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Universal Public Health Insurance and Private Coverage: Externalities in Health Care Consumption

Sherry Glied
Canadian Public Policy / Analyse de Politiques
Vol. 34, No. 3 (Sep., 2008), pp. 345-357
Stable URL: http://www.jstor.org/stable/25463620
Page Count: 13
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Since scans are not currently available to screen readers, please contact JSTOR User Support for access. We'll provide a PDF copy for your screen reader.
Universal Public Health Insurance and Private Coverage: Externalities in Health Care Consumption
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Abstract

Puisqu'il est possible d'acheter, à titre privé, des services de santé, on observe une inégalité dans l'accès à ces services. Or, cela semble poser, sur le plan des politiques publiques, un défi plus important que l'inégalité existant dans d'autres domaines. Dans cet article, j'analyse le rapport entre l'inégalité dans l'accès aux services de santé et le bien-être collectif. J'examine les sources de la demande d'assurance-maladie privée, et les liens qu'il y a entre cette demande et la santé, les tendances sur le plan des dépenses gouvernementales en santé, et le bien-être individuel et collectif. Ensuite, je suggère une approche originale, en matière de politiques publiques, d'aborder les coûts sociaux des services de santé. /// Inequality in access to health care services, through private purchase, appears to pose policy challenges greater than inequality in other spheres. This paper explores how inequality in access to health care services relates to social welfare. I examine the sources of private demand for health insurance and the ramifications of this demand for health, for patterns of government spending on health care services, and for individual and social well-being. Finally, I consider a novel policy approach to addressing the externalities of health service consumption.

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