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John Shoven: Universal Coverage: How to Pay for It?

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Universal Health Care: How to Pay for It John B. Shoven Charles R. Schwab Professor Director, Stanford Institute for Economic Policy Research Capstone Conference - Fresh Thinking on Health Care Reform May 14, 2009 Talk Based on Joint Work with Victor Fuchs
“ Long-Run Fiscal Policy is a Health Policy Problem” ,[object Object],[object Object],[object Object],[object Object]
Two Essential Elements for Universal Coverage ,[object Object],[object Object]
Who Are the Uninsured? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Myth of “Shared Responsibility” ,[object Object],[object Object],[object Object]
Myth of “Government Assistance for the Middle Class” ,[object Object],[object Object]
Current Funding of Medicare and Medicaid ,[object Object],[object Object],[object Object]
Examples of the Disadvantages of General Revenue Financing ,[object Object],[object Object]
The flipside – the advantages of tax dedication ,[object Object],[object Object],[object Object],[object Object]
Choices for a Dedicated Tax ,[object Object],[object Object],[object Object]
Consumption vs. Income Taxes ,[object Object],[object Object],[object Object]
VAT vs. Sales Tax ,[object Object],[object Object],[object Object],[object Object]
Other alternatives ,[object Object],[object Object],[object Object],[object Object]
Mandates ,[object Object],[object Object],[object Object],[object Object]
VAT financed Vouchers – less distortionary than the status quo ,[object Object],[object Object],[object Object]
Incidence of “Employer Provided” Insurance ,[object Object],[object Object],[object Object]
VAT also introduces distortions ,[object Object],[object Object]
Consider Those Who Currently Have Work Related Insurance ,[object Object],[object Object],[object Object],[object Object],[object Object]
Winners from VAT financed Universal Vouchers ,[object Object],[object Object],[object Object],[object Object]
The Big Advantage of Financing Health Insurance with Dedicated Taxes ,[object Object],[object Object],[object Object]
Final Thoughts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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John Shoven: Universal Coverage: How to Pay for It?

  • 1. Universal Health Care: How to Pay for It John B. Shoven Charles R. Schwab Professor Director, Stanford Institute for Economic Policy Research Capstone Conference - Fresh Thinking on Health Care Reform May 14, 2009 Talk Based on Joint Work with Victor Fuchs
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