Adopting New Medical Technology (1994) / Chapter Skim
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14. HEALTH CARE REFORM: SOME REFLECTIONS ON TECHNOLOGY
14. HEALTH CARE REFORM: SOME REFLECTIONS ON TECHNOLOGY
Pages 193-200
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From page 193... ...
LEGISLATIVE BACKGROUND The legislative process over the last few years has provided an illuminating lesson on how issues emerge on the national agenda. Although health policy experts have long debated issues of access, cost, and quality, until recently comprehensive health care reform was only sporadically addressed in Congress.
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From page 194... ...
The special election in Pennsylvania to fill the Senate seat of the deceased Senator John Heinz confirmed that health care remained a pressing public concern. The success of Democrat Harris Wofford, who ran a campaign focused on the need for health care reform, convinced politicians that the issue of health care had to be addressed.
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From page 195... ...
AN ANALYTIC MODEL The key issue that distinguishes various approaches to health care reform is the role of government in the newly designed system. A public regulator model concentrates health care policy decisions in the hands of government.
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From page 196... ...
The Jackson Hole Group, a loose collection of health policy experts and health care providers, inspired the "managed competition" model that is premised on this limited role for government (Enthoven and Kronick, 19891. The president's reform plan, which circulated in health policy circles in the fall of 1993, tried to merge the market-based approach of managed competition with some of the tools of government control.
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From page 197... ...
The managed competition model will likely be the starting place for discussions of technology policy in health care reform. Managed competition rests on a careful mix of market forces and government direction.
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From page 198... ...
. Thus, medical technology policy in health care reform plans must include efforts to reorganize the federal government's many disparate sources of knowledge development including the National Institutes of Health, the Food and Drug Administration, the Agency for Health Care Policy and Research, the National Center for Health Statistics, and the Office of Research and Demonstrations at the Health Care Financing Administration.
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From page 199... ...
It is essential that the government maintains, and perhaps expands, its contribution to the planning and implementation of knowledge processing activities. We must ensure that a dynamic and innovative medical technology industry will continue to thrive no matter how the health care system changes.
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