Health Insurance and Public Policy: Risk, Allocation, and Equity

By Miriam K. Mills; Robert H. Blank | Go to book overview

Canada had stabilized at 8.6 percent of national income as compared to 11.5 in the United States ( Moloney and Paul, 1989). Stated another way, Canadian health expenditures per person are 40 percent less than in the United States. Canada's system of universal coverage has eliminated the problem of uncompensated care and there are no competitive pressures from the market to discrimination against the uninsured to bring about patient dumpings. Needless to say, there are many arguments that will be made against the establishment of such a program. These arguments, however, wane in response to the denial of the basic human right for health care. However, in the United States the need for fiscal restraint in the period of deficit-driven policy decisions is unlikely to change in the near future. Any change in the health care system requiring increased funding through taxation is unlikely to garner much political support. Furthermore, the growing trend toward the privatization of health care services has resulted in less opportunity for a public response to the patient dumping and uninsured problems.


REFERENCES

Ansberry C. 1988. "Dumping the Poor: Despite Federal Law, Hospitals Still Reject Sick Who Can't Pay." Wall Street Journal, November 29:A1, A10.

Ansell D. A. and R. L. Schiff. 1987. "Patient Dumping: Status, Implications and Policy Recommendations." Journal of the American Medical Association 257:1500-2.

Berlinger H. S. 1988. "Patient Dumping: No One Wins and We All Lose." American Journal of Public Health 78:1279-80.

Bookheimer S. 1989. "Uncompensated Care and the Hospital: A Political-Economic Perspective." Journal of Health and Human Resources Administration 11:328-40.

Brider P. 1987. "Too Poor to Pay: The Scandal of Patient Dumping." American Journal of Nursing 187:1447-49.

Burda D. 1987. "Dumping Law Spurs Look at E D Risk Management." Hospitals, July 20:34-38.

Christoffel T. and P. Snelling. 1988. "How the Poor Fared in a Competitive Model: Assessing the Illinois Selecting Contracting Approach." Public Health Policy 7:519-36.

Committee on Government Operations. 1987. Equal Access to Health Care: Patient Dumping. Hearing before Subcommittee on Government Operations, House of Representatives, 100th Congress, 1st session. Washington, DC: Government Printing Office, July 22.

Duncan R. P. and W. B. Vogel. 1988. "Uncompensated Care and the Inpatient Transfer." Paper presented at the Annual Meeting of the American Public Health Association, Boston.

Ellis V. 1985. "Compromise Paves Way for Outlining 'Patient Dumping.'" Dallas Times Herald, December 13:1, 6.

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