A systemic approach to containing health care spending.

نویسندگان

  • Ezekiel Emanuel
  • Neera Tanden
  • Stuart Altman
  • Scott Armstrong
  • Donald Berwick
  • François de Brantes
  • Maura Calsyn
  • Michael Chernew
  • John Colmers
  • David Cutler
  • Tom Daschle
  • Paul Egerman
  • Bob Kocher
  • Arnold Milstein
  • Emily Oshima Lee
  • John D Podesta
  • Uwe Reinhardt
  • Meredith Rosenthal
  • Joshua Sharfstein
  • Stephen Shortell
  • Andrew Stern
  • Peter R Orszag
  • Topher Spiro
چکیده

In this election year, U.S. national spending on health care will reach $2.8 trillion, or about 18% of total spending on all goods and services. This high level of spending reduces our ability to invest in other important parts of the economy and also adds to our unsustainable national debt. There is wide agreement that we must find ways to bend the health care cost curve. Taking different approaches, the two articles that follow present a range of options, including reducing both the prices and quantity of services for public and private payers, reducing administrative costs, implementing new market-based incentives, and reforming the tax subsidy for employer-sponsored health insurance. It is our hope that these articles will stimulate discussion and debate on the best ways to address the cost problem and to place our health care system on a more sustainable path.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Household Consumption Expenditures for Medical Care: An Alternate Presentation

A S HEALTH CARE spending continues to grow, the Bureau of Economic Analysis (BEA) plans to develop a satellite account containing a detailed set of macroeconomic statistics for spending on medical care. This account would provide the data needed to better assess health care spending and its effects on the U.S. economy. In particular, the new statistics would allow health economists to better an...

متن کامل

Health care expenditure in the Islamic Republic of Iran versus other high spending countries

Background: In all countries, health expenditures are a main part of government expenditure, and governments try to find policies and strategies to reduce this expenditure. Overall expenditure index has been raised 30 times during the past 20 years in Iran, while in the health sector, the growth in health expenditures index has been 71 times. The present study aimed at examining health care exp...

متن کامل

Research Spotlight: A New Approach to Price Measures for Health Care

AS HEALTH CARE spending continues to grow, the Bureau of Economic Analysis (BEA) plans to develop a health care satellite account, which is a de­ tailed set of statistics that would allow economists to better assess health care spending and the effects on the U.S. economy. In particular, the planned health care account would provide statistics that allow health economists to better analyze the ...

متن کامل

Cost Containment Mechanisms in Canada

Aim. Describe the mechanisms currently being used by federal and provincial/territorial governments, medical associations, and private insurers to control the cost of health care in our country. Methods. Descriptive method used. Statistics on percentage GDP spent on health, and health status of the population, were compared with other OECD countries. Questions discussed: importance of cost cont...

متن کامل

Diabetes in India: Perspectives on Awareness and Care

Background and aims: Diabetes is a major killing recognized as a silent epidemic globally problem. India has the highest number of diabetes cases in the world causing huge morbidity and economic losses to the country. There were 66.8 million adults suffering from with diabetes in India in 2014, which is expected to rise by 63% to 109 million by 2035. Diabetes led to at least US...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • The New England journal of medicine

دوره 367 10  شماره 

صفحات  -

تاریخ انتشار 2012