High and rapidly rising health care costs in the United States and growing ranks of uninsured persons have brought health care reform to the top of the U.S. Administration`s policy agenda. This paper describes the health care financing system in the United States, highlights what are viewed as...

Despite some relative improvements in the last fifteen years, the National Health Service remains an international laggard in terms of those health outcomes that can be attributed to the healthcare system. In international comparisons of health system performance, the NHS almost always ranks in...

Two federal judges now tell us that the federal health law's individual mandate is unconstitutional. Three others disagree, and soon we will start to hear from appellate courts. But what if we put the legal arguments aside for the moment and focus on the real question: what happens to health...

During the past years we have witnessed an important number of healthcare systems reforms in the continent, being more radical in Colombia, Dominican Republic, Mexico, Turks and Caicos Islands, United States and Uruguay. As part of its CISS Health System and Insurance Report (CISS 2008), the...

In this article, we discuss the public health provisions of the Patient Protection and Affordable Care Act (PPACA). We first set forth a framework to identify the key reforms that are needed for a robust public health system. These include workforce and infrastructure investments. We then assess...

Massachusetts has enacted a far-reaching state health insurance reform package, featuring an unprecedented mandate that every resident obtain health insurance coverage. The package has received considerable praise from across the nation, but a number of its features should raise concern. Among...

Globally, the coronavirus disease (COVID-19) pandemic has sparked unexpected and violent outbursts against doctors, nurses, and other health personnel. In the Indian context, studies on violence against doctors and other medical staff largely focus on supply-demand imbalances in health care,...

The paper addresses efficiency and inequality issues under the conditions of increasing competition in the health care sector in Russia. Co-existence of state-funded mandatory and market-based voluntary medical insurance as well as high proportion of direct out-of-pocket payments create the...

A common reform used to increase consumer choice and competition in public services has been to allow private providers to compete with public incumbents. However, there remains a concern that not all consumers are able to benefit equally from wider choice. We consider the case of publicly...

Drug prices have been a conspicuous political issue in much of recent history, but no more so than during health care reform debates in 1993 and 1994. This paper investigates possible effects of political activity on pharmaceutical prices, with a particular focus on the health care reform...