HCMI 4225: Health and Social Insurance
Fall 2022 12:30 AM – 1:45 PM Mon & Wed Room Busn 202
Instructor: Shane Murphy; Email: shane@uconn.edu; Office: BUSN 460
Office Hours: TBD and by appointment

This is the website for HCMI 4225: Health and Social Insurance. The syllabus can be found here and on HuskyCT.

On this page you can find a calendar which includes links to materials from each week and the weeks readings. Homework assignments are on HuskyCT and here.

Quiz make-up assignment description is here. Articles for quiz make-ups should be chosen from Health Affairs Blog, News@JAMA, or Kaiser Health News.

The midterm is on Wednesday, October 19. Some study advice can be found here.

Information about the final exam will be found on HuskyCT.

Information about the final project will be found on HuskyCT.

Course Schedule:

August 29: Health Landscape and Health Costs(slides)
Readings:
*(optional) Mokdad, Ali H., Katherine Ballestros, Michelle Echko, Scott Glenn, Helen E. Olsen, Erin Mullany, Alex Lee et al. “The state of US health, 1990-2016: burden of diseases, injuries, and risk factors among US states.” Jama 319, no. 14 (2018): 1444-1472.
*(optional) Fuchs, Victor R. “Major trends in the US health economy since 1950.” New England Journal of Medicine 366, no. 11 (2012): 973-977.

August 31: Economics of insurance – utility, expected utility, and pooling (slides)
Readings:
*(optional) Klein, Robert. (2014). A Primer on The Economics of Insurance.
*Nyman, John A. “Is ‘moral hazard’ inefficient? The policy implications of a new theory.” Health Affairs 23, no. 5 (2004): 194-199.
*(optional) Cutler, David M., and Richard J. Zeckhauser. “Adverse selection in health insurance.” In Forum for Health Economics & Policy, vol. 1, no. 1. De Gruyter, 1998.

September 7: Health insurance and social insurance as public goods (slides
Readings:
*(optional) Galea, Sandro. “Public health as a public good.” Boston University School of Public Health, January 10, 2016, https://www.bu.edu/sph/2016/01/10/public-health-as-a-public-good/
*(optional) Karsten, Siegfried G. “Health care: private good vs. public good.” American Journal of Economics and Sociology 54, no. 2 (1995): 129-144.

September 12: History of Public Health Insurance in the US: Pre-New Deal Programs (slides)
Readings:
* Conclusion – Americas First Modern Social Policies and Their Legacies in Skocpol, Theda. Protecting soldiers and mothers. Harvard University Press, 1995. – available on HuskyCT
* (optional) Cutler, David M., and Richard Johnson. “The birth and growth of the social insurance state: Explaining old age and medical insurance across countries.” Public Choice 120, no. 1-2 (2004): 87-121.
* (optional) Hu, Aiqun, and Patrick Manning. “The global social insurance movement since the 1880s.” Journal of Global History 5, no. 1 (2010): 125-148.

September 14: History of Public Health Insurance in the US: New Deal/Social Security (slides)
*(optional) DeWitt, Larry. “Research Note #25: Ponzi Schemes vs. Social Security.” Historians Office, Social Security Administration.
*(optional) Cutler, David M., and Richard Johnson. “The birth and growth of the social insurance state: Explaining old age and medical insurance across countries.” Public Choice 120, no. 1-2 (2004): 87-121.
*(optional) Goss, Stephen C. “The future financial status of the social security program.” Soc. Sec. Bull. 70 (2010): 111.

September 19: History of Public Health Insurance in the US: 1940s, 1950s, 1960s and the Great Society (slides)
*Quadagno, Jill. “Why the United States has no national health insurance: Stakeholder mobilization against the welfare state, 1945-1996.” Journal of Health and Social Behavior (2004): 25-44.
*(optional) Blendon, Robert J., and John M. Benson. “Americans’ views on health policy: a fifty-year historical perspective.” Health Affairs 20, no. 2 (2001): 33-46.
*Vamos, Cheryl A., Ellen M. Daley, Kay M. Perrin, Charles S. Mahan, and Eric R. Buhi. “Approaching 4 decades of legislation in the national family planning program: an analysis of Title X’s history from 1970 to 2008.” American journal of public health 101, no. 11 (2011): 2027-2037.
*(optional) Rosoff, Jeannie I., and Asta M. Kenney. “Title X and Its Critics.” Family planning perspectives 16, no. 3 (1984): 111-119.
*(optional) Bailey, Martha J. “Reexamining the impact of family planning programs on US fertility: evidence from the War on Poverty and the early years of Title X.” American Economic Journal: Applied Economics 4, no. 2 (2012): 62-97.
*CSPAN: Harry and Louise Ads, 1993
*Amadeo, Kimberly. Hillarycare, the Health Security Act of 1993 The Balance, March 13, 2019
*Mertens, Maggie. Chart: Comparing Health Reform Bills: Democrats and Republicans 2009, Republicans 1993. Kaiser Health News, February 24, 2010

