Journal of Economic Perspectives: Vol. 14 No. 2 (Spring 2000)


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Medicare Reform: Fundamental Problems, Incremental Steps

Article Citation

McClellan, Mark. 2000. "Medicare Reform: Fundamental Problems, Incremental Steps." Journal of Economic Perspectives, 14(2): 21-44.

DOI: 10.1257/jep.14.2.21


This paper presents an overview of the Medicare reform debate. I begin by reviewing some of the features of Medicare and then turn to a discussion of reforms, both on the benefits side and on the financing side of the program. The reform proposals raise difficult policy and political issues, and could have important implications for the federal budget, the efficiency of the health sector, and the well-being of the elderly and disabled.

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McClellan, Mark (Stanford U and NBER)

JEL Classifications

I18: Health: Government Policy; Regulation; Public Health


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