Health administration and policy 3
What lessons can we learn from other countries?
What other factors need to be considered?
What lessons from History?
Comparative Analysis
Typical Tools of Government Power
Taxation
Market Interventions
Provision of government goods & services
Market Regulations
Market subsidies or structures
Education/Workforce policies
Purchaser Power
Information Investor
Rights Enforcement
Comparative Analysis of Tools
Four basic models:
Government Health System
Social Insurance
Government provided
Government managed
Mean’s Tested/Special Populations Coverage
Government provides care
Government provides insurance
Government subsidizes and manages option(s)
Government as basic regulator in private market only
Lessons From Comparative Perspective
Graig – Path to Universal Coverage:
Compulsion/subsidization
Risk-subsidization
Lessons from the film?
Tools/strategies --- consequences?
Competition; use; outcomes; choices allowed?
Political Analysis
What makes the various options possible in those countries?
What do we learn from the readings on history of U.S. reforms?
Magic wand exercise: If you could put in place in the US any new reform what would it be? (national, federal, or state)
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