If we want more evidence-based practice, we need more practice-based evidence.*

DEBATE TOPICS

Should universal healthcare be provided in the United States?

Pros:

  All citizens are guaranteed care.

  Lower healthcare costs.

  By providing care to all citizens, the overall health of America will improve.

  Ill individuals will be more likely to seek care.

Cons:

  Taxes will increase.

  The public bears the burden of providing medical care for unemployed citizens.

  The healthcare industry will loose money.

References:

1)  Morrison, R.E. (2003).  Partial Universal Coverage.  Hospital Health Network, 77(2): 10-12.

2)  Scott, J.S. (1999).  Universal Healthcare Revisited.  Healthcare Financing and Management, 53(6): 32-33.

3)  To Reform Health Care, Bust Myths (USA Today, May 14, 2003).

Should Employees be Allowed to Shop for Their Own Insurance Plans?

Pros:

      Employees feel that they can better select a plan that suits their needs over their employer.

      Employees should have a say in their healthcare.

      Insurance plans are not transferable from one job to another.

Cons:

      Health insurance is tax free to both the employer and employee if the employer writes the check.

      The current healthcare system takes a top-down regulatory and financing approach, which is not conducive to individual consumers.

      Employers are able to work as advocates for employees.

      Group purchasing of insurance plans are more efficient.

References:

Rice T, Gabel J, Levitt L, Hawkins S. (2002).  Workers and their health plans: free to choose?  Health Aff (Millwood), 21(1):182-7.

Fronstin P. (1999). Employment-based health insurance: a look at tax issues and public opinion.  EBRI Issue Brief, 211:1-19.