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71. Reforming Medical Malpractice Liability through Contract

Author:
Michael F. Cannon
Publication Date:
11-2010
Content Type:
Working Paper
Institution:
The Cato Institute
Abstract:
This paper discusses the medical malpractice "crisis" and the potential of contract liability to reduce overall malpractice costs as well as improve the quality of and access to care. First, the paper describes the current medical malpractice liability "system" and some of the more common reforms offered. It then discusses the economic rationale of allowing patients and providers to agree in advance of treatment on how the patient will be compensated in the event of simple negligence on the part of providers, explaining how contract liability may offer improvements in the areas of costs, patient preferences, the pursuit of more efficient liability rules, and quality of care. The paper then critiques select objections to contract liability – those based on the superior bargaining power of providers, the lack of information available to patients, and possible reductions in quality – and forwards possible limitations on the right to contract that may allay such concerns.
Topic:
Health, Law, and Health Care Policy
Political Geography:
United States

72. The Carter Center News Spring 2009

Publication Date:
04-2009
Content Type:
Policy Brief
Institution:
The Carter Center
Abstract:
Last November, The Carter Center was one of the sponsors of a major health initiative in Ethiopia, in which some 5 million people were treated for trachoma and tested (and treated, when needed) for malaria in a one-week campaign. You might wonder how many staff members The Carter Center sent from Atlanta headquarters to Ethiopia to handle this unprecedented, labor-intensive effort, called Maltra week. We sent one person.
Topic:
Health and Poverty
Political Geography:
Africa, United States, and Ethiopia

73. A Better Way to Generate and Use Comparative-Effectiveness Research

Author:
Michael F. Cannon
Publication Date:
02-2009
Content Type:
Working Paper
Institution:
The Cato Institute
Abstract:
President Barack Obama, former U.S. Senate majority leader Tom Daschle, and others propose a new government agency that would evaluate the relative effectiveness of medical treatments. The need for “comparative-effectiveness research” is great. Evidence suggests Americans spend $700 billion annually on medical care that provides no value. Yet patients, providers, and purchasers typically lack the necessary information to distinguish between high- and low-value services.
Topic:
Economics, Government, Health, and Privatization
Political Geography:
United States

74. Health-Status Insurance: How Markets Can Provide Health Security

Author:
John H. Cochrane
Publication Date:
02-2009
Content Type:
Working Paper
Institution:
The Cato Institute
Abstract:
None of us has health insurance, really. If you develop a long-term condition such as heart disease or cancer, and if you then lose your job or are divorced, you can lose your health insurance. You now have a preexisting condition, and insurance will be enormously expensive—if it's available at all. Free markets can solve this problem, and provide life-long, portable health security, while enhancing consumer choice and competition. “Heath-status insurance” is the key. If you are diagnosed with a long-term, expensive condition, a health-status insurance policy will give you the resources to pay higher medical insurance premiums. Health-status insurance covers the risk of premium reclassification, just as medical insurance covers the risk of medical expenses. With health-status insurance, you can always obtain medical insurance, no matter how sick you get, with no change in out-of-pocket costs.
Topic:
Economics, Health, Markets, and Privatization
Political Geography:
United States

75. Travel Restrictions Not a Cure for Swine Flu Outbreak

Author:
Michael T. Osterholm
Publication Date:
04-2009
Content Type:
Working Paper
Institution:
Council on Foreign Relations
Abstract:
The outbreak of a new strain of deadly swine flu, which has killed more than one hundred people in Mexico and spread to the United States and Europe, has global health experts considering whether this may be the start of a long-feared pandemic. Michael T. Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota, says there are a lot of unknowns about the new flu strain but so far it presents "a very different picture" from that of recent avian flu outbreaks and the 2003 sudden acute respiratory syndrome (SARS) outbreak. "Osterholm says it may be a matter of months before experts understand the disease. He cautions against international policy overreactions, citing some countries' travel warnings and bans on some imported foods from the United States and Mexico as "hysterical." He says the best way to deal with panics is to keep people informed and not create false expectations.
Topic:
International Relations, Globalization, Health, Human Welfare, and International Cooperation
Political Geography:
United States, Europe, and Canada

76. Obamacare to Come: Seven Bad Ideas for Health Care Reform

Author:
Michael Tanner
Publication Date:
05-2009
Content Type:
Working Paper
Institution:
The Cato Institute
Abstract:
President Obama has made it clear that reforming the American health care system will be one of his top priorities. In response, congressional leaders have promised to introduce legislation by this summer, and they hope for an initial vote in the Senate before the Labor Day recess.
Topic:
Government and Health
Political Geography:
United States

