Word: controled
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Dates: during 1970-1979
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Many physicians argue that the only way the U.S. is going to bring its medical costs under control is by emphasizing preventive medicine instead of crisis care. They stress exercise, weight control, cutting out drinking and smoking. Says Dr. Hoyt D. Gardner, president-elect of the A.M.A.: "America medically suffers more from affluence?and consequent self-indulgence?than from poverty." But not many doctors are genuinely optimistic that much will be done...
...diagnosis of why medical costs are shooting up is reasonably clear, the course of treatment that could bring those costs under control is anything but clear. It is easy
Under this year's bill, hospitals would be given until Jan. 1, 1980, to show that they can voluntarily hold down the increase in their costs. Controls would go into effect only if hospitals fail to keep their average annual increase to 9.7%, plus an adjustable figure to compensate for general inflation. That is hardly a stingy rise. Even so, more than half of the nation's nearly 6,000 community hospitals, mainly those in small towns and in states with effective cost control laws already on the books, would be exempt from controls. The country's 1,200 other...
Nevertheless, on balance, the combination of third parties paying most hospital bills and the noncompetitive nature of hospital care seems to have forced costs so completely out of control that, despite the obvious risks, only the Government may be able to clamp...
Both Kennedy's and Carter's plans make a desperate stab at trying to control the alarming rise in health costs. Carter's assumes passage of the hospital cost containment bill and it might also require that the fees charged by physicians be negotiated by the Secretary of HEW and a board composed of consumers, insurers and health care representatives. In essence, Kennedy advocates giving the Government veto power over payment scales worked out on a state basis through bargaining among the insured, the insurances, the doctors and hospitals...