IDEAS home Printed from https://ideas.repec.org/
MyIDEAS: Log in (now much improved!) to save this article

Public Policy and the U.S. Health Insurance Market: Direct and Indirect Provision of Insurance

Listed author(s):
  • McGarry, Kathleen

In this paper I examine the twin challenges of providing coverage for the uninsured and addressing the issues of high and rising costs. I focus particularly on the role of government intervention in the marketplace both directly, through the provision of health insurance itself, and indirectly via the subsidization of private expenditures. My goal is to describe the basic structure of government involvement in private health insurance, as well as the Medicare and Medicaid programs, and to provide a guide to the issues surrounding these forms of coverage. Throughout the paper I pay particular attention to the role of public policy in affecting the prevalence of health insurance coverage and the cost of care. The following section describes the current health insurance system in the United States. It presents a number of statistics on insurance coverage and health care costs. The third section examines the private health insurance market and the government’s role in its development while the fourth section turns to a discussion of public programs. This study of public programs is divided into two parts focusing in turn on Medicare and Medicaid. I also briefly discuss the new State Children’s Health Insurance Program (SCHIP). A final section summarizes the current status of the health care system and highlights the challenges facing the nation.

If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.

File URL: https://www.ntanet.org/NTJ/55/4/ntj-v55n04p789-827-public-policy-health-insurance.pdf
Download Restriction: no

File URL: https://www.ntanet.org/NTJ/55/4/ntj-v55n04p789-827-public-policy-health-insurance.html
Download Restriction: no

Article provided by National Tax Association in its journal National Tax Journal.

Volume (Year): 55 (2002)
Issue (Month): 4 (December)
Pages: 789-827

as
in new window

Handle: RePEc:ntj:journl:v:55:y:2002:i:4:p:789-827
Contact details of provider: Postal:
529 14th Street NW Suite 750, Washington DC 20045

Phone: (202)737-3325
Web page: https://www.ntanet.org/
Email:


More information through EDIRC

References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:

as
in new window


  1. Glick, Reuven & Rose, Andrew K., 2002. "Does a currency union affect trade? The time-series evidence," European Economic Review, Elsevier, vol. 46(6), pages 1125-1151, June.
  2. Melissa A. Thomasson, 2003. "The Importance of Group Coverage: How Tax Policy Shaped U.S. Health Insurance," American Economic Review, American Economic Association, vol. 93(4), pages 1373-1384, September.
  3. Jonathan Gruber, 2000. "Tax Subsidies for Health Insurance: Evaluating the Costs and Benefits," NBER Working Papers 7553, National Bureau of Economic Research, Inc.
  4. McClellan, Mark & Skinner, Jonathan, 2006. "The incidence of Medicare," Journal of Public Economics, Elsevier, vol. 90(1-2), pages 257-276, January.
  5. Janet Currie & Jonathan Gruber, 1996. "Health Insurance Eligibility, Utilization of Medical Care, and Child Health," The Quarterly Journal of Economics, Oxford University Press, vol. 111(2), pages 431-466.
  6. Jonathan Gruber & Aaron Yelowitz, 1999. "Public Health Insurance and Private Savings," Journal of Political Economy, University of Chicago Press, vol. 107(6), pages 1249-1274, December.
  7. Glied, Sherry A. & Remler, Dahlia K., 2002. "What Every Public Finance Economist Needs to Know About Health Economics: Recent Advances and Unresolved Questions," National Tax Journal, National Tax Association, vol. 55(4), pages 771-788, December.
  8. David M. Cutler, 2003. "Employee Costs and the Decline in Health Insurance Coverage," NBER Chapters,in: Frontiers in Health Policy Research, Volume 6, pages 27-54 National Bureau of Economic Research, Inc.
  9. Sandra Decker & Carol Rapaport, 2002. "Medicare and Disparities in Women's Health," NBER Working Papers 8761, National Bureau of Economic Research, Inc.
  10. John Ham & Lara Dawn Shore-Sheppard, 2000. "The Effect of Medicaid Expansions for Low-Income Children on Medicaid Participation and Insurance Coverage: Evidence from the SIPP," JCPR Working Papers 164, Northwestern University/University of Chicago Joint Center for Poverty Research.
  11. Julie Lee & Mark McClellan & Jonathan Skinner, 1999. "The Distributional Effects of Medicare," NBER Chapters,in: Tax Policy and the Economy, Volume 13, pages 85-108 National Bureau of Economic Research, Inc.
  12. Donna B. Gilleskie & Byron F. Lutz, 1999. "The Impact of Employer-Provided Health Insurance on Dynamic Employment Transitions," NBER Working Papers 7307, National Bureau of Economic Research, Inc.
  13. Chernick, Howard A. & Holmer, Martin R. & Weinberg, Daniel H., 1987. "Tax policy toward health insurance and the demand for medical services," Journal of Health Economics, Elsevier, vol. 6(1), pages 1-25, March.
  14. Joseph P. Newhouse, 2001. "Medicare Policy in the 1990s," NBER Working Papers 8531, National Bureau of Economic Research, Inc.
  15. Bhattacharya, Jay & Lakdawalla, Darius, 2006. "Does Medicare benefit the poor?," Journal of Public Economics, Elsevier, vol. 90(1-2), pages 277-292, January.
Full references (including those not matched with items on IDEAS)

This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

When requesting a correction, please mention this item's handle: RePEc:ntj:journl:v:55:y:2002:i:4:p:789-827. See general information about how to correct material in RePEc.

For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Ann Crampton)

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.

If references are entirely missing, you can add them using this form.

If the full references list an item that is present in RePEc, but the system did not link to it, you can help with 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 profile, as there may be some citations waiting for confirmation.

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

This information is provided to you by IDEAS at the Research Division of the Federal Reserve Bank of St. Louis using RePEc data.