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The advanced handbook of methods in evidence based healthcare

The advanced handbook of methods in evidence based healthcare BOOK REVIEWS 95 USA uninsured individuals’. What will be the cost to enroll the 38 million uninsured in a USA styled insurance or NHS type system? Let’s have a quick ‘reality check’ on US government finances. Given the mounting and projected US and states deficit, high defense budget, entitlements, high voting percent of elderly with a very strongly lobby effort for ‘prescription drug benefits’ (some estimates are up to $80 billion annually, see the 2003 Medicare Prescription Drug Bill and other mod- ifications to follow), Medicare claims for the ‘baby boom’ generation — in the ver- nacular of ‘bare knuckle Washington politics’: how are the IOM and other interested advocates going to sell the necessity of adopting solid insurance programs/laws to significantly improve health care outcomes to poor mothers and children? Further, with the current reluctance for politicians to expand public programs, particularly with low voter impact, the challenge is formidable. The unfortunate reality is that: poor mothers and children do not add many votes in key districts. Take a lesson from agriculture programs where the ‘voter calculus’ generates massive public expendi- ture on a sustained basis. As the 2004 Presidential election cycle begins with slow job growth among http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png The International Journal of Health Planning and Management Wiley

The advanced handbook of methods in evidence based healthcare

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Publisher
Wiley
Copyright
Copyright © 2004 Wiley Subscription Services, Inc., A Wiley Company
ISSN
0749-6753
eISSN
1099-1751
DOI
10.1002/hpm.742
Publisher site
See Article on Publisher Site

Abstract

BOOK REVIEWS 95 USA uninsured individuals’. What will be the cost to enroll the 38 million uninsured in a USA styled insurance or NHS type system? Let’s have a quick ‘reality check’ on US government finances. Given the mounting and projected US and states deficit, high defense budget, entitlements, high voting percent of elderly with a very strongly lobby effort for ‘prescription drug benefits’ (some estimates are up to $80 billion annually, see the 2003 Medicare Prescription Drug Bill and other mod- ifications to follow), Medicare claims for the ‘baby boom’ generation — in the ver- nacular of ‘bare knuckle Washington politics’: how are the IOM and other interested advocates going to sell the necessity of adopting solid insurance programs/laws to significantly improve health care outcomes to poor mothers and children? Further, with the current reluctance for politicians to expand public programs, particularly with low voter impact, the challenge is formidable. The unfortunate reality is that: poor mothers and children do not add many votes in key districts. Take a lesson from agriculture programs where the ‘voter calculus’ generates massive public expendi- ture on a sustained basis. As the 2004 Presidential election cycle begins with slow job growth among

Journal

The International Journal of Health Planning and Management – Wiley

Published: Jan 1, 2004

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