Medicare : preparing for the challenges of the 21st century

書誌事項

Medicare : preparing for the challenges of the 21st century

Robert D. Reischauer, Stuart Butler, Judith Lave, editors

National Academy of Social Insurance , Brookings Institution Press [Distributor], 1998

大学図書館所蔵 件 / 18

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注記

Papers presented at the ninth annual conference of the National Academy of Social Insurance, which was held in Washington, D.C., on Jan. 23-24, 1997

Includes bibliographical references and index

内容説明・目次

内容説明

In this cross-cutting analysis, some of the nation's most prominent social insurance experts go beyond recent budget debates to examine the fundamental and technical choices Medicare poses for the American people in the next century. The book begins with a consideration of the underlying social contract between Medicare's beneficiaries and workers. Pointing out that Medicare historically has had particular significance for civil rights and women's economic security in addition to providing health security, the authors debate the appropriate social contract for the future. The book also lays out the challenges in financing Medicare as health care costs rise and the population ages.Several authors explore how the growth in managed care is likely to affect Medicare beneficiaries with particular emphasis on beneficiaries with chronic illness, and they address some of the policy changes needed to make managed care better. In addition, they also look at how managed-care tools could be applied to the fee-for-service sector. The book concludes with an examination of how public opinion, politics, and leadership affect the prospects for significant Medicare restructuring in the near and long term. Copublished with the National Academy of Social Insurance

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