Tag Archives: universal coverage

New report calls for U.S. universal coverage of long-term care for older adults

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Participants in Pennsylvania Department of Aging’s SHARE housing program during pandemic

Photo: Governor Tom Wolf via Flickr

The heavy toll that the COVID-19 pandemic has taken on older Americans highlights the need to strengthen the nation’s safety net for those requiring long-term services and supports, according to a new report in the Milbank Quarterly.

The report proposes a system of universal coverage to support long-term care for all older Americans. But we’ve been down this road before — trying for decades to create a viable, cohesive long-term care system. What makes anyone think things will be different this time around? Continue reading →

Liz Seegert is an independent health journalist and AHCJ’s topic leader on aging. She covers older adults, baby boomers, health policy, and social determinants of health, as well as many other health issues. Her bylines include stories for PBS/NextAvenue.org. the American Journal of Nursing, TIME Health, Medscape, Consumer Reports, and Medical Economics, as well as dozens of other trade and mainstream media. Her articles have been syndicated in Forbes.com, the Los Angeles Times, the Hartford Courant, the Saturday Evening Post and other major outlets.

VOX series examines the approach of four countries to universal coverage.

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Dylan Scott

In a new How I Did It essay, Dylan Scott of Vox explains how he and colleagues Ezra Klein and Tara Golshan created their multi-part series “Everybody Covered“ about how four countries accomplished universal health care. They also look at the state of Maryland, which has an all-payer system that may be a model for cost-containment in the U.S. The package, which contains both a series of articles and several podcasts, was supported by the Commonwealth Fund.

The series looks at Taiwan’s single-payer plan (which is arguably underfunded and which is not so beloved by its physicians), Australia’s public-private combo (with significant economic-based disparities), a “supercharged” Obamacare in the Netherlands (where it works partly because the country is not politically divisive) and Britain’s National Health Service. As Scott noted – there are always tradeoffs. Continue reading →

Contributing editor to Politico Magazine and former health care editor-at-large, Politico, Commonwealth Fund journalist in residence and assistant lecturer at Johns Hopkins Bloomberg School of Public Health.

Mass., Tenn. provide test cases for federal reform

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AP Medical Writer Carla K. Johnson takes a look at health care reform in Massachusetts and Tennessee and how the coverage plans in those states can inform Congress’ approach to a nationwide expansion of health coverage.

In Massachusetts, Johnson reports, folks adopted a coverage first, cost second approach, with the assumption that once universal coverage was in place, it would be easier to use that leverage to pare down costs.

The Tennessee method, on the other hand, was to provide a limited, cautious program at first with the understanding that it would be gradually expanded if possible.

Andrew Van Dam of The Wall Street Journal previously worked at the AHCJ offices while earning his master’s degree at the Missouri School of Journalism.

Where does Baucus stand on public insurance?

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In the Columbia Journalism Review, Trudy Lieberman, president of AHCJ’s board of directors, tries to pin down exactly where Montana Democrat Max Baucus, chairman of the Senate Finance Committee, stands on the inclusion of a publicly funded option in any proposed movement toward universal health coverage. Thanks to his powerful position, Baucus is the gatekeeper for any proposed plans and will have significant influence upon their direction.

At issue is the role of private insurance companies in any proposed universal system.

Baucus recently told Time’s Karen Tumulty that he considered a public option a bargaining chip to force insurance companies into other reforms, like dropping restrictions on preexisting conditions and selling policies to everyone, sick or well. In other words, the chip would move them toward “market reforms” that bring more people into the insurance fold.

In different circumstances, Lieberman found that Baucus said that while he thinks health care reform can be accomplished without a private component, he might agree with Howard Dean that real reform wouldn’t be possible without a public component to the plan.

Andrew Van Dam of The Wall Street Journal previously worked at the AHCJ offices while earning his master’s degree at the Missouri School of Journalism.

Loophole in industry proposal for universal coverage

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Los Angeles Times columnist David Lazarus points out that while, in a letter to influential senators, insurance industry executives promise, in Lazarus’ words, that “they’ll treat all people fairly in return for a government requirement that everyone buy their product,” the companies have left a significant loophole that might allow them to continue charging sicker people more money.

The key words are “benefit design,” the practice by which people can choose different levels of coverage at different prices. In a benefit design scenario, the elderly and infirm will be more likely to choose the more expensive coverage ranges while the young and healthy will choose cheap bare-bones coverage.

“It’s a very potent way of segregating sick people from healthy people,” said Karen Pollitz, a research professor at Georgetown University’s Health Policy Institute. “It’s essentially a way of continuing to charge more based on people’s health.”

Andrew Van Dam of The Wall Street Journal previously worked at the AHCJ offices while earning his master’s degree at the Missouri School of Journalism.