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1 National Health Insurance 1950

handle is hein.beal/niec0001 and id is 1 raw text is: PUBLIC AFFAIRS ABSTRACTS LEGISLATIVE REFERENCE SERVICE • THE LIBRARY OF CONGRESS * WASHINGTON, D. C. March 1950 Second Edition, November 1950 NATIONAL HALTH INSUANCE No. 6 The Aroposals Proposals have been made that a national system of compulsory health insurance is necessary to protect the general welfare and to round out the existing Social Security program. A number of bills which would provide Federal assistance in medical care have been introduced in the Eighty-first Congress. The three major proposals are based upon the assumption that some form of Federal assistance is required, but differ as to the form it should take. The Adinistration bill (S. 1679) outlines a compulsory health in- surance system based on a contributory payroll tax. The Taft bill (S. 1581) calls for Federal grants-in-aid to States to underwrite and expand existing State and local programs for the medically indigent . The Flanders-Ives bill (S. 1970) proposes Federal subsidies, furnished through the States, to help develop a national system of private voluntary prepayment group in- surance plans. Although discussion has centered around these three bills, alternative suggestions have also appeared proposing (1) to stimulate voluntary health insurance bf providing for income tax deductibility for premiums; (2) to subsidize voluntary plans for lw-income groups exclusivelly (3) to provide compulsory insurance covering medical bills of over $25 or $50; and (4) to place the Federal Government in the role of the insuree. The three major bills (S. 1679, S. 1581, and S. 1970) are omnibus measures which also call for Federal Aid to Medical Education, liberalization of the Hospital Survey and Construction Act, increased Federal aid for State and local public health projects, maternal and child health services, and health study and planning. On the whole, there Is similarity in the provisions of the bills with respect to these objectives, and for this reason the material in the follming ab- stracts covers only the medical care proposals, all of which call for some form of Federal assistance but differ widely as to the form it should take. Background of the Proposals When a system of national medical care is considered, the question im- mediate2y arises: does or does not the present state of the nation's health require Federal intervention? Two major weaknesses are impropqr distribution of health personnel and facilities, and the high and unpredictable costs of (other side)

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