期刊
JOURNAL OF HEALTH POLITICS POLICY AND LAW
卷 34, 期 4, 页码 453-496出版社
DUKE UNIV PRESS
DOI: 10.1215/03616878-2009-011
关键词
-
In political discourse, the term single-payer system originated in an attempt to stake out a middle ground between the public and private sectors in providing universal access to health care. In this view, a single-payer system is one in which health care is financed by government and delivered by privately owned and operated health care providers. The term appears to have been coined in U. S. policy debates to provide a rhetorical reference point for universal health insurance other than the socialized medicine of state-owned and -operated health care providers. This article, like others in this special issue, is meant to provide a more nuanced view of singe-payer systems. In particular, it reviews experience in the prototypical single-payer system for physician and hospital services: the Canadian case. Given Canada's federal governance structure, this example also aptly illuminates the scope and limits of subnational variation within this single model of health care finance. And what it demonstrates in essence is that the very feature that defines the single-payer prototype-the maintenance of independent providers remunerated by a single public payer in each province-also leads to a set of profession-state bargains that define the limits of variation.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据