Historical Development of the American Health Insurance System

Chapters in this book

1. Frontmatter i
2. Contents vii
3. Acknowledgments ix
4. 1 : Introduction
5. The Theoretical Context for Procedural Protections 3
6. The Scope of the Book 6
7. 2 : The Patient Protection Debate
8. Private Reform Proposals 12
9. Government Initiatives 13
10. Making Sense of the Debate 19
11. 3 : Health Insurance Coverage in the United States
12. Historical Development of the American Health Insurance System 23
13. The Universe of Private Health Insurance Coverage 30
14. The Universe of Public Health Insurance Programs 35
15. The Problem of the Uninsured 40
16. 4 : Relevant Law and Theory
17. Regulatory Law 42
18. Corporate and Tax Law 45
19. Administrative Law 47
20. Contract Law 53
21. Tort Law 61
22. 5 : The Universe of Consumer Concerns about Health Care
23. A Typology of Consumer Concerns 67
24. Tapping and Resolving Consumer Concerns about Health Care 78
25. Institutional Mechanisms for Tapping Consumer Concerns 81
26. 6 : The Universe of Medical Standards and Other Policies Regarding Health Care
27. The Health-Care Quality Revolution and Medical Standardsetting 85
28. Organizations That Make Health-Care Policies 93
29. A Taxonomy of Health- Care Policies 100
30. 7 : Processes for Making Policies Regarding Health Care
31. Processes for Making Policies Regarding the Content and Quality of Health Care 109
32. Policymaking Regarding Access to Health-Care Services 113
33. Policymaking Regarding the Cost of Health-Care Services 120
34. Policymaking and Dissemination: The Example of Diabetes 123
35. 8 : Regimes for Tapping and Resolving Consumer Concerns about Health Care
36. Extralegal Institutions for Tapping and Resolving Consumer Concerns 128
37. Internal, External, and Administrative Review 131
38. Judicial Review 139
39. Tort Causes of Action 143
40. Contract Causes of Action 147
41. Statutory Causes of Actions 147
42. 9 : Principles of Sound Procedural Protections
43. Principles of Sound Policymaking Procedures 150
44. Principles for Better Ways to Tap and Resolve Consumer Concerns about Health Care 158
45. A Call for Better Empirical Information about Consumer Concerns 173
46. 10 : A Vision of Reform
47. More Definite Allocation of Regulatory Responsibility 175
48. Policymaking Reforms 177
49. Reforms for Tapping and Resolving Consumer Concerns about Health Care 180
50. The Limits of Procedural Justice without Distributive Justice 189
51. Notes 191
52. Index 261