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Health Insurance in the United States of America

Austrian Perspectives on Interventionism before ObamaCare

Łukasz Jasiński

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Hardback

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English
Routledge
09 April 2025
The U.S. health care system is dominated by private and public (governmental) insurance which makes it difficult for many Americans to imagine access to health care without it. The health care system in the United States is sometimes mistakenly referred to as market-based, partly because of the previous lack of compulsory insurance.

As this book shows, however, even before ObamaCare it was a system heavily influenced by the government. This short and accessible book demonstrates that governmental long-term interventionism in the American health insurance market has led to many contemporary serious problems, such as significant and uncontrolled increases in health care costs, rising health insurance prices, marginalization of direct payments, limited competition, and problems with uninsured Americans. Many observers wrongly blame the market for this state of affairs and demand more regulation, which further deteriorates the situation. The study is divided into two parts: an analysis of the history of interventions (and their effects) in the private health insurance market, and an analysis of the genesis and evolution of governmental Medicare and Medicaid insurance. Thus, the book constitutes a unique synthesis of Austrian theory of interventionism and the history of health insurance in the United States.

This book is vital reading for health economists, managers and policymakers, as well as those interested in the Austrian approach to economics.
By:  
Imprint:   Routledge
Country of Publication:   United Kingdom
Dimensions:   Height: 216mm,  Width: 138mm, 
ISBN:   9781032961200
ISBN 10:   1032961201
Series:   Routledge Focus on Economics and Finance
Pages:   120
Publication Date:  
Audience:   College/higher education ,  Professional and scholarly ,  Primary ,  Undergraduate
Format:   Hardback
Publisher's Status:   Forthcoming
Introduction 1. Evolution of private health insurance 2. Private health insurance in the 21st century 3. Public (government) health insurance programs 4. Medicare and Medicaid in the 21st Century Summary Index

Łukasz Jasiński is an Assistant Professor employed at the Faculty of Economics of the Maria Curie-Sklodowska University in Lublin (Poland).

Reviews for Health Insurance in the United States of America: Austrian Perspectives on Interventionism before ObamaCare

Łukasz Jasiński is a world expert both on Austrian Economics and on Private and Public Health Systems. With this third book he culminates a trilogy dedicated to the much needed analysis of the intellectual, practical and moral shortcomings of Public Health Systems, with special reference to the interventionism on the Health System of the United States before and after the ObamaCare. We find in Dr Jasiński’s Austrian Economics analysis a detailed and real life explanation on how one of the much praised elements of the so called Welfare State, the Public Health System, is not only dysfunctional and ill of interventionism but how it could very much improve in terms of cost, efficiency and results through the entrepreneurial creativity and spontaneous coordination of the free market system. With his effort to study urgent and real life problems with the Austrian School of Economics tool kit analysis, Jasiński has become a true model for young Austrian Scholars. Congratulations! - Jesús Huerta de Soto, Professor of Political Economy, King Juan Carlos University (Madrid, Spain) Most Americans do not understand why the health care system is in a deplorable state of disrepair. As Dr. Jasinski notes, many wrongly believe the American health care system is market-based because health insurance is not compulsory in the U.S. Yet state and federal governments have their fingers firmly wrapped around coverage and care decisions, starting with Medicare and Medicaid. Failure to see government intervention and intrusion as the root of the problem has the public searching in all the wrong places for solutions. This book looks squarely at the root of the problem with hope that true free-market solutions can be employed to prevent the American health care system from sliding into a single-payer “solution” that puts government in charge and patients in harm's way. - Twila Brase, RN, PHN, Co-founder and President of Citizens' Council for Health Freedom (CCHF)


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