77. U.S. National Security and Global Health: An Analysis of Global Health Engagement by the U.S. Department of Defense

Author:
Eugene V. Bonventre, Kathleen H. Hicks, and Stacy M. Okutani
Publication Date:
04-2009
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Despite a broadening consensus that global health care efforts have an impact on national and global security, the U.S. national security community's efforts to address global health are weak and uncoordinated. The 2006 National Security Strategy states that “development reinforces diplomacy and defense, reducing long-term threats to our national security by helping to build stable, prosperous, and peaceful societies.” While the U.S. government struggles to find the right balance among the “three Ds” of defense, diplomacy, and development, the U.S. military has increased its involvement in global health where it perceives the diplomacy and development to be under resourced—or to achieve its own specific objectives. As efforts to renew the capabilities of civilian agencies proceed, it is an appropriate time to step back and consider the role that the U.S. Department of Defense (DoD) currently plays in glob al health, the impact of its health activities on national and regional security, and the role it could play to support a newly balanced U.S. foreign policy.
Topic:
Security and Health
Political Geography:
United States

78. Massachusetts Miracle or Massachusetts Miserable: What the Failure of the "Massachusetts Model" Tells Us about Health Care Reform

Author:
Michael Tanner
Publication Date:
06-2009
Content Type:
Policy Brief
Institution:
The Cato Institute
Abstract:
When Massachusetts passed its pioneering health care reforms in 2006, critics warned that they would result in a slow but steady spiral downward toward a government-run health care system. Three years later, those predictions appear to be coming true: Although the state has reduced the number of residents without health insurance, 200,000people remain uninsured. Moreover, the increase in the number of insured is primarily due to the state's generous subsidies, not the celebrated individual mandate. Health care costs continue to rise much faster than the national average. Since 2006, total state health care spending has increased by28 percent. Insurance premiums have increased by 8–10 percent per year, nearly double the national average. New regulations and bureaucracy are limiting consumer choice and adding to healthcare costs. Program costs have skyrocketed. Despite tax increases, the program faces huge deficits. The state is considering caps on insurance premiums, cuts in reimbursements to providers, and even the possibility of a “global budget” on health care spending—with its attendant rationing. A shortage of providers, combined with increased demand, is increasing waiting times to see a physician. With the “Massachusetts model” frequently cited as a blueprint for health care reform, it is important to recognize that giving the government greater control over our health care system will have grave consequences for taxpayers, providers, and health care consumers. That is the lesson of the Massachusetts model.
Topic:
Health, Human Welfare, Markets, and Governance
Political Geography:
United States

79. The Future of Foreign Assistance Amid Global Economic and Financial Crisis

Author:
Laurie A. Garrett
Publication Date:
01-2009
Content Type:
Working Paper
Institution:
Council on Foreign Relations
Abstract:
Though the United States of America faces its toughest budgetary and economic challenges since the Great Depression, it cannot afford to eliminate, or even reduce, its foreign assistance spending. For clear reasons of political influence, national security, global stability, and humanitarian concern the United States must, at a minimum, stay the course in its commitments to global health and development, as well as basic humanitarian relief. The Bush administration sought not only to increase some aspects of foreign assistance, targeting key countries (Iraq and Afghanistan) and specific health targets, such as the President's Emergency Plan for AIDS Relief and the President's Malaria Initiative, but also executed an array of programmatic and structural changes in U.S. aid efforts. By 2008, it was obvious to most participants and observers that too many agencies were engaged in foreign assistance, and that programs lacked coherence and strategy. Well before the financial crisis of fall 20 08, there was a strong bipartisan call for foreign assistance reform, allowing greater efficiency and credibility to U.S. efforts, enhancing engagement in multilateral institutions and programs, and improving institutional relations between U.S. agencies and their partners, including nongovernmental organizations (NGOs), recipient governments, corporate and business sector stakeholders, faith-based organizations (FBOs), academic-based implementers and researchers, foundations and private donors, United Nations (UN) agencies, and other donor nations.
Topic:
Foreign Policy, Debt, Development, Economics, Health, and United Nations
Political Geography:
United States

80. A Global Education Fund: Toward a True Global Compact on Universal Education

Author:
Gene B. Sperling
Publication Date:
01-2009
Content Type:
Working Paper
Institution:
Council on Foreign Relations
Abstract:
One of the most compelling—yet most unrealized—global development challenges is ensuring that all children can pursue their right to a quality basic education. Seventy-two million young children around the world will not attend primary school this year, and, if we include those adolescents who could be enrolled in secondary school, the number of out-of-school children rises to over 300 million. To some degree, global awareness of both the silent crisis of education in developing nations and the individual and societal benefits of moving toward a quality education for all children has grown over the last decade. In recent years, more policymakers and foundations have gained greater knowledge of the high economic, health, and social returns of educating girls, while foreign policy specialists increasingly recognize a connection between educational opportunities and encouraging young people to resist opting for more destructive or violent futures. A new global effort on education—the Education for All Fast Track Initiative (FTI)—has been started, and increased civil society advocacy for schooling opportunities for girls and boys, as well as those affected by HIV/AIDS, conflict, disability, and child labor, have all raised the profile of education among the broader public.
Topic:
Debt, Education, Globalization, Health, and Poverty
Political Geography:
United States