Lecture 8 Notes

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International Development Studies
Anne- Emanuelle Birn

IDSB04 Lec 9: Health Crisis (Nov. 2) Neoclassical approach: if supply is free then the demand goes down Its not as alluring, and has moral hazard (overuses it) health care approach: demand goes up if supply is free health care creates its own demand (by physicians recommendation, etc) p. 542-3: why is the difference? 1. Patients dont control health spending (unless all have Munchausens syndrome) 2. Physician often spending 3 party $$ 3. Some health spending has no medical benefit (unnecessary services, profits, corruption, malpractice premiums. 4. Table 11-2: How the health care sector differs from markets P. 544: key questions P. 545: means of financing health care (3 points) P. 546: financing health care: Ultimately households pay but fairness differs: General taxation is most progressive (fair)its in Canada (premiums tailored to income) Mandatory health insurance less fair, especially if one premium for all Private insurance even less fair: sickest (poorest) pay higher premiums (everyone rated to risk of becoming ill so usually older, poorer, sicker pay most Out-of pocket least fair (most regressive)- no risk sharing at all Inadequate health financing is an important cause of poverty and P. 546-7: health insurance model: Guilds and workers- mutual protectionfriendly societies social insurance (national or community-based) www.notesolution.com
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