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Healthcare rationing in the United States exists in various forms. Access to private health insurance is rationed on price and ability to pay. Those unable to afford a health insurance policy are unable to acquire a private plan except by employer-provided and other job-attached coverage, and insurance companies sometimes pre-screen applicants for pre-existing medical conditions. Applicants with such conditions may be declined cover or pay higher premiums and/or have extra conditions imposed such as a waiting period.[1][2]
The poor are given access to Medicaid, which is restricted by income and asset limits by means-testing, and other federal and state eligibility regulations apply. Health maintenance organizations (HMOs), which are common among the rest of the population, restrict access to treatment by financial and clinical access limits.[3][page needed] Those 65 and older and a few others also qualify for Medicare, but it also has many restrictions.
In the media and in academia, some have advocated explicit healthcare rationing to limit the cost of Medicare and Medicaid. They argue that a proper rationing mechanism would be more equitable and cost-effective.[4][5][6]
The Congressional Budget Office (CBO) has argued that health care costs are the primary driver of government spending in the long term.[7]
- ^ Obama, Barack (2009-08-15). "Why We Need Healthcare Reform". The New York Times. Retrieved 2017-12-17.
- ^ "Jim Jaffe, "Secret's Out—We Already Ration Medical Care", AARP Bulletin Today, July 30, 2009". Archived from the original on 2009-09-26. Retrieved 2009-09-29.
- ^ Martin A. Strosberg; Joshua M. Wiener; Brookings Institution; Robert Baker (1992). Rationing America's medical care. ISBN 978-0-8157-8197-4.
- ^ Cite error: The named reference
WhyRationwas invoked but never defined (see the help page). - ^ Peter G. Peterson on Charlie Rose-July 3 2009-About 17 min in Archived 2012-03-19 at the Wayback Machine
- ^ NYT-Leonhardt-Healthcare Rationing Rhetoric Overlooks Reality-June 2009
- ^ "CBO Testimony" (PDF). Archived from the original (PDF) on 2011-12-03. Retrieved 2009-08-18.