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Book Summary:
Medicare, the health care program for the aged and disabled, is one of our most popular federal programs. Nonetheless, critics worry about its enormous size and rapid growth and often suggest radical reforms. The author examines how Medicare has changed over time and how it works today. The first half of the volume analyzes the impact of Medicare on beneficiaries, on providers of health care, and on the federal budget. She explains how this complex program works in practice: how it attempts to control costs, what services are offered, and what problems plague the program. This section ends with an analysis of the Medicare Catastrophic Coverage Act, which passed with considerable fanfare in 1988 but was repealed just 16 months later. The last half of the book focuses on options for changing Medicare-including both possible expansions and contractions in the program. The author concludes with her views on how Medicare should change over time. Although the book focuses on Medicare, much of the analysis is relevant to the wider health care reform debate. It raises a broad range of policy options and will contribute to the policy debate over the future of health care. |
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