background: today health care system is considered as a important organization to achieve equity and improve the performance so it is necessary for policy makers and decision makers improve performance of health care system. this study was performed to evaluate the health care reform program with emphasis to decrease catastrophic payment of patients hospitalized in public hospitals. methods: th...

Single-payer health care systems consist of publicly financed insurance that provides basic benefits for all citizens. The design is intended to achieve universal coverage and allow greater cost control. Many states have attempted to reform their systems around single-payer principles, but none succeeded until Vermont enacted a law in May 2011. In this article we describe how our team developed...

INTRODUCTION..........................................................................278 I. CLINTON’S HEALTH CARE PLAN AND THE LIMITS OF LIBERALISM ................................................................................280 II. HEALTH CARE REFORM AND THE LIMITS OF LIBERALISM ................................................................................290 A. LIBERAL INDIVIDUALISM ......

Currently, much of the discussion centers on possibilities for insurance mandates, a public insurance plan modeled after Medicare, and the methods that will be used to control costs.1 Many other issues will have to be addressed, including physician payment reform, the future of Medicare Advantage, providers’ participation in public programs, the role of expansions of Medicaid, and of course, th...

Support for reform is at its highest level, but criticism of President Bill Clinton's plan is widespread. Nevertheless, the core components of the Clinton plan should be supported. These include (1) building on existing employer-based health insurance with a mandate that employers offer coverage to all workers and pay a substantial portion of the premium; (2) requiring that coverage be universa...

In 2010, the United States adopted its first-ever comprehensive set of health system reforms in the Affordable Care Act (ACA). Implementation of the law, though politically contentious and controversial, has now reached a stage where reversal of most elements of the law is no longer feasible. The controversial portions of the law that expand affordable health insurance coverage to most U.S. cit...

HEALTHCARE POLITICS The president's September speech recalled the passion and high public approval ratings that surrounded his state of the Union address . A September 22 Washington Post-ARC News poll reported that, after the speech, approval of the administration's plan jumped 13 percentage points, to 56 percent of those surveyed; 24 percent said they disapproved.' To achieve action on his pla...