Over the past four decades, the share of income devoted to health
care nearly tripled. If policy is unchanged, this trend is likely
to continue. Should Americans decide to rein in the growth of
health care spending, they will be forced to consider whether to
ration care for the well-insured, a prospect that is odious and
unthinkable to many. This book argues that sensible health care
rationing can not only save money but improve general welfare and
public health. It reviews the experience with health care rationing
in Great Britain. The choices the British have made point up the
nature of the options Americans will face if they wish to keep
public health care budgets from driving taxes ever higher and
private health care spending from crowding out increases in other
forms of worker compensation and consumption. This book explains
why serious consideration of health care rationing is inescapable.
It also provides the information policymakers and concerned
citizens need to think clearly about these difficult issues and
engage in an informed debate.
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