IDEAS home Printed from https://ideas.repec.org/a/sae/pubfin/v30y2002i5p349-365.html
   My bibliography  Save this article

Why the United States does Not Have Universal Health Insurance: A Public Finance and Public Choice Perspective

Author

Listed:
  • Mark V. Pauly

    (University of Pennsylvania)

Abstract

This article examines possible reasons based on public choice, voting, and constitutional theory to explain why the United States does not have universal health insurance. It is argued that, compared to countries that have adopted such institutional structures, the current high levels of medical insurance costs and the high proportion of the population insured in the United States help to explain why closing the gap in coverage has not occurred. An interest group model is used to explain why the political equilibrium appears to remain the status quo.

Suggested Citation

  • Mark V. Pauly, 2002. "Why the United States does Not Have Universal Health Insurance: A Public Finance and Public Choice Perspective," Public Finance Review, , vol. 30(5), pages 349-365, September.
    • Handle: RePEc:sae:pubfin:v:30:y:2002:i:5:p:349-365
    DOI: 10.1177/109114210203000502
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/109114210203000502
    Download Restriction: no
    File URL: https://libkey.io/10.1177/109114210203000502?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Pfarr, Christian & Schmid, Andreas, 2013. "The political economics of social health insurance: the tricky case of individuals’ preferences," MPRA Paper 44534, University Library of Munich, Germany.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:pubfin:v:30:y:2002:i:5:p:349-365. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.