IBE316-12 - IBE 316 Economic Policy Stiglitz: Economics of...

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IBE 316 Economic Policy Stiglitz: Economics of the Public Sector Chapter 12: Health Care Keisuke OTSU Sophia University FLA Spring 2008 OTSU (Sophia University FLA) IBE 316 Spring 2008 1 / 20
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Review analysis because the government deals with non-marketed goods the government might discount the future di/erently from the private sector the risk premium distributional e/ects OTSU (Sophia University FLA) IBE 316 Spring 2008 2 ± 20
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Overview Focus Questions What are the fundamental problems facing the health care system today? What role does the government play in the health care sector today? What are the reasons for government action? What are some of the problems that arise from the fact that a larger fraction of health care costs are covered by insurance? What are the key public policy questions today? OTSU (Sophia University FLA) IBE 316 Spring 2008 3 / 20
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Overview Concerns about health care systems excessive costs: health payments / GDP Japan 7.8% (2004) US 15.4% (2004) limited insurance coverage Japan (universal): 10% not paying (2005) US (voluntary): uncovered people 1/6 (2007) government expenditure Japan: 17.2% (2004) US: 18.9% (2004) OTSU (Sophia University FLA) IBE 316 Spring 2008 4 / 20
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The Health Care System in the US and Japan The Private Sector Fee-for-service plans: doctors are reimbursed on the basis of service provided co-payments: the amount over the deductible paid by the individual Health maintenance organizations (HMOs): in US OTSU (Sophia University FLA) IBE 316 Spring 2008 5 / 20
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The Health Care System in the US and Japan The Role of Government US Medicade: provided by states for poor Medicare: provided by the government for aged hospital insurance supplementary medical insurance
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IBE316-12 - IBE 316 Economic Policy Stiglitz: Economics of...

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