should be entitled to basic level or "core" health care benefits. It should also be an underlying premise of that system that everyone who can afford to pay toward those health care benefits should do so. Finally, a major underlying premise of such a national system should be that government alone has the ultimate responsibility for the health and welfare of its citizens and not business or industry.

While the "market reform" proposals have good intentions and will expand coverage to target groups of persons, they really are "employer-

-161-

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National Health Care: Law, Policy, Strategy
Table of contents

Table of contents

  • Title Page iii
  • Contents vii
  • Figures and Tables xi
  • Preface xiii
  • Part I - National Health Care Issues 1
  • 1 - Introduction 3
  • Notes 11
  • 2 - The Uninsured and Underinsured 13
  • 3 - Underwriting, Impaired Risks," and Pooling" 29
  • 4 - Play or Pay" and Subsidies" 43
  • Part II - Health Care Proposals in Congress 53
  • 5 - Major Universal" Plans in Congress" 55
  • 6 - Pay-or-Play" Proposals in Congress" 67
  • 7 - Health Care Reform Proposals in Congress 79
  • Part III - Special Interests, the Law and Political Posturing 91
  • 8 - Special Interests and Legislation 93
  • Notes 100
  • 9 - The Law--Federal Mandates 103
  • 10 - Obstacles Faced By Small Businesses 115
  • Part IV - National Policy and Strategies 127
  • 11 - Other National Models 129
  • Notes 140
  • 12 - Rationing Policies and Strategies 143
  • Part V - A National Health Care Plan 151
  • 13 - Workers Compensation 153
  • 14 - Proposed National Health Care Plan 161
  • 15 - Between Now and 2000 A.D. 171
  • Bibliography 177
  • Index 197
  • About the Author *
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