HMO medicine sets up an inevitable conflict between the physicians' traditional fiduciary role and the financial interests of the health plan and its physicians. Regulatory interventions, such as the formulation of rules regarding clinical practice, put government in a micromanagement role it...

The falling ratio of workers to retirees in the United has raised concerns about Social Security's ability to continue to provide a base level of support for all retired workers and to remain in balance with all of government's other fiscal obligations. Of alternative plans that have been...

With health care delivery increasingly shaped by market and budgetary discipline, the provision of health care for all seems an ever-more-distant goal.The high cost of American health care is the inevitable by-product of its method of financing. Cadette proposes shifting the tax subsidies to...

The nation is ill-prepared to finance the quantum jump in long-term care spending that is on its way as the baby boom ages. By default rather than by design, Medicaid has become the main source of funds for long-term care. But reliance on Medicaid has fostered the institutionalization of the...

Although President Clinton's health care plan was defeated in Congress, the problems precipitating the plan's introduction still exist or have worsened: medical costs continue to grow faster than the overall economy, more individuals are not covered by insurance, and fiscal austerity threatens...