September 21: History of Public Health Insurance in the US: 1940s, 1950s, 1960s and the Great Society, Mental Health (slides)
*Quadagno, Jill. “Why the United States has no national health insurance: Stakeholder mobilization against the welfare state, 1945-1996.” Journal of Health and Social Behavior (2004): 25-44.
*(optional) Blendon, Robert J., and John M. Benson. “Americans’ views on health policy: a fifty-year historical perspective.” Health Affairs 20, no. 2 (2001): 33-46.
*Vamos, Cheryl A., Ellen M. Daley, Kay M. Perrin, Charles S. Mahan, and Eric R. Buhi. “Approaching 4 decades of legislation in the national family planning program: an analysis of Title X’s history from 1970 to 2008.” American journal of public health 101, no. 11 (2011): 2027-2037.
*(optional) Rosoff, Jeannie I., and Asta M. Kenney. “Title X and Its Critics.” Family planning perspectives 16, no. 3 (1984): 111-119.
*(optional) Bailey, Martha J. “Reexamining the impact of family planning programs on US fertility: evidence from the War on Poverty and the early years of Title X.” American Economic Journal: Applied Economics 4, no. 2 (2012): 62-97.
*CSPAN: Harry and Louise Ads, 1993
*Amadeo, Kimberly. Hillarycare, the Health Security Act of 1993 The Balance, March 13, 2019
*Mertens, Maggie. Chart: Comparing Health Reform Bills: Democrats and Republicans 2009, Republicans 1993. Kaiser Health News, February 24, 2010

September 26: The Affordable Care Act: Negotiation and Legal and Legislative Challenges (slides)
*Biskupic, Joan. “The inside story of how John Roberts negotiated to save Obamacare”. cnn.com, March 25, 2019
*(optional) Levy, Helen, Andrew Ying, and Nicholas Bagley. “What’s Left of the Affordable Care Act? A Progress Report.” RSF: The Russell Sage Foundation Journal of the Social Sciences 6, no. 2 (2020): 42-66.
*(optional) Obama, Barack. “United States health care reform: progress to date and next steps.” Jama 316, no. 5 (2016): 525-532.
*Antonisse, Larisa, Rachel Garfield, Robin Rudowitz, and Samantha Artiga. “The effects of Medicaid expansion under the ACA: Updated findings from a literature review.” (2017). KFF

September 28: The Affordable Care Act (slides)
*Biskupic, Joan. “The inside story of how John Roberts negotiated to save Obamacare”. cnn.com, March 25, 2019
*(optional) Levy, Helen, Andrew Ying, and Nicholas Bagley. “What’s Left of the Affordable Care Act? A Progress Report.” RSF: The Russell Sage Foundation Journal of the Social Sciences 6, no. 2 (2020): 42-66.
*(optional) Obama, Barack. “United States health care reform: progress to date and next steps.” Jama 316, no. 5 (2016): 525-532.
*Antonisse, Larisa, Rachel Garfield, Robin Rudowitz, and Samantha Artiga. “The effects of Medicaid expansion under the ACA: Updated findings from a literature review.” (2017). KFF

October 3: The Right(?) to Health and to Health Care (slides)
Readings:
*(optional) Gawande, Atul. “Is health care a right?” New Yorker, October 2, 2017
*(optional) Section I (pages 5-10) of Ruger, Jennifer Prah. “Toward a theory of a right to health: capability and incompletely theorized agreements.” Yale Journal of Law & the Humanities 18, no. 2 (2006): 3.
*(optional) Hamel, Mary Beth, Jennifer Prah Ruger, Theodore W. Ruger, and George J. Annas. “The elusive right to health care under US Law.” N Engl J Med 372, no. 26 (2015): 2558-63.

October 5: The Right(?) to Health and to Health Care (slides)
Readings:
*(optional) Gawande, Atul. “Is health care a right?” New Yorker, October 2, 2017
*(optional) Section I (pages 5-10) of Ruger, Jennifer Prah. “Toward a theory of a right to health: capability and incompletely theorized agreements.” Yale Journal of Law & the Humanities 18, no. 2 (2006): 3.
*(optional) Hamel, Mary Beth, Jennifer Prah Ruger, Theodore W. Ruger, and George J. Annas. “The elusive right to health care under US Law.” N Engl J Med 372, no. 26 (2015): 2558-63.

October 10: Effects of Health Insurance and Medicaid Expansion (slides)
Readings:
*(optional) Obama, Barack. “United States health care reform: progress to date and next steps.” Jama 316, no. 5 (2016): 525-532.
*Antonisse, Larisa, Rachel Garfield, Robin Rudowitz, and Samantha Artiga. “The effects of Medicaid expansion under the ACA: Updated findings from a literature review.” (2017). KFF

October 12: Public Insurance and Provision for Subgroups: Tricare and the VA, Indian Health Services, Medicaid and Medicare (slides)

October 17: Midterm Review (slides)

October 19: Midterm Exam

October 24: Fiscal Stabalizers (slides)
* The introduction and chapter summaries of Boushey, Heather, Ryan Nunn, and Jay Shambaugh. “Recession ready: Fiscal policies to stabilize the American economy.” Brookings Institution, May 16 (2019).

October 26: Workfare: Medicaid, Social Security, and Welfare (slides)
* (optional) Sommers, Benjamin D., Anna L. Goldman, Robert J. Blendon, E. John Orav, and Arnold M. Epstein. “Medicaid work requirements—results from the first year in Arkansas.” New England Journal of Medicine 381, no. 11 (2019): 1073-1082.

October 31: Healthcare around the world (slides) – sign up for one reading here – read that and complete homework for discussion Wednesday.

November 2: Healthcare around the world (slides)

November 7: Cost of Healthcare in the US (slides)

November 9: Cost of Healthcare in the US (slides)

November 14: Reform Proposals day 1 (slides)

November 16: Reform Proposals day 2 (slides)

Tentative future schedule