Federalism and health system reform : Prospects for state action.
- To assess the prospect that the states, acting independently, would undertake health insurance coverage expansions that together would result in meaningful reductions in the extent of uninsurance nationally.
- We use microsimulation methods to contrast the federal income tax payments needed to finance a national program covering the uninsured with the state income tax payments needed to finance a state-specific program for the same purpose.
The contrast reveals the effects on the tax burdens of differences among states in uninsured rates and tax capacity.
- Continental United States.
Patients or Other Participants
- Observations from the 1990 through 1993 Current Population Survey (N=305 477 families), weighted to represent the population of each state.
- Illustrative public health insurance program for families with incomes below 250% of poverty, not covered by current public or employer-sponsored health insurance.
Main Outcome Measures
- Change in percent uninsured, change in per capita total tax payments.
- The per capita cost of a state-specific program is directly related to current uninsured rates, $130 in states with low uninsured rates (10%) to $230 in states with high uninsured rates (21%). This would represent increases in state total tax effort of 10% to 19%, respectively. (...)
Mots-clés Pascal : Système santé, Protection sociale, Financement, Evolution, Homme, Etats Unis, Amérique du Nord, Amérique, Economie santé
Mots-clés Pascal anglais : Health system, Welfare aids, Financing, Evolution, Human, United States, North America, America, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0433155
Code Inist : 002B30A01B. Création : 19/12/1997.