Health Care Coverage Determinations An International Comparative Study

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Health Care Coverage Determinations: An International Comparative Study

Author : Jost, Timothy
Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335214959
Total Pages : 295 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis Health Care Coverage Determinations: An International Comparative Study by : Jost, Timothy

Download or read book Health Care Coverage Determinations: An International Comparative Study written by Jost, Timothy and published by McGraw-Hill Education (UK). This book was released on 2004-12-01 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: "A ground breaking set of case studies about how [health care] coverage decisions are made" Robert A. Berenson M.D. Senior Fellow at the Urban Institute, Washington D.C. and former Director of the Center for Health Plans and Providers of the Medicare program Developed countries are facing rapidly rising health care costs and one of the major factors driving health care cost growth is the continual development and diffusion of new, generally more expensive, health care technologies. This book contains: * A description of the institutions, procedures and criteria used by eight countries for assessing technologies for public insurance coverage * An analysis of the role of interest groups, and of the public interest, in these decision making processes * An examination of how particular technologies are treated differently by different countries, and why Based upon research from Australia, Canada, Germany, The Netherlands, Spain, Switzerland, the United States of America and the United Kingdom, the contributors argue that although each of these countries is committed to evidence-based scientific assessment of technologies, in fact adoption of technologies is significantly affected by political considerations, and in particular by the influence of interest groups. Moreover, it offers recommendations as to how technology assessment for coverage policy can be improved to serve better the public interest. Health Care Coverage Determinations is essential reading for health policy makers, managers, researchers and students with an interest in health economics, health care provision and the politics affecting health care legislation. Contributors: Liliana Bulfone, Tanisha Carino, Peter C. Coyte, Anna Garca-Alts, Colleen M. Flood, Stefan Gre, Felix Gurtner, Anthony Harris, Timothy Stoltzfus Jost, Eric Nauenberg, Christopher Newdick, Dea Niebuhr, Guillaume Roduit, Heinz Rothgang, Frans F.H. Rutten, Dominique Sprumont, Juergen Wasem.

EBOOK: Health Care Coverage Determinations: An International Comparative Study

Author : Timothy Jost
Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335225993
Total Pages : 295 pages
Book Rating : 4.3/5 (352 download)

DOWNLOAD NOW!

Book Synopsis EBOOK: Health Care Coverage Determinations: An International Comparative Study by : Timothy Jost

Download or read book EBOOK: Health Care Coverage Determinations: An International Comparative Study written by Timothy Jost and published by McGraw-Hill Education (UK). This book was released on 2004-12-16 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: "A ground breaking set of case studies about how [health care] coverage decisions are made" Robert A. Berenson M.D. Senior Fellow at the Urban Institute, Washington D.C. and former Director of the Center for Health Plans and Providers of the Medicare program Developed countries are facing rapidly rising health care costs and one of the major factors driving health care cost growth is the continual development and diffusion of new, generally more expensive, health care technologies. This book contains: * A description of the institutions, procedures and criteria used by eight countries for assessing technologies for public insurance coverage * An analysis of the role of interest groups, and of the public interest, in these decision making processes * An examination of how particular technologies are treated differently by different countries, and why Based upon research from Australia, Canada, Germany, The Netherlands, Spain, Switzerland, the United States of America and the United Kingdom, the contributors argue that although each of these countries is committed to evidence-based scientific assessment of technologies, in fact adoption of technologies is significantly affected by political considerations, and in particular by the influence of interest groups. Moreover, it offers recommendations as to how technology assessment for coverage policy can be improved to serve better the public interest. Health Care Coverage Determinations is essential reading for health policy makers, managers, researchers and students with an interest in health economics, health care provision and the politics affecting health care legislation. Contributors: Liliana Bulfone, Tanisha Carino, Peter C. Coyte, Anna García-Altés, Colleen M. Flood, Stefan Greß, Felix Gurtner, Anthony Harris, Timothy Stoltzfus Jost, Eric Nauenberg, Christopher Newdick, Dea Niebuhr, Guillaume Roduit, Heinz Rothgang, Frans F.H. Rutten, Dominique Sprumont, Juergen Wasem.

Care Without Coverage

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309083435
Total Pages : 213 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Care Without Coverage by : Institute of Medicine

Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Finding What Works in Health Care

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309164257
Total Pages : 267 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Finding What Works in Health Care by : Institute of Medicine

Download or read book Finding What Works in Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 2011-07-20 with total page 267 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.

