title: The competitive solution and the health care problems of today.
abstract: Mark Pauly claims that a "competitive" health care system will solve the health care cost crisis. This article examines how well the competitive solution deals with the five central problems of the health care system: (1) almost universal lack of adequate health insurance for nursing homes and home care; (2) Medicaid's penurious approach to payment for health services for the poor; (3) the emergence of a dual health care system, especially for children; (4) the entrenched waste and inefficiency of the health care system; and (5) consumers' inability to judge the quality of health care. The competitive solution does not eliminate any of these problems--and may not even improve some of them.
authors: Office of Technology Assessment, US Congress.
authors: J L
authors: JL
authors: Wagner
mesh_terms: D004465:Economic Competition; D005069:Evaluation Studies as Topic; D006291:Health Policy / Q000191:economics*; D008962:Models, Theoretical; D011340:Problem Solving; D014481:United States