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Universal health coverage has become the Mount Everest of public policy in the United States: the most daunting challenge on the political landscape. But, despite numerous attempts, all efforts to achieve universal health care have failed. In Universal Coverage, Rick Mayes examines the peculiar and persistent lack of universal health coverage in America, its economic and political origins dating back to the 1930s, and the current consequences ...

Drs. Rick Mayes and Robert A. Berenson explain how Medicare's innovative payment system triggered temporary shifts in power away from the providers (hospitals and doctors) to the payers (government insurers and employers) and how providers have responded to encroachments upon their professional and financial autonomy.

This is the definitive work on Medicare's prospective payment system (PPS), which had its origins in the 1972 Social Security Amendments, was first applied to hospitals in 1983, and came to fruition with the Balanced Budget Act of 1997. Drawing on interviews with more than sixty-five major policy makers, Rick Mayes and Robert A. Berenson explain how Medicare's innovative payment system triggered shifts in power away from the providers (hospita...

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