HLTH 305 Lecture Notes - Lecture 10: Managed Care, Public Health Insurance Option, Free Market

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Health care in the us : teddy roosevelt campaigned in 1912, followed by attempts by succeeding presidents, medicaid and medicare established under lyndon johnson in 1965, greatest reform o(cid:271)a(cid:373)a(cid:859)s (cid:1006)(cid:1004)(cid:1005)(cid:1004) patie(cid:374)t prote(cid:272)tio(cid:374) + afforda(cid:271)le care a(cid:272)t. Americans + health insurance : most (60%) covered by private, employer coverage. Provides: hospital insurance, supplementary medical insurance, private fee for service plans, prescription drug plan. Vha most highly noted health program in the country. Matching federal/state funds to cover costs of chip. Problems with the system (1) no centralized political control over health care (2) many uninsured (3) health care costs 1 of the highest in the world (4) poor health outcomes relative to other oecd countries. Employer-based plans pass costs onto employers > employers pass costs onto employees in many cases, who cover costs out of pocket. Private ensurers limit coverage to reduce costs; fewer benefits.

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