HSCI 305 Lecture Notes - Lecture 11: Underinsured, Health Insurance Mandate, Prescription Drug
6 May 2015
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Hsci 305 lecture 11 us health care & health systems comparisons. Rhetoric of socialized medicine (single payer insurance) vs. business model of care. Now, the truth is that unless you have what"s called a single-payer system in which everybody is automatically covered, then you"re probably not going to reach every single. 1915, attempted legislation proposes health insurance, fails to pass. Struggles in: 1943,1945, 1946, 1951, 1965, 1971, 1972, 1973, 1977, 1983, 1985, 1986. Private insurance linked to employment with tax deductions to reimburse cost [public subsidy to private insurance] the american way (oberlander, p 586) insurance: medicare and medicaid (1965) This still leaves millions uninsured, so deserving populations granted public. Patients pay out-of-pocket or purchase private insurance for the rest long term care, dental, hearing, vision care, prescriptions, etc. 5-year look-back on transfers/gifts, can be penalized dollar- for-dollar. Medicare: substantial cost sharing, trouble finding care, long stays, home care not.
