Abstract:

Millions of Americans are plagued by serious problems of inadequate health care benefits, limiting their access to services & creating hardship. For those under age 65, the problem is a lack of insurance, while for those 65+, the problem is one of underinsurance in terms of both cost & coverage, particularly for long-term care. Policies of cost containment & shifting costs to consumers have exacerbated these problems, & current health policy proposals offer little respite. Arguments are made for a public national health care program, & policy interventions are considered at four levels: incrementalism, modification, alteration, & transformation. A proposal is presented for universal health benefits that are organized & operated to eliminate for-profit medical care & to promote social & preventive care.