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Does One Medicare Fit All? The Economics of Uniform Health Insurance Benefits
National Bureau of Economic Research [NBER]; purchase required for full document Nov. 18, 2019 "[T]hree major shifts make a uniform design less efficient today than when Medicare began in 1965. First, rising income inequality makes it more difficult to design a single plan that serves the needs of both higher- and lower-income people. Second, the dramatic expansion of expensive medical technology means that a generous program increasingly crowds out other public programs valued by the poor and middle class. Finally, as medical spending rises, the tax-financing of the system creates mounting economic costs and increasingly untenable policy constraints." |
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