Evidence map›Paper›PMID 23650321›Full record

ArticleHealth affairs (Project Hope)2013

Public financing of the Medicare program will make its uniform structure increasingly costly to sustain.

Katherine Baicker, Mark Shepard, Jonathan Skinner

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Valuing Protection against Health-Related Financial Risks.Journal of benefit-cost analysis · 2019
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Katherine BaickerDepartment of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA. Kbaicker@hsph.harvard.edu
Mark Shepard
Jonathan Skinner

Funding

UNDERSTANDING AND IMPROVING EPISODE-BASED HOSPITAL CAREP01AG019783 · NIA · DARTMOUTH COLLEGE · PI Alistair James O'MALLEY · 2001 to 2026
$52.9M
Tradeoffs in the Design of Public Long-Term Care BenefitsP01AG032952 · NIA · HARVARD MEDICAL SCHOOL · PI John Michael McWilliams · 2009 to 2026
$39.0M
NBER Training Program in Aging and Health EconomicsT32AG000186 · NIA · NATIONAL BUREAU OF ECONOMIC RESEARCH · PI CUTLER, DAVID M, FINKELSTEIN, AMY N. · 1989 to 2024
$9.6M
NIA NIH HHS P01 AG019783NIA NIH HHS P01 AG032952NIA NIH HHS P01-AG032952NIA NIH HHS P01-AG19783NIA NIH HHS T32 AG000186NIA NIH HHS T32-AG000186
6 · The paper itself

Abstract

The US Medicare program consumes an ever-rising share of the federal budget. Although this public spending can produce health and social benefits, raising taxes to finance it comes at the cost of slower economic growth. In this article we describe a model incorporating the benefits of public programs and the cost of tax financing. The model implies that the "one-size-fits-all" Medicare program, with everyone covered by the same insurance policy, will be increasingly difficult to sustain. We show that a Medicare program with guaranteed basic benefits and the option to purchase additional coverage could lead to more unequal health spending but slower growth in taxation, greater overall well-being, and more rapid growth of gross domestic product. Our framework highlights the key trade-offs between Medicare spending and economic prosperity.

Indexed as

Financing, GovernmentGross Domestic ProductHealth ExpendituresHealth PolicyHumansInsurance CoverageMedicareModels, EconomicTaxesUnited StatesHealth EconomicsHealth ReformHealth SpendingMedicare

Identifiers

PMID23650321
PMCPMC3685143

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.