Advertisement
AJPH
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

AJPH First Look, published online ahead of print Mar 19, 2009
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
AJPH.2008.148510v1
99/5/779    most recent
Right arrow Submit a response
Right arrow purchase articles
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Right arrow Get other permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ross, J. S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ross, J. S.
Related Collections
Right arrow Insurance
Right arrow Other Health Financing
Right arrow Access to Care
Right arrow Quality of Care
Right arrow Other Health Service Delivery
May 2009, Vol 99, No. 5 | American Journal of Public Health 779-786
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2008.148510

GOVERNMENT, POLITICS, AND LAW

Health Reform Redux: Learning From Experience and Politics

Johnathon S. Ross, MD, MPH

Johnathon S. Ross is with the University of Toledo College of Medicine and St Vincent Mercy Medical Center, Toledo, OH.

Correspondence: Requests for reprints may be sent to Dr Johnathon Ross, St Vincent Mercy Medical Center, 2213 Cherry St, Toledo, OH 43608 (e-mail: drjohnross{at}ameritech.net).

The 2008 presidential campaign season featured health care reform proposals. I discuss 3 approaches to health care reform and the tools for bringing about reform, such as insurance market reforms, tax credits, subsidies, individual and employer mandates, and public program expansions. I also discuss the politics of past and current health care reform efforts.

Market-based reforms and mandates have been less successful than public program expansions at expanding coverage and controlling costs. New divisions among special interest groups increase the likelihood that reform efforts will succeed.

Federal support for state efforts may be necessary to achieve national health care reform. History suggests that state-level success precedes national reform. History also suggests that an organized social movement for reform is necessary to overcome opposition from special interest groups.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2009 by the American Public Health Association