Universal Coverage in Thailand

Puenpatom and Rosenman (2008) examine universal health coverage in Thailand: “In 2001 Thailand became the first developing country to introduce universal health insurance coverage (UC). Six of 76 provinces adopted UC in April 2001, while the remaining provinces implemented UC in October of that year. One of the key elements of the program is capitated-based…

How to pay for health reform: Taxes

The New York Times is reporting that “to pay for a sweeping overhaul of the health care system, House Democrats will propose a surtax on individuals earning $280,000 and up and couples earning more than $350,000.”  Now, taxes in and of themselves need not be distortionary.  Let us assume that your employer takes $10,000 from…

Job Stretch

In this blog, I have frequently discussed the concept of Job Lock.  Job Lock occurs when you don’t leave a job that you wish to leave (either because it is low paying or you do not like the work) simply because you do not want to lose your health insurance.  Leaving your current job for…

Health Care Efficiency: Academic vs. Vendor Measures

Measuring efficiency in health care is extremely difficult.  If there was an accurate scientific measure of patient health (e.g., a 1-100 scale) before and after treatment.  That way, one could measure changes in health before and after treatment per every dollar spent.  However, measuring health outcomes is very difficult.  In the academic literature, hospital efficiency most commonly…