The Medicare Catastrophic Coverage Act: a post-mortem.
The Medicare Catastrophic Coverage Act: a post-mortem.
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《医疗保险巨灾保险法案》：事后剖析。
DOI：
10.1377/hlthaff.9.3.75
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发表时间：
1990
期刊：
影响因子：
9.7
通讯作者：
J. Gabel
中科院分区：
文献类型：
--
作者：
Thomas W. Rice;Katherine A. Desmond;J. Gabel
序言：《医疗保险巨灾保险法案》从里根总统 1986 年国情咨文中首次公布到 1989 年 11 月被国会废除，这一传奇故事代表了联邦卫生政策制定史上的非凡篇章。其破坏的根源似乎在于，已经受到保护免受灾难性疾病经济后果影响的老年人不愿意接受一项新税收，而该税收将为整个医疗保险人口提供此类保险。但这篇报道老年人态度的文章表明他们还有其他保留意见。作者汤姆·赖斯 (Tom Rice)、凯瑟琳·德斯蒙德 (Katherine Desmond) 和乔恩·加贝尔 (Jon Gabel) 讨论了一项针对老年人的调查结果，该调查在国会废除医疗保险灾难性法律的近六个月前征求了他们对这项法案的看法。调查结果清楚地反映了老年人不愿意缴税以及缺乏法律知识的情况。赖斯是一位同事...
Prologue: The saga of the Medicare Catastrophic Coverage Act from its initial unveiling in President Reagan's 1986 State of the Union address to its congressional repeal in November 1989 represents a remarkable chapter in the history of federal health policy making. The seeds of its destruction seemed to lie in the unwillingness of elderly individuals who already were protected against the economic consequences of catastrophic illness to accept a new tax that would have financed such coverage for the entire Medicare population. But this article that reports on the attitudes of elderly individuals indicates they had other reservations as well. Authors Tom Rice, Katherine Desmond, and Jon Gabel discuss the results of a survey of elderly individuals that sought their views about the Medicare catastrophic law nearly six months before Congress repealed the measure. The elderly's reluctance to accept a tax is clearly reflected in the survey results, as is their lack of knowledge about the law. Rice, an associat...