How nice to read about the prescience of our own beloved Michael Sparer in a recent blogpost by the Incidental Economist (who is wonderfully fundamental imho).
The post references a 2003 Health Affairs article by Dr. Sparer and Lawrence Brown conveying a message we heard loud and clear in our health policy class: that is, that health care reform will likely be advanced by incremental increases to the means-tested Medicaid program as opposed to the launch of a universal coverage program in one fell swoop. As we all know, the former is essentially what the Affordable Care Act accomplishes. A public option? How quaint! Sadly (unbelievably) America’s model universal program, Medicare, appears to be in the political cross hairs with proposals to extend the eligiblity age under serious consideration. Sigh.
Here’s the Incidentalist:
Brown and Sparer were right. Insofar as public insurance is concerned, expansion has looked a lot more like Medicaid incrementalism than Medicare universalism.
Are you an incrementalist or a universalist? (Do you have a choice?) At any rate, it’s nice to see our professor’s name in lights. Check out the post.