The Health Care Crisis in the United States: The Issues and Proposed Solutions by the 2008 Presidential Candidates

Pareto, Marcos Pompeu (2008): The Health Care Crisis in the United States: The Issues and Proposed Solutions by the 2008 Presidential Candidates. Unpublished.

Abstract

The United States has state of the art technology and world renowned expertise in medical treatment, yet in terms of healthcare it shows a dramatically poor performance in relation to the other industrialized countries. This situation is surprising, since one would expect that a free market system run almost entirely by the private sector should show a much better performance.

This issue has reached the point of being one of the most important national concerns and the subject of serious political and economic arguments - not only regarding how the system should be improved, but also whether it should remain being run by the private sector under a free market approach or whether it should be run by the government and made accessible to the entire population. The first option is supported by the arguments that public initiatives often perform poorly and that free-market competition should prevail. Contrarily, the other side claims that the system is only nominally a free market, that empirical evidence shows it's not working as it should, and that other successful healthcare systems are mostly government operated.

As is stands, the health care issue acquired national importance and is presented as a major component of both presidential candidates programs, yet each favoring a different approach to improve accessibility and lower healthcare costs. Republican Senator McCain relies on improving the system by maintaining its current private enterprise, free market characteristics, while Democratic Senator Barrack Obama favours providing universal coverage and lower costs through a higher government intervention in the system. This paper examines the approaches proposed by both candidates and analyses the potential impact their plans may have on the health care system. While the lack of more detailed implementation details makes difficult accessing the effective result of each policy, the comparative review of the alternative approaches presented in this paper will help the reader to to judge for him or herself which could be the more appropriate to upgrade the system and attain a higher performance level.

• Item Type: MPRA Paper
• Language: English
• Keywords: Elections, General Elections, 2008, President, United States, Health Care, Healthcare, Crisis, McCain, Obama, Barack, Democrat, Republican, Private Market, Universal Healthcare, Competition
• Subjects: I - Health, Education, and Welfare > I1 - Health > I11 - Analysis of Health Care Markets; H - Public Economics > H5 - National Government Expenditures and Related Policies > H51 - Government Expenditures and Health; H - Public Economics > H1 - Structure and Scope of Government > H11 - Structure, Scope, and Performance of Government; I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy; Regulation; Public Health; D - Microeconomics > D4 - Market Structure and Pricing > D43 - Oligopoly and Other Forms of Market Imperfection; I - Health, Education, and Welfare > I1 - Health > I10 - General

References

Beever, C., & Karbe, M. (2003). The Cost of Medical Technologies. Cancer.org. (2002, 04 12). Smoking Costs US $157 Billion each Year. Retrieved 04 10, 2008, from ACS: http://www.cancer.org/docroot/NWS/content/NWS_1_1x_Smoking_Costs_US_157_Billion_Each_Year. asp CDC. (2007, May 22). Obesity and Overweight: Economic Consequences. Retrieved April 11, 2008, from CDC: http://www.cdc.gov/nccdphp/dnpa/obesity/economic_consequences.htm Cohen, J. T., Neumann, P. J., & Weinstein, M. C. (2008). Does Preventive Care Save Money? Health Economics and the Presidential Candidates. The New England Journal of Medicine , 661­663. Collins, S. R., & Kriss, J. L. (2008). Envisioning the Future: the 2008 presidential candidate's health reform proposals. The Commonwealth Fund. Ellis, Randall P. (1998). Creaming, Skimping and Dumping: Provider Competition on the Intensive and Extensive Margins. Journal of Health Economics, 537­555. GAO. (2003). Medical Malpractice Insurance: Multiple Factors Have Contributed to Increased Premium Rates. Report to Congressional Requesters, US General Accounting Office. Hosek, S., Mahnovski, S., Ringel J., Vollaard, B. (2002). The Elasticity of Demand for Health Care: A review of the literature and its Application to the Military Health System. Rand. King, G., & Zeng, L. (2001). Improving Forecasts of State Failure. World Politics (53), 623­658. Kumari, A. (2001). Pregnancy outcome in women with morbid obesity. International Journal of Gynecology and Obstetrics (73), 101­107. 13 Markowitz, S. (2008). The effectiveness of cigarette regulations in reducing cases of Sudden Infant Death Syndrome. Journal of Health Economics , 106­133. McCain Campaign. (2008). John McCain 2008: John McCain for President. Retrieved April 2008, from John McCain 2008: http://www.johnmccain.com/Informing/Issues/19ba2f1c­ c03f­4ac2­8cd5­5cf2edb527cf.htm Michaels, S. (2008, February 21). Retrieved April 1, 2008, from McCain's Health Care Plan: Higher Taxes, Less Coverage: blog.aflcio.org Morgan, S. (2008). Prescription Drug Financing. In M. Lu, E. Jonsson, M. Lu, & E. Jonsson (Eds.), Financing Health Care: New Ideas for a Changing Society (pp. 81­103). Wiley­VCH. Olivella, P., & Vera­Hernandez, M. (2007). Competition among differentiated health plans under adverse selection. Journal of Health Economics , 233­250. Seachrist, L. (1995, July 15). Nicotine plays deadly role on infant death. Science News , 148 (3), p. 39. Snyder, A., & Rivera, J. ". (2005). Reducing Infant Mortality in Delaware. Vaithianathan, R. (2006). Health insurance and imperfect competition in the health care market. Journal of Health Economics , 1193­1202. WHO. (2000, June 21). The World Health Organization's ranking of the world's health systems. Retrieved April 9, 2008, from http://www.photius.com/rankings/healthranks.html