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COMPARING APPROACHES TO HEALTH REFORM

COMPARING APPROACHES TO HEALTH REFORM. Jeanne M. Lambrew, PhD Associate Professor, LBJ School of Public Affairs Senior Fellow, Center for American Progress Congress on the Un- and Under-Insured December 9, 2007. OUTLINE Understanding Differences Across Plans. Commonalities Differences

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COMPARING APPROACHES TO HEALTH REFORM

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  1. COMPARING APPROACHES TO HEALTH REFORM Jeanne M. Lambrew, PhD Associate Professor, LBJ School of Public Affairs Senior Fellow, Center for American Progress Congress on the Un- and Under-Insured December 9, 2007

  2. OUTLINEUnderstanding Differences Across Plans • Commonalities • Differences • Theory of Change • Mechanisms for Change • Priority Placed on the Problem

  3. COMMONALITIES • Harnessing information • Transparency and reporting • Comparative effectiveness of services • Health information technology • Tackling chronic disease and promoting prevention • Providing some type of assistance to the poor and sick

  4. DIFFERENCES:Theory of Change Conservatives: • Gov’t role excessive • De-regulate insurance • Limit public insurance • Capped gov’t funding • Power of individuals • Values innovation and choice at every level Progressives: • Gov’t role necessary • Regulate insurance • Strengthen public insurance • Flexible gov’t funding • Power of groups • Values security with choice of doctors

  5. Mechanisms for Change Conservatives: • Level of change: Delegated • Instrument of change: Individuals • Means of change: Voluntary Progressives: • Level of change: National • Instrument of change: Broad-based • Means of change: Shared responsibility

  6. Priority Placed on the Problem Conservatives: • “Best health system in the world” • Aggressive action will raise taxes and expand government • Behind taxes, immigration Progressives: • Flawed and failing • Weak action will hurt people, budget and economy • Top domestic policy issue

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