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

By Miriam K. Mills; Robert H. Blank | Go to book overview
of nursing home care ( John F. Kennedy School of Government, 1986:28-31). Kane and Kane ( 1991) suggest going beyond recognizing the distinction in financing to radically restructure personal care vis-à-vis housing and hotel aspects of nursing homes.
6.
In 1988 private insurance paid for only about $500 million worth of nursing home care; private philanthropy, for another $800 million ( Office of National Cost Estimates, 1990).
7.
General revenues finance much patient care under current arrangements. In addition to sizable health expenditures for the military and veterans, they provided 73.1 percent of the funds spent by Medicare Part B in 1988 (up from about 50 percent of a much lower total in 1972) ( Office of National Cost Estimates, 1990:19- 22).
8.
In addition to Social Security, the federal government is responsible for railroad, military, and civil service pensions. If OASDI Trust Fund balances decline drastically, the COLA may be indexed to wages. If intermediate and worst-case scenarios are realized, this "stabilizer" could be used when the Trust Funds near exhaustion in the twenty-first century ( Board of Trustees, 1990:39n).

REFERENCES

Bernstein M. C. and J. B. Bernstein. 1988. Social Security: The System That Works. New York: Basic Books.

Board of Trustees, Social Security Administration. 1989. "The Federal Old-Age and Survivors Insurance and Disability Insurance Trust Funds." 1989 Annual Report. 101st Cong. 1st Sess., April 1989.

-----. 1990. "The Federal Old-Age and Survivors Insurance and Disability Insurance Trust Funds." 1990 Annual Report. 101st Cong. 2d Sess., April 1990.

Brandon W. P. 1989. "Cut Off at the Impasse Without Real Catastrophic Health Insurance: Three Approaches to Financing Long-Term Care." Policy Studies Review 8( 2):441-54.

-----. 1991. "Two Kinds of Conservatism in U.S. Health Policy: The Reagan Record." In From Rhetoric to Reality: Comparative Health Policy and the New Right, C. Altenstetter and S. C. Haywood, eds., pp. 165-206. London: Macmillan.

Davidson S. M. and T. R. Marmor. 1990. The Cost of Living Longer: National Health Insurance and the Elderly. Lexington, MA: Lexington Books.

Evans R. G. 1987. "Finding the Levers, Finding the Courage: Lessons from Cost Containment in North America." In Health Policy in Transition: A Decade of Health Politics, Policy and Law, L. D. Brown, ed., pp. 17-47. Durham, NC: Duke University Press.

Evans R. G. et al. 1989. "Controlling Health Expenditures--The Canadian Reality." New England Journal of Medicine 320:571-77.

Feder J. and W. Scanlon. 1980. "Regulating the Bed Supply in Nursing Homes." Millbank Memorial Fund Quarterly 58 (Winter).

Hayward R. A. et al. 1988. "Inequalities in Health Services Among Insured Americans: Do Working Age Adults Have Less Access to Medical Care Than the Elderly?" New England Journal of Medicine 318:1507-12.

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