An Introduction to the Health Care Crisis in America: How Did We Get Here?. Kelton, S. A. & Bell, S. A.
An Introduction to the Health Care Crisis in America: How Did We Get Here? [link]Paper  abstract   bibtex   
This paper provides an overview of the crisis in the U.S. health care system and lays the groundwork for a deeper investigation into the nature of the current crisis. It addresses three important issues. First, it provides a snapshot of the health care system and the institutional arrangements through which health insurance is currently obtained and administered. The second part of the paper examines the institutional development of the U.S. health care system and examines the events that led to the emergence of a system in which the majority of the population relies on an employer for health insurance coverage. It is argued that the current system of employer-sponsored health insurance has its origins in: 1) the failure of early twentieth century proposals for compulsory national health insurance; 2) the impact of World War II wage and price controls; 3) the role of unions and collective bargaining in the early postwar period; and 4) the impact of preferential tax treatment for “fringe” benefits beginning in the mid-1950s. The last part of the paper identifies a series of disturbing trends and suggests that the limits to employer-based health insurance have been reached. The beginning of the contemporary crisis is traced back to the end of the post-WWII prosperity in the 1970s, and it is argued that employer-based coverage is unlikely to remain the dominant source of insurance in the coming decades.
@misc{kelton_introduction_nodate,
	title = {An {Introduction} to the {Health} {Care} {Crisis} in {America}: {How} {Did} {We} {Get} {Here}?},
	url = {http://www.cfeps.org/health/chapters/html/ch1.htm},
	abstract = {This paper provides an overview of the crisis in the U.S. health care system and lays the groundwork for a deeper investigation into the nature of the current crisis.  It addresses three important issues.  First, it provides a snapshot of the health care system and the institutional arrangements through which health insurance is currently obtained and administered.  The second part of the paper examines the institutional development of the U.S. health care system and examines the events that led to the emergence of a system in which the majority of the population relies on an employer for health insurance coverage.  It is argued that the current system of employer-sponsored health insurance has its origins in: 1) the failure of early twentieth century proposals for compulsory national health insurance; 2) the impact of World War II wage and price controls; 3) the role of unions and collective bargaining in the early postwar period; and 4) the impact of preferential tax treatment for “fringe” benefits beginning in the mid-1950s.  The last part of the paper identifies a series of disturbing trends and suggests that the limits to employer-based health insurance have been reached.  The beginning of the contemporary crisis is traced back to the end of the post-WWII prosperity in the 1970s, and it is argued that employer-based coverage is unlikely to remain the dominant source of insurance in the coming decades.},
	urldate = {2019-02-26},
	author = {Kelton, Stephanie A. and Bell, Stephanie A.},
}

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