Private and governmental insurance systems in the United States
have been suffering an ongoing series of crises. Automobile
liability insurance, malpractice protection, health insurance,
pension plans, and property insurance have been troubled in recent
times by such matters as the threat of insolvency, extremely high
premiums, lack of availability for many applicants, and
discriminatory selling practices. For over a century, private
insurance has been heavily regulated. Governmental insurance,
particularly social programs such as Social Security and Medicare,
also face serious funding and availability problems. These ongoing
problems suggest that regulators have not been doing a very
effective job. Unhappy consumers are making different demands both
on the industry and on regulators. Some call for deregulation in
the belief that market forces will make insurance more efficient,
available, and affordable. Others insist that governmental
regulators, whether legislators, insurance commissioners, or
judges, step in and help solve these problems. Regulators, very
much a part of the political process, have avoided these
controversial areas of difficult choices. Avoidance is no longer an
option for regulators.
McDowell explores what competing types of regulation, whether
market, industrial, or governmental, might be used, what goals
regulators are committed to, the different regulatory philosophies
of federal and state agencies, whether the problems are caused by
under-regulation or over-regulation, and difficulties of
enforcement. He discusses in detail these regulatory problems in
the fields of automobile liability insurance, health insurance, and
the demand of other financial service institutions to compete in
the insurance business. Throughout the book, he compares what
American regulators are doing with the practices in Canada in order
to illuminate problems and possible solutions for American
regulators to consider. Finally, he closes with an analysis of
whether the emerging trends of internationalization and
interdependence of personal and economic spheres, the increase in
magnitude of risks, and the increased speed of transactions will
require changes in insurance regulation. Insurance regulators and
professionals in governmental and private insurance as well as
scholars and students of insurance law will be interested in this
book. Even consumers who are concerned or angry about the future of
their insurance protection will find it valuable.
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