A model of insurance is presented to show the sources of market failure that
result from the current design of public medical assistance programs as stop-Abstract loss insurance. Simulation results are presented for a linear premium subsidy
program as a possible solution to the problem.
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References
1.
Bazzoli, G.J. (1986) "Health care for the indigent: overview of critical issues."Health Services Research21(August): 353.
2.
Black, J.T. (1986) "Comment on the employed uninsured and the role of public policy."Inquiry23 (Summer): 209.
3.
Cleeton, D.L. and Zellner. B.B. (1987) Income, Risk Aversion and the Demand for Insurance. Working Paper. Madison: University of Wisconsin, Center for Health Policy and Program Evaluation.
4.
Desonia, R.A. and King. K.M. (1985) State Programs of Assistance to the Medically Indigent. Working Paper. Washington, DC: George Washington University, Inter-governmental Health Policy Project.
5.
Farley, P.J. (1984) "Who are the underinsured?"Presented at the annual meeting of the American Public Health Association, Washington, DC, November 13.
6.
Feder, J. and J. Hadley (1983) Hospitals' Care to the Poor in 1980 Working Paper no. 3179-04. Washington, DC: Urban Institute.
7.
Friedman, B. (1980) "Rationales for government initiative in catastrophic health insurance," in M. V. Pauly (ed.) National Health Insurance: What Now, What Later, What Never?Washington, DC: American Enterprise Institute.
8.
Ginsburg, P.G. (1981) "Altering the tax treatment of employment-based health plans."Milbank Memorial Fund Q. 59(Spring): 224.
9.
Hadley, J. and J. Feder (1983) Hospitals' Financial Status in 1980. Working Paper no. 3179-04. Washington, DC: Urban Institute.
10.
Health Care Financing Administration (1985 ) Analysis of State Medicaid Program Characteristics, 1984. HCFA Pub. no. 03204. Baltimore: Office of the Actuary, Health Care Financing Administration.
11.
Health Insurance Association of America (1984 ) Testimony before the Subcommittee on Health of the Committee on Finance, U.S. Senate (April 27, 1984) cited in Senate Committee on Finance, Health Care to the Economically Disadvantaged (September, 1984. Washington, DC: Government Printing Office .
12.
Hill, I.T. (1984) Medicaid Eligibility: A Descriptive Report of OBRA, TEFRA, and DEFRA Provisions, and State Responses. Medicaid Program Evaluation Working Paper no. 5.2. Baltimore: Office of Research and Demonstrations, Health Care Financing Administration .
13.
Kasper, J.A., C. Walden, and Wilensky. G.R. (1980) Who Are the Uninsured? U.S. Department of Health and Human Services Publication, NMCES Data Preview 1Washington, DC: Government Printing Office.
14.
Long, S.H., Settle. R.F., and Link. C.R. (1982) "Who bears the burden of Medicare cost sharing."Inquiry19 (Fall): 222.
15.
Pauly, M.V. (1986) "Taxation, health insurance, and market failure in the medical economy."J. of Econ. Literature24 (June): 629.
16.
Rice, T. and McCall. N. (1985) "The extent of ownership and the characteristics of Medicare supplemental policies."Inquiry22(Summer): 188.
17.
Robert Wood Johnson Foundation (1983) Robert Wood Johnson Special Report: Updated Report on Access to Health Care for the American PeoplePrinceton, NJ: Author.
18.
Senate Committee on Finance (1984) Health Care to the Economically Disadvantaged (September, 1984). Washington, DC: Government Printing Office .
19.
Stuart, C.E. (1984) "Welfare costs per dollar of additional tax revenue in the United States."Amer. Econ. Rev. 74 (June): 352.
20.
Swartz, K. (1984) "The changing face of the uninsured."Presented at the National Conference of the Association for Health Services Research, Washington, DC, June 10.
21.
U.S. Bureau of the Census (1983) Economic Characteristics of Households in the United States: Fourth Quarter, 1983. Series P-70-83-4. Washington, DC: Government Printing Office.
22.
Walden, D., G. Wilensky, and J. Kasper (1985) Changes in Health Insurance Status: Full-Year and Part-Year Coverage. Data Preview 21. Washington, DC : National Center for Health Services Research.
23.
Watson, H. (1984) "The effects of compensation for uninsured but insurable losses."J. of Risk and Insurance51 (September): 498.
24.
Wilensky, G. (1987) "Viable strategies for dealing with the uninsured."Health Affairs6(Spring): 33.