Will you and your employees be better or worse off under the Clinton Health Security Act? A national survey of nearly 2,000 large and small businesses finds that a few workers will pay a lot less and receive a lot more insurance coverage than they receive today, while those who lose ground will just be a little worse off.
While most Swedes say they're satisfied with their socialized health care system, problems ranging from long waits for surgery to a growing federal deficit have prompted health officials to inject some elements of American-style managed care and competition. Reforms include abandoning central primary care clinics in favor of allowing patients to choose a family physician; privatizing some hospitals; and separating health financing from delivery.
Americans put a high priority on the confidentiality of medical records, but today's paper-based system offers few safeguards. Congress must address privacy and confidentiality concerns when it takes up health reform this year.
The bulk of the nation's health services research has been redirected toward patient outcomes research conducted by the U.S. Agency for Health Care Policy and Research. But those expecting dramatic changes from the agency's work are likely be disappointed. One reason is the tendency to seize upon clever new theories as solutions to intricate problems, such as the inflated expectation that managed care will reap huge cost-savings.
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