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Code Red

The book is by David Dranove and the subtitle is An Economist Explains How to Revive the Healthcare System Without Destroying It.  Here is the Amazon listing.  Here is the book's home page.

Code Red is one of the two or three best books on the economics of health care.  It is especially strong on how the current mess evolved historically and what has been tried (or not tried) along the way.  This is the place to go to understands PSROs or what happened to the HMO revolution.  Dranove is very pro-Medicare but he (reluctantly) rejects single-payer systems for limiting innovation.  Instead he finesses the market-government divide by calling for federalistic competition:

Congress should mandate that all states reach targets for the number of uninsured, say, below 5 percent within 5 years.  Congress could tie compliance to a set of financial carrots and sticks, and it does with Medicaid.  To prevent a race to the bottom, Congress should also specify a minimum benefit package.  It would then be up to each state to devise the most effective way of meeting these coverage goals.

I fear that minimum benefit packages will prevent insurance from ever being cheap plus I wonder if Medicaid shouldn't be done on the national level.  This book won't make anyone fully happy, but it is a must for fans of health care policy.

Posted by Tyler Cowen on January 28, 2008 at 01:43 PM in Books, Medicine | Permalink

Comments

What are the other one or two best books?

Posted by: Jonathan at Jan 28, 2008 2:46:54 PM

So, what's the problem with healthcare again? I mean, the problem that bureaucrats or politicians could fix?

I guess I'll have to read your 3 books.

Personally, I think this uninsured mantra is a joke. Who's not getting healthcare? I think to find someone not getting healthcare I'd have to go rent John Q.

For the most part, we get more "healthcare" than we need, and we get it good and hard.

Forgive my cynicism. My personal experience with healthcare has been horrible. And, my experience with the DMV makes me glad my life didn't depend on it.

Posted by: Andrew at Jan 28, 2008 4:38:54 PM

"What are the other one or two best books?"

Who Shall Live? by Victor Fuchs.

Posted by: Biomed Tim at Jan 28, 2008 5:14:54 PM

Yes - what are the other one or two?

Posted by: Brad at Jan 28, 2008 9:26:14 PM

"Your Money or Your Life" is a really good healthcare pick.

Posted by: Joseph at Jan 28, 2008 9:40:44 PM

Andrew,
Really? Maybe you don't know many people in their early to mid 20s, but I know several who are totally uninsured, even for catastrophic events.

Posted by: Nate at Jan 29, 2008 12:38:32 PM

Prof. Dranove has a healthcare economics blog, also called Code Red, with Prof. William White of Cornell University. Here is the link.

Posted by: Timothy at Jan 29, 2008 2:56:26 PM

Nate,

I didn't ask "who's uninsured?" I asked "Who's not getting healthcare?" Big difference.

Posted by: Andrew at Jan 30, 2008 7:45:46 AM

Minimum health care packages generated by a government body will not be minimum. Too much political pressure to cover a, then b, then c, then d. Never ends. I wish I could get thru my employer just a catastropic plan, have it pay for stuff over $2000 and just take of the rest myself. Course I would want the savings in the health care premium in salary.

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