Side effects

A dose of competition and access to care

Research output: Contribution to journalReview article

Abstract

The Federal Trade Commission and Department of Justice 2004 report Improving Health Care: A Dose of Competition argues in favor of increasing competition among health care providers. Several of the proposals within the report, however, may pose risks for access to care. The report urges that the current system of implicit cross-subsidies for indigent care be replaced with insurance expansions that provide coverage to individuals. Such a substitution would certainly enhance access, but would be very costly and likely require considerable government intervention in the health care system. In the absence of a substantial expansion in coverage, reductions in cross-subsidies could limit access to care through the existing safety net. The report argues that insurance mandates limit access to care by driving up cost and reducing choice. In some cases, such as mental health and substance abuse, however, the unregulated market may not cover a benefit at all, leaving people with less coverage and less choice. Finally, the report stresses the importance of linking costs to quality. Such a linkage is likely to lead to a health care system in which poor people obtain poor-quality care at low prices-a result that many would find disturbing.

Original languageEnglish (US)
Pages (from-to)643-656
Number of pages14
JournalJournal of Health Politics, Policy and Law
Volume31
Issue number3
DOIs
StatePublished - Jun 2006

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Insurance
Delivery of Health Care
health care
United States Federal Trade Commission
Uncompensated Care
coverage
Costs and Cost Analysis
Quality of Health Care
subsidy
insurance
Social Justice
Health Personnel
Substance-Related Disorders
Mental Health
Safety
costs
substitution
substance abuse
justice
mental health

ASJC Scopus subject areas

  • Law
  • Health Professions(all)
  • Health(social science)
  • Health Policy
  • Medicine (miscellaneous)
  • Social Sciences (miscellaneous)
  • Nursing(all)

Cite this

Side effects : A dose of competition and access to care. / Glied, Sharon.

In: Journal of Health Politics, Policy and Law, Vol. 31, No. 3, 06.2006, p. 643-656.

Research output: Contribution to journalReview article

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