Explaining Divergent Levels of Longevity in High-Income Countries

Author : National Research Council
Publisher : National Academies Press
ISBN 13 : 0309217105
Total Pages : 200 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Explaining Divergent Levels of Longevity in High-Income Countries by : National Research Council

Download or read book Explaining Divergent Levels of Longevity in High-Income Countries written by National Research Council and published by National Academies Press. This book was released on 2011-06-27 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages-cancer and cardiovascular disease-available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which-unlike randomized controlled trials-are subject to many biases.

Health-Care Utilization as a Proxy in Disability Determination

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 030946921X
Total Pages : 161 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Health-Care Utilization as a Proxy in Disability Determination by : National Academies of Sciences, Engineering, and Medicine

Download or read book Health-Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Understanding the Well-Being of LGBTQI+ Populations

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309680816
Total Pages : 437 pages
Book Rating : 4.3/5 (96 download)

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Book Synopsis Understanding the Well-Being of LGBTQI+ Populations by : National Academies of Sciences, Engineering, and Medicine

Download or read book Understanding the Well-Being of LGBTQI+ Populations written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2021-01-23 with total page 437 pages. Available in PDF, EPUB and Kindle. Book excerpt: The increase in prevalence and visibility of sexually gender diverse (SGD) populations illuminates the need for greater understanding of the ways in which current laws, systems, and programs affect their well-being. Individuals who identify as lesbian, gay, bisexual, asexual, transgender, non-binary, queer, or intersex, as well as those who express same-sex or -gender attractions or behaviors, will have experiences across their life course that differ from those of cisgender and heterosexual individuals. Characteristics such as age, race and ethnicity, and geographic location intersect to play a distinct role in the challenges and opportunities SGD people face. Understanding the Well-Being of LGBTQI+ Populations reviews the available evidence and identifies future research needs related to the well-being of SDG populations across the life course. This report focuses on eight domains of well-being; the effects of various laws and the legal system on SGD populations; the effects of various public policies and structural stigma; community and civic engagement; families and social relationships; education, including school climate and level of attainment; economic experiences (e.g., employment, compensation, and housing); physical and mental health; and health care access and gender-affirming interventions. The recommendations of Understanding the Well-Being of LGBTQI+ Populations aim to identify opportunities to advance understanding of how individuals experience sexuality and gender and how sexual orientation, gender identity, and intersex status affect SGD people over the life course.

OECD Reviews of Health Systems: Switzerland 2006

Author : OECD
Publisher : OECD Publishing
ISBN 13 : 9264025839
Total Pages : 194 pages
Book Rating : 4.2/5 (64 download)

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Book Synopsis OECD Reviews of Health Systems: Switzerland 2006 by : OECD

Download or read book OECD Reviews of Health Systems: Switzerland 2006 written by OECD and published by OECD Publishing. This book was released on 2006-10-19 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book analyses the strengths and weaknesses of the Swiss health system.

The Law of Health Care Finance and Regulation

Author : Mark A. Hall
Publisher : Aspen Publishing
ISBN 13 : 154380473X
Total Pages : 907 pages
Book Rating : 4.5/5 (438 download)

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Book Synopsis The Law of Health Care Finance and Regulation by : Mark A. Hall

Download or read book The Law of Health Care Finance and Regulation written by Mark A. Hall and published by Aspen Publishing. This book was released on 2018-05-11 with total page 907 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Law of Health Care Finance and Regulation is based on Part III, “Institutions, Providers, and the State,” of parent book Health Care Law and Ethics and adds additional coverage of a variety of issues that have shaped health care finance law. Integrating public health, financial and ethical issues, this casebook uses compelling case law, clear notes and comprehensive background information to illuminate the complex and dynamic field of health care law. Key Features: Based on material in Part III of the popular parent book, “Institutions, Providers, and the State,” along with coverage of duty to treat, hospital liability, managed care liability, and regulating access to drugs. Includes cases and material not found in the parent book on: • Judicial and administrative review of Medicare decisions. Certificate of need laws. Review immunity. Integrates public health and ethics issues and features clear notes that provide context, smooth transitions between cases, and background information. Website provides background materials, updates of important events, additional relevant topics and links to other resources on the Internet.

The State and Healthcare

Author : H. Rothgang
Publisher : Springer
ISBN 13 : 0230292348
Total Pages : 292 pages
Book Rating : 4.2/5 (32 download)

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Book Synopsis The State and Healthcare by : H. Rothgang

Download or read book The State and Healthcare written by H. Rothgang and published by Springer. This book was released on 2010-09-17 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: Describes developments in healthcare systems over nearly four decades. Combining cross-sectional studies on healthcare financing, provision and policy values with in-depth country studies of Britain, Germany and the USA, this volume is a thorough examination of the convergence toward hybrid forms of healthcare systems.

