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Toward True Health Care Reform: More Care, Less Insurance

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  • Marshall Auerback
  • L. Randall Wray

Abstract

The United States has the most expensive health care system in the world, yet its system produces inferior outcomes relative to those in other countries. This brief examines the health care reform debate and argues that the basic structure of the health care system is unlikely to change, because “reform” measures actually promote the status quo. The authors believe that the fundamental problem facing the U.S. health care system is the unhealthy lifestyle of many Americans. They prefer to see a reduced role for private insurers and an increased role for government funding, along with greater public discussion of environmental and lifestyle factors. A Medicare buy-in (“public option”) for people under 65 would provide more cost control (by competing with private insurance), help to solve the problem of treatment denial based on preexisting conditions, expand the risk pool of patients, and enhance the global competitiveness of U.S. corporations—thus bringing the U.S. health care system closer to the “ideal” low-cost, universal (single-payer) insurance plan.

Suggested Citation

  • Marshall Auerback & L. Randall Wray, 2010. "Toward True Health Care Reform: More Care, Less Insurance," Economics Public Policy Brief Archive ppb_110, Levy Economics Institute.
  • Handle: RePEc:lev:levppb:ppb_110
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    File URL: http://www.levyinstitute.org/pubs/ppb_110.pdf
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    References listed on IDEAS

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    1. Yeva Nersisyan & L. Randall Wray, 2010. "The Trouble with Pensions: Toward an Alternative Public Policy to Support Retirement," Economics Public Policy Brief Archive ppb_109, Levy Economics Institute.
    2. Dimitri B. Papadimitriou & L. Randall Wray, "undated". "Does Social Security Need Saving? Providing for Retirees throughout the Twenty-first Century," Economics Public Policy Brief Archive ppb_55, Levy Economics Institute.
    3. L. Randall Wray, 2008. "The Commodities Market Bubble: Money Manager Capitalism and the Financialization of Commodities," Economics Public Policy Brief Archive ppb_96, Levy Economics Institute.
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    Cited by:

    1. Thomas I. Palley, 2010. "The economies of deleveraging: The aftermath of financialization," European Journal of Economics and Economic Policies: Intervention, Edward Elgar Publishing, vol. 7(2), pages 401-413.
    2. L. Wray, 2011. "Minsky's Money Manager Capitalism and the Global Financial Crisis," International Journal of Political Economy, Taylor & Francis Journals, vol. 40(2), pages 5-20.
    3. L. Randall Wray, 2011. "Financial Keynesianism and Market Instability," Economics Working Paper Archive wp_653, Levy Economics Institute.

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