The Oregon Health Plan and the political paradox of rationing: what advocates and critics have claimed and what Oregon did.
The article proceeds in three sections. First, we very briefly review the original proposals and ensuing (and misleading) debate over rationing in Oregon. Next, we explore how the politics of rationing unfolded in Oregon from the enactment of OHP to its implementation. Finally, we consider the character of Oregon's innovation and the broader lessons that it holds for reform efforts elsewhere.
Jacobs
L
L
University of Minnesota, USA.
Marmor
T
T
Oberlander
J
J
D004059:Diffusion of Innovation; D015276:Health Care Rationing / Q000458:organization & administration*; D006284:Health Plan Implementation; D006801:Humans; D008484:Medicaid / Q000458:organization & administration*; D009922:Oregon; D011057:Politics; D015397:Program Evaluation; D040841:Resource Allocation; D013221:State Health Plans / Q000458:organization & administration*; D014481:United States; D028761:Withholding Treatment