Annotation This volume views community-based microinsurance as an incremental first step to improved financial protection and better access to health services for the poor. While community-based financing can be structured in various ways, this volume focuses on reinsurance as a mechanism for improving micro-level health insurance units. It outlines strategies and policies that can be applied by countries and donors to improve access to health care services.

"[W]e must tell the story of how social insurance programs have assured basic economic and health security for millions of AmericansÖ.This book is a must-read for anyone who cares about these goals." -From the Foreword by Barbara Kennelly President and CEO, National Committee to Preserve Social Security and Medicare This politically charged, provocative text serves as an introduction to social insurance programs, examining all aspects of these hotly debated policies. The editors cover cutting-edge topics, including Social Security and privatization, universal health insurance, and how America's changing demographics will impact social security in the years to come. Five key sections cover the critical topics: Social Insurance: History, Politics, and Prospects examines the foundational social insurance principles upon which Social Security, Medicare, and other programs are based What's at Stake identifies the risks posed to women, minorities, and the elderly if they could no longer depend on social insurance programs The Ongoing Debates on Social Insurance discusses public opinions of social insurance programs, and responds to arguments supporting privatization Critical Perspectives on Social Insurance Reform presents international experiences and policy trends, and analyzes reform movements from a social justice perspective Teaching Social Insurance: Critical Pedagogy and Social Justice presents pedagogical strategies to help students understand, influence, and engage in an informed debate about social policy

Social insurance in the United States--including the Social Security Act of 1935 and the Medicare, Medicaid, and disability insurance programs that were added later--may be the greatest triumph of American domestic policy. But true security has not been achieved. As Michael J. Graetz and Jerry L. Mashaw show in this pathbreaking book, the nation's system of social insurance is riddled with gaps, inefficiencies, and inequities. Even the most popular and successful programs, Medicare and Social Security, face serious financial challenges from the coming retirement of the baby boom generation and the aging of the population. This book challenges the notion that American social insurance must remain inadequate, unaffordable, or both. In sharp contrast to policymakers and analysts who debate only one income security program at a time, Graetz and Mashaw examine social insurance whole to assess its crucial role in providing economic security in a dynamic market economy. They recognize that, notwithstanding a proper emphasis on individual freedom and responsibility, Americans share a common fate that binds them together in a common enterprise. The authors offer us a new vision of the social insurance contract and concrete proposals to make the nation's families more secure without increasing costs.

The Theory of Social Health Insurance develops the theory of social health insurance also known as public health insurance. While a good deal is known about the demand and supply of private insurance, the theoretical basis of social health insurance is much more fragile. The Theory of Social Health Insurance examines questions including why does social health insurance exist and even dominate private health insurance in most developed countries? What are the objectives and constraints of social health insurance managers? What is the likely outcome or "performance" of social health insurance? The Theory of Social Health Insurance reviews the conventional theory of demand for insurance and health insurance, the supply of health insurance in general and social health insurance in particular, the properties of the optimal health insurance contract, and whether there are factors limiting the growth of social health insurance.

A Brookings Institution Press and National Academy for Social Insurance publication In this new conference volume from the National Academy of Social Insurance, experts offer differing views on what changes will, and must, occur to ensure the continuing viability of Social Security, retirement benefits, unemployment insurance, Medicare, and health security programs. The book opens with a general overview of how economic and political forces will shape the future of social insurance. In the chapters that follow, contributors discuss and debate a full range of related topics, including future Social Security investment returns, the changing face of private retirement plans, insuring longevity risk in pensions and Social Security, issues in unemployment insurance, long-term financing, governance, and markets for Medicare, and health care for the underserved and uninsured. Contributors include William C. Dudley (Goldman Sachs), Richard Berner (Morgan Stanley Dean Witter), Kilolo Kijakazi (Center on Budget and Policy Priorities), Fay Lomax Cook (Institute for Policy Research, Northwestern University), Lawrence Jacobs (University of Minnesota), Jack VanDerhei (Fox School of Business Management, Temple University) Craig Copeland (Employee Benefit Research Institute), Jeffery R. Brown (John F. Kennedy School of Government, Harvard), Janet Norwood (1993-96 Advisory Council on Unemployment Compensation), Marilyn Moon (Urban Institute), Sheila Burke (Smithsonian Institution and Kennedy School of Government, Harvard), Mark Schlesinger (Yale), Gerard Anderson (Johns Hopkins University), Lauren LeRoy (Grantmakers in Health), Ruth Riedel (Alliance Healthcare Foundation of San Diego), and Henrie M. Treadwell (W. K. Kellog Foundation¡¯s Community Voices).

This new volume from the National Academy of Social Insurance raises a provocative question that goes to the heart of discussion about social insurance and diversity—to what extent must social insurance programs address historical, social, and economic inequities? The contributors explore issues of equity and diversity in social insurance programs in America today. Some argue that differences in the treatment of racial and ethnic minorities have contributed to contemporary "gaps" that span an array of socioeconomic indicators, including education, wealth, life expectancy, and health status. These indicators are central to the administration of social insurance programs because they help determine not only the type and amount of benefits distributed but also whether benefits are received at all. Contributors include Rep. Xavier Becerra (D-Calif.), Kathleen Buto (Johnson & Johnson), Adam Carasso (Urban Institute), Donna Chiffriller (Verizon), Lee Cohen (Social Security Administration), Cecilia Conrad (Pomona College), Paul Eggers (National Institute of Diabetes and Digestive and Kidney Disorders), James Randolph Farris (Centers for Medicare and Medicaid Services), Linda Fishman (Senate Finance Committee), Nancy M. Gordon (U.S. Census Bureau), J. Lee Hargraves (Center for Studying Health System Change), Pamela Herd (University of Michigan), Kim Hildred (House Ways and Means Committee), Audrietta C. Izlar (Verizon), Kilolo Kijakazi (Ford Foundation), Cheryl Hill Lee (National Urban League), Robert C. Lieberman (Columbia University), James B. Lockhart III (Social Security Administration), Vicky Lovell (Institute for Women's Policy Research), Nicole Lurie (RAND), Cindy Mann (Georgetown University), Jerry Mashaw (Yale University), John T. Monahan (Annie E. Casey Foundation), Samuel L. Myers Jr. (University of Minnesota), Leslie Norwalk (Centers for Medicare and Medicaid Services), Kathryn Olson (House Committee on Ways and Means), Jill Quadagno (Florida State University), Brian D. Smedley (Institute of Medicine), Eugene Steuerle (Urban Institute), Ray Suarez (The News Hour with Jim Lehrer), and Ruby Takanishi (Foundation for Child Development).

What has America done to protect its citizens from life-changing but common risks such as death of a family breadwinner, ill health, disability, involuntary unemployment, outliving retirement savings, and birth into a poor family? Each, in its own way, burdens—and possibly devastates—unlucky individuals and families both emotionally and financially. It is the rare life that is untouched by one or more of these six threats. How do our current policies affect taxation, spending, and the economy, as well as prospects for individual lives? What more might these policies do to protect Americans? Rich in stories, data, and analysis, Social Insurance by Theodore R. Marmor, Jerry L. Mashaw, and John Pakutka provides a strong intellectual foundation for understanding the history, economics, politics, and philosophy of America’s most important social insurance programs. This insightful work provides a unifying vision of these programs’ purposes and reminds us, amidst the confusing and often apocalyptic rhetoric, why we have the programs and policies we do, while arguing for reforms that preserve and enhance the protections in place.