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AJPH First Look, published online ahead of print Dec 17, 2009
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American Journal of Public Health, 10.2105/AJPH.2008.156588

Government, Politics, and Law

Integrating Public Health and Personal Care in a Reformed US Health Care System

Dov Chernichovsky 1 Arleen A. Leibowitz 2*

1 Ben-Gurion University of the Negev, Israel
2 UCLA School of Public Affairs

* To whom correspondence should be addressed. E-mail: arleen{at}ucla.edu.


  Abstract

Compared with other developed countries, the United States has an inefficient and expensive health care system with poor outcomes and many citizens who are denied access.

Inefficiency is increased by the lack of an integrated system that could promote an optimal mix of personal medical care and population health measures. We advocate a health trust system to provide core medical benefits to every American, while improving efficiency and reducing redundancy.

The major innovation of this plan would be to incorporate existing private health insurance plans in a national system that rebalances health care spending between personal and population health services and directs spending to investments with the greatest long-run returns.

Key Words: Health Financing, Insurance, Health Policy






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