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Running in Place: How the Medicaid Model Falls Short, and What to Do about It by Eliot Fishman,

Running in Place: How the Medicaid Model Falls Short, and What to Do about It by Eliot Fishman,
Perhaps the most glaring failure of the American mixed public/private health care system is that millions, including many of the most vulnerable, go without health insurance. In Running in Place, Eliot Fishman analyzes the various means-tested health insurance initiatives instituted at the state level since the 1960s and finds that, while there have been successes, on the whole these programs have never come close to fulfilling expectations regarding increasing the numbers of low-income people enrolled or their access to mainstream health providers.Fishman argues that such state-administered measures, modeled on Medicaid, the oldest and largest of the programs, will not bring the nation close to the goal of universal coverage. At the same time, sweeping reforms that have been proposed, such as a federally administered single-payer plan, are not feasible given the current political atmosphere in Washington. Steering between these two poles -- retaining the decentralizing features of the Medicaid model that make it popular while increasing its effectiveness -- will require that the federal government assume more of the fiscal burden even as states continue to run their own programs. More people will be covered if enrollment becomes automatic, with eligibility verified retrospectively, and the appeal of such programs will increase if they are broadened to include working families who are having trouble finding affordable insurance.
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Comprehensive health insurance (Maine) - In June of 2003, the Maine, USA Legislature passed a comprehensive health insurance plan, granting low-cost coverage available to all state residents by 2009. Through a semi-private agency, the state will provide coverage to uninsured residents, small businesses and municipalities and the self-employed.

American Family Insurance - American Family Insurance Group is a private mutual company which focuses on property, casualty and auto insurance, but also offers life, health, and homeowners coverage, as well as investment and retirement-planning products.

Ontario Health Insurance Plan - The Ontario Hospital Insurance Plan (OHIP) is the government-run health plan for the Canadian province of Ontario. More recently it has been referred to as the Ontario Health Insurance Plan, but the official name uses the term Hospital rather than Health due to legal questions related to the coverage of prescription drugs.

Social health insurance - Broadly speaking, health care systems across the world are funded in three different ways: by private contributions, social health insurance contributions or taxes. Social health insurance systems are characterized by the presence of sickness funds which usually receive a proportional contribution of their members' wages.



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