Princeton University Library Catalog
- Benvenuti, Teresa [Browse]
- Senior thesis
- Keevey, Richard [Browse]
- Woodrow Wilson School of Public and International Affairs [Browse]
- Class year:
- 89 pages
- Summary note:
- The timeliness, quality, and innovation of health care in the United States
are to be admired, but costs are high and accessibility to care for all is lacking.
This thesis analyzes the current health insurance environment and the impact the
Affordable Care Act (ACA) has had on health care. While the ACA has achieved
its goal of providing more affordable insurance coverage to more Americans, the
law falls short in several important ways. The six major reforms discussed in this
thesis will improve the delivery of health care and reduce costs where the current
Specifically, the proposals include a recommendation to introduce the use
of incentives for those who are eligible for public insurance to purchase private
insurance – as such an approach is more beneficial to doctors and their patients.
Furthermore, private insurance can be improved through the concept of
continuous coverage to prevent coverage gaps when changing jobs and
emphasizes High-Deductible Health Plans to provide affordable insurance
options for healthy individuals. The continued existence of the private insurance
sector is imperative due to resulting incentives for innovation in medical research
Additionally, continued research and development for new leading-edge
prescription drug cost control mechanisms is essential, as pricing and spending
are currently unregulated and out of control. Through improved pricing
techniques, government regulation, competition, and increased awareness and
accountability among consumers, prescription drug expenditures can be
contained while not stifling drug development.
The medical malpractice structure must be improved as the current system
results in unnecessarily high costs, due to the need for malpractice insurance and
defensive medicine. The system needs to be rewritten to ensure access to a fair
and knowledgeable panel of arbitrators and unbiased experts, while still
protecting the safety of patients.
New measures to improve transparency efforts will encourage more
accountable pricing among providers and spending among consumers.
Restructured price formulas for care and increased patient access to pricing
practices will utilize both government regulation and competition to rein in
Finally, more emphasis on prevention through wellness programs will
reduce the reliance of Americans on the health care system. Wellness programs
provided through employers, insurance companies, and the government will
effectively lower health care expenditures and dependence as a result of a
Although not all people will agree with these recommended reforms due to
ideology, they are based on the research and analysis of reputable sources. They
are motivated by the need to treat all Americans as equals and provide equal
access to health care.