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Theory of Demand for Health Insurance by John A. Nyman,

Theory of Demand for Health Insurance by John A. Nyman,
Why do people buy health insurance? Conventional theory holds that people purchase insurance because they prefer the certainty of paying a small premium to the risk of getting sick and paying a large medical bill. Conventional theory also holds that any additional health care that people purchase when they are insured is of such low value that it is not worth the costs of providing it. As a result, economists have promoted policies, such as cost sharing and managed care, to reduce consumption of this "low-value" care. This book presents a new theory of consumer demand for heath insurance. It holds that people purchase insurance to obtain additional "income" when they become ill. In effect, insurance companies take the premiums paid by those who remain relatively healthy and transfer them to those who come down with a serious disease. This additional income often allows sick persons to obtain medical care that they may not otherwise be able to afford. The value of health insurance, therefore, stems largely from the value of the additional health care that insurance makes possible, and has little, if anything, to do with preferences for certainty. Because its value lies largely in providing access to necessary health care, health insurance is held to be much more valuable under the new theory than the old. The new theory also implies that cost sharing and managed care -- central health policies of the last 30 years -- were largely directed at solving problems that did not exist. Because these policies either reduced the "income" transferred to ill persons or limited access to additional health care, they may have done more harm than good. The new theory suggests that insurancecoverage should be extended to the uninsured. It also provides a solid theoretical justification for implementing some form of national health insurance. The new theory emphasizes three constraints.



Running in Place: How the Medicaid Model Falls Short, and What to Do about It by Eliot Fishman,
Running in Place: How the Medicaid Model Falls Short, and What to Do about It by Eliot Fishman,
Perhaps the most glaring failure of the American mixed public/private health care system is that millions, including many of the most vulnerable, go without health insurance. In Running in Place, Eliot Fishman analyzes the various means-tested health insurance initiatives instituted at the state level since the 1960s and finds that, while there have been successes, on the whole these programs have never come close to fulfilling expectations regarding increasing the numbers of low-income people enrolled or their access to mainstream health providers.Fishman argues that such state-administered measures, modeled on Medicaid, the oldest and largest of the programs, will not bring the nation close to the goal of universal coverage. At the same time, sweeping reforms that have been proposed, such as a federally administered single-payer plan, are not feasible given the current political atmosphere in Washington. Steering between these two poles -- retaining the decentralizing features of the Medicaid model that make it popular while increasing its effectiveness -- will require that the federal government assume more of the fiscal burden even as states continue to run their own programs. More people will be covered if enrollment becomes automatic, with eligibility verified retrospectively, and the appeal of such programs will increase if they are broadened to include working families who are having trouble finding affordable insurance.



South Dakota Board of Regents - The South Dakota Board of Regents governs South Dakota's six public universities: Black Hills State University, Dakota State University, Northern State University, South Dakota School of Mines and Technology, South Dakota State University, and the University of South Dakota. In addition, the board governs the state's two special schools, the South Dakota School for the Blind and Visually Impaired and the South Dakota School for the Deaf.

Sydney South West Area Health Service - Sydney South West Area Health Service, abbreviated SSWAHS and known by the corporate name Sydney South West Health, was formed in January 2005 from the amalgamation of the former Central Sydney Area Health Service and the South Western Sydney Area Health Service. It is a statutory body of the New South Wales Government, operating under the NSW Department of Health, charged with the provision of public health services in central and south-western Sydney.

South Shore, South Dakota - South Shore is a town located in Codington County, South Dakota. As of the 2000 census, the town had a total population of 270.

South Fork Grand River (South Dakota) - The South Fork of the Grand River is a tributary of the Grand River, approximately 90 mi (145 km) long, in South Dakota in the United States.



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Avera Health - Avera Health Mind/Body Health Mind/Body Health: The Effects of Attitudes, Emotions, avera health and Relationships, Third Edition details the latest scientific findings regarding the relationship between the mind avera health and body, avera health and discusses how attitudes avera health and emotions directly affect physical health avera health and well-being. Written by an interdisciplinary team of authors, including a professional health educator who is deeply involved in Mind/Body research avera health and an MD/Internist who specializes ...

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