A history of Oregon's Basic Health Services Act: an insider's account.
The state of Oregon has led the nation in creating legislation to guarantee universal access by establishing medical and funding priorities in a basic health care package. A preliminary prioritization project--known as the Oregon Medicaid Priority-Setting Project or the Golenski project--served as a "dry run" for Oregon's Basic Health Services Act passed in 1989. A list of 15 public policy principles developed from data gathered from citizen surveys was used as guide for participants in setting priorities. Oregon's pioneering attempt at creating a health care package using prioritization must be seen in the context of the state's particular democratic traditions.
Golenski
J D
JD
Bioethics Consultation Group, Inc., Berkeley, California 94710.
Thompson
S M
SM
D015276:Health Care Rationing / Q000331:legislation & jurisprudence*; D006292:Health Priorities / Q000331:legislation & jurisprudence; D009922:Oregon; D018579:Patient Selection; D040841:Resource Allocation; D013221:State Health Plans