The Fund supports several networks of state health policymakers to help identify, inspire, and inform policy leaders.
The Fund identifies and shares policy ideas and analysis on topics important to state health policymakers, particularly on issues related to state leadership, primary care, aging, and total costs of care.
Keep up with news and updates from the Milbank Memorial Fund. And read the latest blogs from our thought leaders, including Fund President Christopher F. Koller.
The Fund publishes The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to health policy leaders.
The Milbank Memorial Fund is an endowed operating foundation that publishes The Milbank Quarterly, commissions projects, and convenes state health policy decision makers on issues they identify as important to population health.
March 2003 (Volume 81)
Mark V. Pauly
Milbank Memorial Fund
Back to The Milbank Quarterly
The article by Sherry Glied, Dahlia Remler, and Joshua Graff Zivin is a useful summary and comparison of estimates of the impacts of proposals to subsidize the purchase of health insurance (private or public) as a way to reduce the number of uninsured persons. I will make one technical comment at the end of this discussion, but generally I agree with the article. What I want to discuss here is the contention (in Glied and her colleagues’ article and elsewhere) that these “cost” (really, spending) estimates either are or should be “central to the legislative prospects” of such proposals. I hasten to add that I am not arguing that the government can or should function without budgetary estimates. Of course, some numbers must be entered and then summed in order to provide estimates of total spending to be compared with estimates for total revenues. Instead, I will offer some reasons why, especially in the case of this policy intervention, such numbers need not and ought not to be central to the policy discussion.
Author(s): Mark V. Pauly
Read on Wiley Online Library
Read on JSTOR
Volume 81, Issue 1 (pages 155–159) DOI: 10.1111/1468-0009.t01-1-00045 Published in 2003
Get the Latest from the Milbank Memorial Fund
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, historical, legal, and ethical dimensions of health and health care policy.