Social context and personal expenditures for health care: federal policy and the experience of older adults in the 1970s

Daniel Clark, G. L. Maddox

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

The relationship between the intent and the outcome of legislated social policy is discussed. Specifically, this study documents some effects of federal health reimbursement and income policy in the late 1960s and early 1970s on health care behavior and expenditures in the decade 1970-1980. The Longitudinal Retirement History Study (LRHS), containing information on a panel of 6270 men and unmarried women aged 58 to 63 in 1969, was used to provide information on the personal health expenditures in this decade. Medicare and Medicaid and the indexing of Social Security became operational at the beginning of the study, which permitted the exploration of intended and observed effects of legislation designed to make health care more accessible and affordable for older adults. The 1980s and early 1990s have brought increased concern over the cost of health care and renewed concern over access. Data suggest that future proposals aimed at providing universal coverage along with high out-of-pocket costs may not result in equitable programs, and are likely to have a limited impact on constraining health care costs. The LRHS data indicate that utilization increased despite continued high out-of-pocket costs for all except the lower-income groups, who may be limited in their ability to purchase increasingly costly care. -from Authors

Original languageEnglish
Title of host publicationJournal of Aging & Social Policy
Pages179-198
Number of pages20
Volume4
Edition3-4
StatePublished - 1992
Externally publishedYes

ASJC Scopus subject areas

  • Earth and Planetary Sciences(all)
  • Environmental Science(all)
  • Geography, Planning and Development

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    Clark, D., & Maddox, G. L. (1992). Social context and personal expenditures for health care: federal policy and the experience of older adults in the 1970s. In Journal of Aging & Social Policy (3-4 ed., Vol. 4, pp. 179-198)