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KansDem

(28,498 posts)
Thu Mar 3, 2016, 05:44 PM Mar 2016

Could someone explain Hillary's "managed competition" to health care?

Recommended "managed competition"; not single-payer system

(On the 1994 healthcare taskforce), some proposed a "single payer" approach, modeled on the European and Canadian health care systems The federal government, through tax payments, would become the sole financier--or single payer--of most medical care. A few favored a gradual expansion of Medicare what would eventually cover all uninsured Americans, starting first with those aged 55 to 65.

Bill and other Democrats rejected the single-payer and Medicare models, preferring a quasi-private system called "managed competition" that relied on private market forces to drive down costs through competition. The government would have a smaller role, including setting standards for benefit packages and helping to organize purchasing cooperatives. The cooperatives were groups of individuals and businesses forget for the purpose of purchasing insurance. Together, they could bargain with insurance companies for better benefits and prices and use their leverage to assure high-quality care.

Source: Living History, by Hillary Rodham Clinton, p.150 , Nov 1, 2003



Universal coverage, cost containment, & managed competition

In 1993, Hillary’s Health Care Task Force was running into major obstacles. The first one was self-inflicted. Given Hillary’s penchant for secrecy, doctors were shut out of the task force’s deliberations, as were lobbyists and journalists. Behind closed doors, Hillary began working toward her vision: universal coverage, cost containment, more primary care physicians, managed competition, and global budgeting. In effect, Hillary was attempting to reform a system larger than the entire economy of Italy.

Source: Hillary’s Choice by Gail Sheehy, p.235 Dec 9, 1999

Proposed Natl Health Board to oversee employee cooperatives

Hillary’s 1993 plan for managed competition would band employers and employees into huge cooperatives with the bargaining power to challenge the insurance industry. It would force doctors, hospitals, and insurers to form partnerships in order to compete in offering the highest-quality health care at the lowest cost. The new competitive health marketplace would be overseen by a National Health Board.

Source: Hillary’s Choice by Gail Sheehy, p.240-241 Dec 9, 1999


http://www.ontheissues.org/celeb/Hillary_Clinton_Health_Care.htm

I don't understand...

4 replies = new reply since forum marked as read
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Could someone explain Hillary's "managed competition" to health care? (Original Post) KansDem Mar 2016 OP
More money for the insurance industry, at our expense. arcane1 Mar 2016 #1
I wondered that, too KansDem Mar 2016 #2
Copout to ensure that the insurance companies don't go anywhere. Svafa Mar 2016 #3
"It's in our DNA"--BO ConsiderThis_2016 Mar 2016 #4
 

arcane1

(38,613 posts)
1. More money for the insurance industry, at our expense.
Thu Mar 3, 2016, 05:47 PM
Mar 2016

I don't want "private market forces" anywhere NEAR my health-care decisions.

KansDem

(28,498 posts)
2. I wondered that, too
Thu Mar 3, 2016, 05:52 PM
Mar 2016

I underwent a pre-emptive health-care test in 2013. Cost: $60 copay
I had the same thing done in 2015. Cost: $1,333 out-of-pocket

Granted, by employer went from an HMO to a PPO, but still that's a huge increase!

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