The Cost of Private-Practice Psychiatry under National Health Insurance
National health insurance (NHI) will not simply redistribute the burden of medical expenses from the sick to the general taxpayer. With the insurance subsidy to demand, more people will seek more care than ever before. Investigation of the impact of NHI on the practice of psychiatry is particularly important since coverage for this specialty varies so much among the proposed NHI bills. Senator Edward Kennedy’s proposal, introduced in fall 1978 to the Senate’s health subcommittee, essentially excludes the private practice of psychiatry from coverage under NHL Other proposals have been more generous. The Health Care Insurance Act proposes unlimited coverage for the private practice of psychiatry.
KeywordsNational Health Insurance Price Elasticity Demand Curve Psychiatric Care National Ambulatory Medical Care Survey
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- American Psychiatric Association. Task Force Report 6: The Present and Future Importance of Private Psychiatric Practice in the Delivery of Mental Health Services. Washington, D.C., 1973.Google Scholar
- DeLozier, J. National Ambulatory Medical Care Survey, 1973 Summary, United States, May 1973-April 1974; Vital and Health Statistics. Series 13, Data from the National Health Survey. DHEW publication no. 21, HRA-76-1772, October 1976.Google Scholar
- Farber, L. “Doctors’ Earnings.” Medical Economics 52 (10 November 1975 ): 176–93.Google Scholar
- Feldstein, M. “Econometric Studies of Health Economics.” In Frontiers in Quantitative Economics, ed. M. Intrilligator and D. Kendrick. 1974.Google Scholar
- Marmor, J., et al. Psychiatrists and Their Patients: A National Study of Private Office Practice. Washington, D.C.: Joint Information Service, 1975.Google Scholar
- Owen, A. L. “Which Fees Should You Raise this Year?” Medical Economics 51 (7 January 1974 ): 162–69.Google Scholar
- Reed, L. Coverage and Utilization of Care for Mental Conditions under Health Insurance: Various Studies, 1973–74. Washington, D.C.: American Psychiatric Association, 1975.Google Scholar
- Schiedemandel, P. “Utilization of Psychiatric Services.” Psychiatric Annals 4 (January 1974): 58–74.Google Scholar
- Sharfstein, S., ed. Draft Report: The Financing, Utilization and Quality of Mental Health Care in the United States. Office of Program Development and Analysis. Rockville, Md.: NIMH, April 1976.Google Scholar