Medical Savings Accounts: The Singapore Experience

The Singapore programs provide incentives to reduce consumption and offer protection against extraordinary events and free-rider abuses. The system is efficient and effective, the health status of the people is improving and the national investment in health care is surprisingly low, while hospitals are profitable and physician incomes are relatively high.

Consensus on Health Reform

A consensus is emerging on the right way to reform our health care system. The consensus stems from the recognition that the tax system has shaped and molded our health care system and is responsible for many of its problems. Health reform, therefore, requires tax reform.

A "Long-Term" Solution to a Medicaid Problem

The spending explosion in long-term care is in large part a direct result of perverse federal income tax incentives that subsidize insurance for current medical expenses but penalize insurance for long-term care expenses. However, both the U.S. House and Senate have passed legislation to correct this tax inequity.

Answers for Seniors About Medical Savings Accounts

The U.S. Congress is on the verge of enacting the most sweeping reform legislation in the 30-year history of Medicare. Under the legislation, Medicare recipients would have new options, including the choice to remain in the traditional Medicare program, enroll in a health maintenance organization (HMO) or select a high-deductible health insurance plan with a Medical Savings Account (MSA). This Brief Analysis explains how MSAs work.

Better Than Medicare

The Republicans have accomplished what no one in the Washington establishment contemplated when the Republican budget blueprint was adopted by Congress earlier this year. They have proposed a Medicare reform plan that actually offers the elderly a better system than Medicare, while still meeting the budget targets.

Reforming Medicaid

While growth in private-sector health care spending has declined recently, spending on Medicaid, the federal-state health insurance program for the nation's poor, has continued to explode – growing at an average annual rate of 19.1 percent between 1990 and 1994.

Solutions to the Problem of Health Insurance Portability

One of the biggest problems facing workers in job transition is that health insurance is not "portable." Although the average person will change jobs eight times during his working life, employees are limited in their ability to keep their health insurance during job changes and periods of unemployment.

House Moves to Adopt the Archer-Jacobs Medical Savings Accounts Bill

The House Ways and Means Committee Chairman Bill Archer (R-TX) introduced legislation to provide for Medical Savings Accounts (MSAs). The legislation captures the fundamentals of MSAs, which offer Americans an opportunity to control rising health costs, to exercise freedom of choice and to determine how they will spend their health care dollars.