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  1. Health reform for the 21st century : It may have to wait until the 21st century.

    Article - En anglais

    Objectives

    - To assess the likelihood of health care legislation in the forthcoming 105th Congress in 5 areas :

    • health care coverage, tax and Employee Retirement Income Security Act (ERISA) policy,

    • Medicaid,

    • Medicare, and managed care.

    Design-Informal, semistructured conversations that took place in the months prior to the 1996 elections.

    Population-Congressional health staff and administration officials.

    Outcome Measures

    - Unofficial, off-the-record personal opinions.

    Results

    - Health care coverage initiatives to benefit children and unemployed persons are likely to be proposed, but have little chance of enactment ; children are seen as well provided for under current Medicaid law, the strong economy and high employment levels lower concem for unemployed issues, and the effort required to pass the Kassebaum-Kennedy legislation needs time to settle.

    Tax proposals, such as medical savings accounts (MSAs), and ERISA amendments have no constituency ; also, the MSA demonstration in Kassebaum-Kennedy will forestall further action.

    Medicaid is far less an issue than in the previous Congress, because spending has fallen unexpectedly, the bitter fight over block grants makes them unlikely to be revisited, and the administration is likely to enhance state flexibility through waivers. (...)

    Mots-clés Pascal : Système santé, Qualité vie, Siècle 21eme, Aspect politique, Enquête socioéconomique, Aspect humain, Aspect social, Aide thérapeutique, Aide décision, Soin santé primaire, Congrès national, Projet, Aspect juridique, Organisation santé, Politique sanitaire

    Mots-clés Pascal anglais : Health system, Quality of life, Century 21th, Political aspect, Socioeconomical inquiry, Human aspect, Social aspect, Therapeutic assistance, Decision aid, Primary health care, National conference, Project, Legal aspect, Public health organization, Health policy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0126449

    Code Inist : 002B30A01B. Création : 21/05/1997.