Comparative Health Policy In The Asia Pacific

Author : Gauld, Robin
Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335214339
Total Pages : 273 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis Comparative Health Policy In The Asia Pacific by : Gauld, Robin

Download or read book Comparative Health Policy In The Asia Pacific written by Gauld, Robin and published by McGraw-Hill Education (UK). This book was released on 2004-12-01 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Dr. Gauld's collection of case studies is informativeand accessible. I would recommend it as acentral text for a course in comparative healthsystems." Political Studies Review Based upon research from eight countries in the Asia-Pacific - Australia, China, Hong Kong, Japan, New Zealand, Singapore, South Korea, Taiwan - this book analyses and compares their differing health policies. Key issues the book probes include: The ways that health care is financed and delivered across the region The historical and institutional arrangements that impact upon health policy and health care How the health systems differ between the countries under study How policymakers and service providers deal with unlimited demand and limited funding and issues such as service coverage and quality How pharmaceuticals and population health strategies are managed What the roles of the state and various other players (such as the private sector and professional associations) are in the making of health policy and delivery of health care The challenges that lie ahead for health care and health policy in the region Comparative Health Policy in the Asia-Pacific is key reading for students, researchers and policy makers with an interest in health policy. It is relevant to those studying medicine and health studies, anthropology, history, sociology, public policy, politics and Asian studies.

Expanding Access to Health Care

Author : Terry F. Buss
Publisher : M.E. Sharpe
ISBN 13 : 0765626462
Total Pages : 418 pages
Book Rating : 4.7/5 (656 download)

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Book Synopsis Expanding Access to Health Care by : Terry F. Buss

Download or read book Expanding Access to Health Care written by Terry F. Buss and published by M.E. Sharpe. This book was released on 2009 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt: Adequate health care is one of today's most crucial policy concerns. This book--a joint effort of the National Academy of Public Administration and the National Academy of Social Science--undertakes a sweeping analysis of the management and administrative issues that arise in expanding health care coverage so that policymakers, researchers, and citizens can better understand the complex details of health care reform.

The Oxford Handbook of the Welfare State

Author : Daniel Béland
Publisher : Oxford University Press
ISBN 13 : 0198828381
Total Pages : 1025 pages
Book Rating : 4.1/5 (988 download)

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Book Synopsis The Oxford Handbook of the Welfare State by : Daniel Béland

Download or read book The Oxford Handbook of the Welfare State written by Daniel Béland and published by Oxford University Press. This book was released on 2022-01-14 with total page 1025 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the comprehensively-revised second edition of a volume that was welcomed at its first appearance as 'the most authoritative survey and critique of the welfare state yet published'. Its fifty-one chapters have been written by acknowledged experts in the field from across Europe, Australia, and North America. Some chapters are brand new; all have been systematically revised, and they are right up to date. The first seven sections of the book cover the themes of Ethics, History, Approaches, Inputs and Actors, Policies, Policy Outcomes, and Worlds of Welfare. A final chapter is devoted to the future of welfare and well-being under the imperatives of climate change. Every chapter is written in a way that is both comprehensive and succinct, introducing the novice reader to the essentials of what is going on while providing new insights for the more experienced researcher. Wherever appropriate, the handbook brings the very latest empirical evidence to bear. It is a book that is thoroughly comparative in every way. The Oxford Handbook of the Welfare State, second edition, is a comprehensible and comprehensive survey of everything that it is important to know about the welfare state in these troubled times. It is an indispensable source for everyone who wants to know what is really going on now, and what is likely to happen next.

Health Care Law and Ethics

Author : Mark A. Hall
Publisher : Aspen Publishing
ISBN 13 : 1454897651
Total Pages : 2168 pages
Book Rating : 4.4/5 (548 download)

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Book Synopsis Health Care Law and Ethics by : Mark A. Hall

Download or read book Health Care Law and Ethics written by Mark A. Hall and published by Aspen Publishing. This book was released on 2018-02-26 with total page 2168 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Care Law and Ethics, Ninth Edition offers a relationship-oriented approach to health law—covering the essentials, as well as topical and controversial subjects. The book provides thoughtful and teachable coverage of every aspect of health care law. Current and classic cases build logically from the fundamentals of the patient/provider relationship to the role of government and institutions in health care. The book is adaptable to both survey courses and courses covering portions of the field. Key Features: New authors Nick Bagley and Glenn Cohen Incorporated anticipated changes to the Affordable Care Act More current cases and more streamlined notes, including ones on medical malpractice, bioethics, and on finance and regulation More coverage of “conscientious objection” and “big data” - Discussion of new “value based” methods of physician payment - Expanded coverage of “fraud and abuse” Current issues in public health (e.g., Ebola, Zika) and controversies in reproductive choice (e.g., Hobby Lobby) Coverage of cutting-edge genetic technologies (e.g., gene editing and mitochondrial replacement)

