Problem of Rationing Health Care
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Americans believe they are facing a crisis in health care marked by rising costs for providing health care along with an increase in the number of people who are either uninsured or under-insured. This problem has long been ignored by policymakers, but recently President Clinton has put the issue in the forefront of political debate and has spurred a flurry of suggestions. The administration has put forward a health care plan, and the Republicans have responded with a health care initiative of their own. An analysis of the issue will lead to a consideration of the forces at work around this issue and the nature of the Republican response. The problem itself has been well documented. In the last 15 years, the number of uninsured Americans has grown, and most estimates in 1991 place the number lacking public or private coverage at between 31 and 36 million. According to the 1987 National Medical Expenditure Survey, some 47.8 million people lacked insurance for all or part of 1987, and the U.S. Bureau of the Census found that from the first quarter of 1986 to the last quarter of 1988, 63.6 million people lacked coverage for at least one month and 31.5 million lacked it in the final quarter of 1988. In terms of age, those between 19 and 24 years of age are the most likely to be uninsured, and 20.3 percent of this group were uninsured for all of 1987 and another 18.2 percent for part of the year. Children under 18 years of age were the next most likely to be uninsured so t
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Foundation's consumer choice proposal that would replace employer provided tax free health benefits with a sliding scale tax credit for families to buy their own coverage. Every household would have to buy coverage, and the poor would receive a voucher to do so. The intent is to increase the consumer's stake in health care purchasing decisions and thus decrease demand for medical services, and advocates believe this also would force providers and insurers to become more efficient. In 1992 the Bush administration made a proposal that drew from the Heritage model while grafting on elements of managed competition. Today, 24 Senate Republicans, headed by Dole and John Chafee of Rhode Island, are leaning toward a comprehensive plan featuring large insurance purchasing alliances and a mix of individual and employer responsibility. The want every citizen to be covered and for federal financial aid to be given to those who cannot afford insurance. They have so far avoided indicating how to pay for their program. A second group consists of House Republicans headed by Minority Leader Robert Michel of Illinois which shares the Dole Chafee group's goals but favors more limited steps. This group wants to require employers to offer, b
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Some common words found in the essay are:
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Approximate Word count = 1788
Approximate Pages = 7 (250 words per page)
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