National Health Insurance: What Kind and How Much

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Abstract
The major forces behind the movement for national health insurance — health care costs, suboptimal mortality and morbidity levels, dissatisfaction with health care delivery and limitations of private insurance — must be considered in the development of criteria for evaluating national health insurance proposals. Although financial accessibility to health care for all citizens is a necessary criterion, the acceptability of health delivery arrangements to individual consumers is of equal importance. A reorientation of health delivery, emphasizing efficiency by imposing upon physicians both financial accountability and opportunities to share in cost savings, is a vital ingredient for any proposal. Also, to be acceptable, a proposal must articulate a comprehensive plan for phasing in the program over a period of possibly a decade. Other objectives are minimization of governmental regulation, consumer participation in cost, and maintenance of quality of care.

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