European Union Health Law

Author : Tamara K. Hervey
Publisher : Cambridge University Press
ISBN 13 : 1316351815
Total Pages : pages
Book Rating : 4.3/5 (163 download)

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Book Synopsis European Union Health Law by : Tamara K. Hervey

Download or read book European Union Health Law written by Tamara K. Hervey and published by Cambridge University Press. This book was released on 2015-11-12 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: A contextual analysis of the internal logics of EU health law through four themes: consumerism; (human) rights; interactions between equality, solidarity and competition; and risk. Leading authors in the emergent field explain the interactions and implications of EU health law through thematic reinterpretation of the law in context in key substantive areas, such as the regulation of health research, access of patients to high quality care, health care professional regulation, organisation and funding of health care services, and public health. This book offers a fresh perspective and thorough understanding of EU health law through individual and collective or systemic perspectives, and covers health law both within the EU and globally. Essential reading for anyone interested in health law in any EU Member State or in global health law.

Conflict of Interest in Medical Research, Education, and Practice

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 030913188X
Total Pages : 436 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Conflict of Interest in Medical Research, Education, and Practice by : Institute of Medicine

Download or read book Conflict of Interest in Medical Research, Education, and Practice written by Institute of Medicine and published by National Academies Press. This book was released on 2009-10-16 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt: Collaborations of physicians and researchers with industry can provide valuable benefits to society, particularly in the translation of basic scientific discoveries to new therapies and products. Recent reports and news stories have, however, documented disturbing examples of relationships and practices that put at risk the integrity of medical research, the objectivity of professional education, the quality of patient care, the soundness of clinical practice guidelines, and the public's trust in medicine. Conflict of Interest in Medical Research, Education, and Practice provides a comprehensive look at conflict of interest in medicine. It offers principles to inform the design of policies to identify, limit, and manage conflicts of interest without damaging constructive collaboration with industry. It calls for both short-term actions and long-term commitments by institutions and individuals, including leaders of academic medical centers, professional societies, patient advocacy groups, government agencies, and drug, device, and pharmaceutical companies. Failure of the medical community to take convincing action on conflicts of interest invites additional legislative or regulatory measures that may be overly broad or unduly burdensome. Conflict of Interest in Medical Research, Education, and Practice makes several recommendations for strengthening conflict of interest policies and curbing relationships that create risks with little benefit. The book will serve as an invaluable resource for individuals and organizations committed to high ethical standards in all realms of medicine.

Health Care at Risk

Author : Timothy Jost
Publisher : Duke University Press
ISBN 13 : 082239054X
Total Pages : 285 pages
Book Rating : 4.8/5 (223 download)

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Book Synopsis Health Care at Risk by : Timothy Jost

Download or read book Health Care at Risk written by Timothy Jost and published by Duke University Press. This book was released on 2007-08-22 with total page 285 pages. Available in PDF, EPUB and Kindle. Book excerpt: In Health Care at Risk Timothy Stoltzfus Jost, a leading expert in health law, weighs in on consumer-driven health care (CDHC), which many policymakers and analysts are promoting as the answer to the severe access, cost, and quality problems afflicting the American health care system. The idea behind CDHC is simple: consumers should be encouraged to save for medical care with health savings accounts, rely on these accounts to cover routine medical expenses, and turn to insurance only to cover catastrophic medical events. Advocates of consumer-driven health care believe that if consumers are spending their own money on medical care, they will purchase only services with real value to them. Jost contends that supporters of CDHC rely on oversimplified ideas about health care, health care systems, economics, and human nature. In this concise, straightforward analysis, Jost challenges the historical and theoretical assumptions on which the consumer-driven health care movement is based and reexamines the empirical evidence that it claims as support. He traces the histories of both private health insurance in the United States and the CDHC movement. The idea animating the drive for consumer-driven health care is that the fundamental problem with the American health care system is what economists call “moral hazard,” the risk that consumers overuse services for which they do not bear the cost. Jost reveals moral hazard as an inadequate explanation of the complex problems plaguing the American health care system, and he points to troubling legal and ethical issues raised by CDHC. He describes how other countries have achieved universal access to high-quality health care at lower cost, without relying extensively on cost sharing, and he concludes with a proposal for how the United States might do the same, incorporating aspects of CDHC while recognizing its limitations.