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Balancing the Goals of Health Care Provision

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Author Info
Martin Feldstein

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Abstract

A desirable system for providing and financing health care would achieve three goals: (1) preventing the deprivation of care because of a patient's inability to pay; (2) avoiding wasteful spending; and (3) allowing care to reflect the different tastes of individual patients. Although it is not possible to realize fully all three of these goals, they can condition and inform the design of a good system for financing health care. This paper discusses the application of these goals in more detail and use them to consider a reform of the system of Health Savings Accounts that was enacted as part of the 2003 Medicare legislation and, separately, the challenge posed by the very expensive treatments for rare diseases that are becoming more common.

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Paper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 12279.

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Date of creation: Jun 2006
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Handle: RePEc:nbr:nberwo:12279

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Find related papers by JEL classification:
I1 - Health, Education, and Welfare - - Health
H2 - Public Economics - - Taxation, Subsidies, and Revenue

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  1. Patricia Waeger, 2007. "Trade in Health Services - An Analytical Framework Valuation Effects and Interest Rate Changes," Kiel Advanced Studies Working Papers 441, Kiel Institute for the World Economy. [Downloadable!]
  2. Jeremiah Hurley & G. Emmanuel Guindon & Vicki Rynard & Steve Morgan, 2008. "Publicly funded medical savings accounts: expenditure and distributional impacts in Ontario, Canada," Health Economics, John Wiley & Sons, Ltd., vol. 17(10), pages 1129-1151. [Downloadable!]
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