Apr 06, 2011 7:27 PM GMT
An interesting proposal - that blends not the Canadian and American systems but more that of Germany, Holland, Switzerland and Israel.
From the website:
To that end, I launched www.thepurplehealthplan.org last week to solicit endorsements for what I call the Purple Health Plan - - a proposal that offers common ground to both Republicans and Democrats. To date, five Nobel laureates in economics, George Akerlof, Edmund Phelps, Thomas Schelling, Vernon Smith and William Sharpe, have signed on. So have other prominent economists.
If you’re a Democrat, don’t worry. This system is more or less what’s in place in Germany, Holland, Switzerland and Israel -- hardly right-wing bastions. If you’re a Republican, don’t worry. This is a voucher system that’s fair to all and keeps government spending from exploding.
If you like the plan, please endorse it and share it with others. This includes the president and House Speaker John Boehner, who should take the Purple Health Plan and adopt it as their joint proposal.
From the website:
The Purple Healthcare Plan
We, the undersigned economists, support the following principles governing fundamental healthcare reform and endorse immediate implementation of the Purple Healthcare Plan.
Principles of Healthcare Reform
- All Americans need a basic health plan and should be free to purchase supplemental health insurance coverage.
- Healthcare should be privately provided with people free to choose their doctors and hospitals.
- All who can pay for their health plans should do so through a combination of existing tax payments and health plan co-payments.
- The government's projected healthcare costs must be strictly capped and affordable on a long-term basis.
- Health plans should be affordable regardless of one's pre-existing health conditions or risk.
- The system must provide strong incentives to prevent overuse of healthcare services and discourage bad healthcare behavior.
- Medical malpractice reform is needed to keep providers from engaging in unaffordable defensive medicine.
The Standard Plan
- All Americans receive a voucher each year to purchase a standard plan from the private-plan provider of their choice.
- Vouchers are individually risk-adjusted; those with higher expected healthcare costs, based on documented medical conditions, receive larger vouchers.
- Participating insurance companies providing standard plans cannot deny coverage.
- Each year a panel of doctors sets the coverages of the standard plan subject to a strict budget, namely that the total cost to the government of the vouchers cannot exceed 10 percent of GDP.
- Insurance companies providing standard plans contract with private providers to cover their plan participants.
- Americans choose doctors and hospitals included in the standard plan they choose.
- Plan providers compete and provide incentives to improve participants' health and limit bad health practices.
- Plan providers offer supplemental plans to their participants and cannot deny supplemental insurance coverage to their participants.
- The government (federal and state) ends the tax exclusion of employer-provided health insurance premiums.
- Like all other Americans, Medicare, Medicaid, and health exchange participants are covered by the Purple Health Plan subject to appropriate transition provisions.
- The roughly 10 percent of GDP now spent or allocated by federal and state government on these and related programs, as well as on the tax exclusion of employer-provided health insurance premiums, is reallocated to help finance the vouchers.