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National Health Insurance Revisited

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  • Victor R. Fuchs

Abstract

This paper explains why one in seven Americans has no health insurance, and compares the casualty and the social insurance models of health insurance. The paper discusses the relationship among national health insurance (NHI) , the cost of care, and the health of the population, and it considers the prospects for NHI in the United States in the short and the long run. Four explanations for the absence of NHI in the United States distrust of government, heterogeneity of the population, a robust voluntary sector, and lack of noblesse oblige -- are evaluated in the light of recent political, social, and economic trends.

Suggested Citation

  • Victor R. Fuchs, 1991. "National Health Insurance Revisited," NBER Working Papers 3884, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:3884
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    Cited by:

    1. Victor R. Fuchs, 2018. "Public Support for National Health Insurance: The Roles of Attitudes and Beliefs," World Scientific Book Chapters, in: Health Economics and Policy Selected Writings by Victor Fuchs, chapter 28, pages 311-337, World Scientific Publishing Co. Pte. Ltd..
    2. Douglas Holtz-Eakin, 1993. "Health Insurance Provision and Labor Market Efficiency in the United States," NBER Working Papers 4388, National Bureau of Economic Research, Inc.
    3. Cheung, K.C. & Chong, W.F. & Yam, S.C.P., 2015. "The optimal insurance under disappointment theories," Insurance: Mathematics and Economics, Elsevier, vol. 64(C), pages 77-90.
    4. Sung, K.C.J. & Yam, S.C.P. & Yung, S.P. & Zhou, J.H., 2011. "Behavioral optimal insurance," Insurance: Mathematics and Economics, Elsevier, vol. 49(3), pages 418-428.
    5. Douglas Holtz-Eakin, 1994. "Health Insurance Provision and Labor Market Efficiency in the United States and Germany," NBER Chapters, in: Social Protection versus Economic Flexibility: Is There a Trade-Off?, pages 157-188, National Bureau of Economic Research, Inc.
    6. Fuchs, Victor R., 2000. "The future of health economics1," Journal of Health Economics, Elsevier, vol. 19(2), pages 141-157, March.

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