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PubMed · 10115917

Decision time for rationing.

L Wagner
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Abstract

As Oregon state officials await a decision from HCFA on whether it will issue a waiver of Medicaid rules needed to implement a healthcare rationing proposal, the debate rages on. The state hopes for a decision by early February so the program can be up and running by July, but there are still many issues to be addressed before the plan's start-up.

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Health Care RationingMedicaidOregonState Health PlansUnited StatesJournal Article

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L Wagner. 1992-01-27. Decision time for rationing.. https://pubmed.ncbi.nlm.nih.gov/10115917/

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PubMed2001

Rationing medical care: rhetoric and reality in the Oregon Health Plan.

The Oregon Health Plan (OHP) has been widely heralded as an important innovation in medical care policy and rationing. Oregon's pioneering method of prioritizing funding for health care through systematic and public ranking of medical services has drawn substantial international interest. This paper reviews the experience of the Oregon plan since it began operation in 1994. We argue that widespread misconceptions persist about the significance of the OHP. In particular, there is little evidence that the OHP has operated as a model of explicit rationing. In reality, Oregon has not rationed services, nor has its policy of cutting public coverage for services produced substantial savings. These findings have important implications regarding the desirability and feasibility of adopting a policy of removing items from the list of insured medicare services in Canada. Oregon's experience suggests that drawing the line on medicare coverage would be more difficult and less financially rewarding than advocates claim.

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