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Record W2039842193 · doi:10.1080/19371918.2013.865108

Problematic Healthcare Insurance: A Comparison with Successful Models

2014· article· en· W2039842193 on OpenAlexaboutno aff
Jonathan Matusitz

Bibliographic record

VenueSocial Work in Public Health · 2014
Typearticle
Languageen
FieldEconomics, Econometrics and Finance
TopicHealthcare Policy and Management
Canadian institutionsnot available
Fundersnot available
KeywordsHealth careHealth insuranceSelf-insurancePrivate insuranceActuarial scienceBusinessHealth policyIdeal (ethics)Insurance lawPublic economicsInsurance policyEconomic growthPolitical scienceGeneral insuranceEconomicsLaw

Abstract

fetched live from OpenAlex

This article analyzes the experiences of problematic health insurance models in Canada, France, Germany, and Spain, based on news reports, facts, and data. Those nations were selected because they represent typical socialist economies with nationalized health insurance systems. Major findings are that (a) these health insurance systems are not cheap, (b) they sometimes contribute to governments' own financial deficits, (c) there are significant restrictions for access to private health care, (d) many services are not covered, and (e) the insurance plans create conflict as to what treatment options are offered. The author also provides a description of the current U.S. health care insurance model and compares it with the European socialist model. What comes subsequently is an examination of two ideal models of efficient health care insurance: the ones of Switzerland and the Netherlands. This analysis ends with a discussion section that provides implications for U.S. health care and offers suggestions for future research.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: Theoretical or conceptual
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.906
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0030.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.002
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.119
GPT teacher head0.313
Teacher spread0.194 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designTheoretical or conceptual
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations5
Published2014
Admission routes1
Has abstractyes

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