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Biomedical subjects

P H Schuck

Publications and source records attributed to P H Schuck.

6 recordsLinked to original sources

The message of 187: facing up to illegal immigration.

The author makes the case that the adoption of Proposition 187, the anti-illegal immigrant initiative, in California in 1994 was "an expression of public frustration with a government and civil society that seem out of touch and out of control, and with external convulsions that our borders can no longer contain." He suggests that the general public is increasingly concerned about the services provided to illegal aliens and their costs, and that responsible leadership should admit that illegal immigration, even at current levels, is not an unmitigated evil, and be prepared to set and enforce immigration limits.

Americas↗

Government funding for organ transplants.

This paper examines the role of the federal and state governments in paying for organ transplants. The first section, descriptive in nature, presents data on the past, current, and projected payment patterns for different kinds of organ transplants under various federal and state programs. The second section, which is normative, considers the three principal arguments for and against government payment for organ transplants. These arguments revolve around efficiency, equity, and communitarian claims, and none of them is wholly satisfactory. The final section, which is policy-oriented, assumes that government financing of organ transplants will continue but will be fiscally constrained, and goes on to analyze a number of important payment policy issues in the light of broader principles. These issues relate to eligibility, comprehensiveness of benefits, reimbursement formulas, entitlement, and level of government. The paper concludes by predicting that as transplant procedures become less constrained by organ supply and more routinely performed, they will lose the privileged political position that they now enjoy and will instead be obliged to compete for scarce governmental resources with other social goods on more equal terms. Government policy should be designed to encourage this competition.

Costs and Cost Analysis↗