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Long-Term Care Program Would Provide Revenue - At First
A long-term care program could produce some needed dollars, at least in the short range, CQ Politics reports: "A new insurance program for long-term care that Democrats have included in a Senate health overhaul bill would produce about $58 billion in revenue for the government over the next 10 years, according to the Congressional Budget Office, helping to offset the cost of the legislation. Democrats acknowledge that spending in the long-term care program would increase after 10 years and that it likely would not remain a very profitable enterprise for the government. It is even possible, they say, that the program could become insolvent; in that case, the secretary of Health and Human Services would be authorized to close its enrollment. "The CBO says that premiums would have to rise significantly higher than Democrats have assumed for the program to remain financially sound."
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Dutch-Style System Would Make Health Funds Compete For Medicare Funding

Australians should be able to receive Medicare-type benefits directly from the private health fund of their choice, according to the authors of an article published in the Medical Journal of Australia. Prof Johannes Stoelwinder and Dr Francesco Paolucci argue the current escalation of health spending in Australia does not appear to be sustainable and taxpayers should be given a direct say on how public health funds are spent. Prof Stoelwinder is Chair of Health Services Management at Monash University and a Director of Medibank Private. Dr Paolucci is a Research Fellow at the Australian Centre for Economic Research on Health at the Australian National University. Prof Stoelwinder said Australia should consider adopting a public health care funding model similar to the system used in The Netherlands, where Government channels funding for Medicare-type benefits through private health funds. "Under the Dutch system, individuals choose among competing private health funds for a standardised basic benefits package. These benefits are similar to those covered under Medicare," he said. "The Government provides funding directly to health insurers to pay for Medicare-type benefits and people on lower incomes are given financial assistance to purchase health cover. "Additional private health insurance can be purchased to cover dental care, supplementary cover for medicines, allied health and other ancillaries. "Adopting a system similar to the Dutch model would make health funding more transparent, increase patient choice and free up the Government to concentrate on overall health policy questions, instead of directly managing the system." The Medical Journal of Australia is a publication of the Australian Medical Association. Australian Medical Association


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