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E. Richard Brown
May 26, 2023
May 23, 2023
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Growing gaps in health insurance coverage have generated increased interest in enactment of major reforms. A framework for evaluating proposals embodying different approaches to a national health program is offered, highlighting seven dimensions: inclusiveness of coverage; comprehensiveness of benefits; financing methods; efficiency of resource utilization; extent of planning and market forces in resource allocation; accountability to beneficiaries; and political feasibility. Four health care reform bills in fthe Congress are shown either to emphasize political feasibility at the expense of universal coverage and comprehensive benefits, or to stress coverage, benefits, and system reform at the cost of such feasibility.
Author(s): E. Richard Brown
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Volume 66, Issue 4 (pages 573–617) Published in 1988
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The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, political, historical, legal, and ethical dimensions of health and health care policy.