Re: A majority of Americans would tolerate higher taxes to help pay for universal hea
From The American Prospect:
France
The government provides basic insurance for all citizens, albeit with relatively robust co-pays, and then encourages the population to also purchase supplementary insurance -- which 86 percent do, most of them through employers, with the poor being subsidized by the state.
...
France's system is further prized for its
high level of choice and responsiveness -- attributes that led the World Health Organization to rank it
the finest in the world (America's system came in at No. 37, between Costa Rica and Slovenia). The French
can see any doctor or specialist they want, at any time they want, as many times as they want,
no referrals or permissions needed.
...
In order to prevent cost sharing from penalizing people with serious medical problems -- the way Health Savings Accounts threaten to do -- the [French] government limits every individual's out-of-pocket expenses. In addition, the government has identified thirty chronic conditions, such as diabetes and hypertension, for which there is usually no cost sharing, in order to make sure people don't skimp on preventive care that might head off future complications.
The French do the same for pharmaceuticals, which are grouped into one of three classes and reimbursed at 35 percent, 65 percent, or 100 percent of cost,
depending on whether data show their use to be cost effective. It's a wise straddle of a tricky problem, and one that other nations would do well to emulate.
Source:
http://prospect.org/cs/articles?arti...lth_of_nations .
A health care system that ranks first in the world at half the cost. This system could work here essentially "off the shelf." What is especially useful about this system is the emphasis on prevention of complications from chronic illness as well as the emphasis on pharmaceutical reimbursement based on research driven efficacy measures.
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