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          <family>ვერულავა</family>
          <given>თენგიზ</given>
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    <title>ჯანდაცვის სისტემის რეფორმები აშშ-ში</title>
    <ispublished>pub</ispublished>
    <subjects>
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    <keywords>ჯანდაცვა, რეფორმები აშშ-ში, ობამაქეა</keywords>
    <abstract>ამერიკის შეერთებულ შტატებში ჯანმრთელობის ეროვნული დაზღვევის იდეა ყოველთვის მაშინ დგებოდა დღის წესრიგში, როდესაც იცვლებოდა ქვეყნის პოლიტიკური კლიმატი, რომელიც ზოგჯერ დაკავშირებული იყო ომთან, დეპრესიის პერიოდთან. ფრანკლინ რუზველტის რეფორმები დიდი დეპრესიის პერიოდთან ასოცირდება, ხოლო ჰარი ტრუმენის მიერ შემოთავაზებული ეროვნული დაზღვევის სისტემა – მეორე მსოფლიო ომის შემდგომ პერიოდთან. აშშ-ის ჯანდაცვის სისტემაში მიმდინარე ისტორიული ცვლილებები შესაძლებელია 2008 წლის მსოფლიო ეკონომიკურ კრიზისს დავუკავშიროთ.
აშშ-ის საპრეზიდენტო არჩევნების ისტორიაში არასოდეს ყოფილა ჯანდაცვის რეფორმები ისეთი აქტუალური და პრიორიტეტული, როგორც 2008 წლის არჩევნების დროს. მიუხედავად განსხვავებული მიდგომებისა, ქვეყნის ორივე მსხვილი პარტია, როგორც რესპუბლიკური, ასევე დემოკრატიული, ერთ რამეში თანხმდებოდნენ: ამერიკის ჯანდაცვის სისტემა საჭიროებს ძირეულ რეფორმირებას.</abstract>
    <date>2015</date>
    <date_type>published</date_type>
    <publication>ჯანდაცვის პოლიტიკა და დაზღვევა</publication>
    <number>1</number>
    <publisher>ჯანდაცვის პოლიტიკა და დაზღვევა</publisher>
    <refereed>TRUE</refereed>
    <issn>2346-7983</issn>
    <official_url>http://hepoins.com/index.php/component/k2/item/55-reformusa</official_url>
    <referencetext>•	Shipman William G. Retiring with Dignity: Social Security vs. Private Markets, Cato Institute’s Project on Social Security Privatization.
•	Lionel Robbins. The Great Depression (London: Macmillan, 1934), pp. 203, 213, 236.
•	Franklin D. Roosevelt, The Public Papers and Addresses of Franklin D. Roosevelt, comp. Samuel I. Rosenman (New York, Random House, 1938), vol. 3, pp. 287-93;
•	Clive Riddle, President MCOL The Future of Managed Care An Outline, MCOLE – Seminars, 2000.
•	Shirley Johnson-Lans, A Health Economic Primer, Pearson Education, Addison Wesley, 2005.
•	Glied, Sherry A, “Managed Care” Handbook of Health Economics, Vol. 1A, Anthony J. Culyer and Joseph P. Newhouse, eds. (Amsterdam: Elsevier, 2000).
•	Jensen, Gail A., et al. ”The New Dominance of Managed Care: Insurance Care in the 1990s”, Health Affairs, 16 (January-February 1997).
•	Gutler, D. M. and R. J. Zeckhauser, “The Anatomy of Health Insurance”, Vol. 1A, Handbook of Health Economics.
•	Carmen DeNavas-Walt, Bernadette D. Proctor, Jessica SmithIncome, Poverty, and Health Insurance Coverage in the United States: 2006, U.S. Department of Commerce, Economics and Statistics Administration, U.S. CENSUS BUREAU, 2007
•	Thomas E. Getzen. Health Economics, Fundamentals and Flow of Funds. Temple University, 1997.
•	Victor R. Fuchs, Three “Inconvenient Truths” About Health Care, The New England Journal of Medicine, October 23, 2008
•	Health, United States, 2006, National Center for Health Statistics, With Chartbook on Trends in the Health of Americans. Hyattsville, MD: 2006;
•	Michael Tanner, The Grass Is Not Always Greener. A Look at National Health Care Systems Around the World, Policy Analysis, March 18, 2008;
•	Uwe Reinhardt, Peter Hussey, and Gerard Anderson, “U.S. Health Care Spending in an International Context,” Health Affairs 23, no. 3 (2004): 11–12.
•	Jagadeesh Gokhale, “Medicaid’s Soaring Costs: Time to Step on the Brakes,” Cato Institute Policy Analysis no. 597, July 19, 2007.
•	BlueCross BlueShield Association, “The Uninsured in America,” January 2005;
•	Devon Herrick, “Crisis of the Uninsured: 2007,” National Center for Policy Analysis Brief Analysis no. 595, September 28, 2007.
•	Joseph P. Newhouse_ Anna Sinaiko Can Multi-payer Financing Achieve Single-Payer Spending Levels? Forum for Health Economics &amp; Policy, Volume 10, Issue 1 2007
•	Cathy Schoen, Karen Davis, and Sara R. Collins, Building Blocks For Reform: Achieving Universal Coverage With Private And Public Group Health Insurance, Health Affairs 27, no. 3 (2008)
•	Thomas M. Selden and Merrile Sing, “The Distribution Of Public Spending For Health Care In The United States, 2002,” Health Affairs 27, no. 5 (2008): 349-359 (published online 29 July 2008)
•	Elizabeth Docteur, Hannes Suppanz et Jaejoon Woo, The U.S. Health System: An Assessment and Prospective Directions for Reform, OECD Working Papers, No. 350, 27 February 2003, p. 7
•	Sally C. Pipes, Miracle Cure: How to Solve America’s Health Care Crisis and Why Canada Isn’t the Answer, (San Francisco and Vancouver: Pacific Research Institute and Fraser Institute, 2004), p. 25.
•	Danap Goldman, Elizabetha Mcglynn. U.S. Health Care Facts About Cost, Access, and Quality, http://www.rand.org
•	Kaiser Commission on Medicaid and the Uninsured, 2000, 2002, 2003a, and 2003b.
•	Baker and Atlas, 2004; Canadian Institute for Health Information, 2003
•	Centers for Medicare &amp; Medicaid Services, 2004.
•	Pamela Farley Short &amp; Deborah R. Graefe, Battery-Powered Health Insurance? Stability in Coverage of the Uninsured, 22 HEALTH AFFAIRS 244, 247-48 (Nov./Dec. 2003); CBO, supra note 175, at viii fig.S2, 9 tbl.3.
•	Technological Change and the Growth of Health Care Spending, The Congress of the United States O Congressional Budget Office, 2008
•	National Health Expenditure Data: NHE Fact Sheet, Centers for Medicare and Medicaid Services, referenced February 26, 2008
•	Marc L. Berk and Alan C. Monheit, “The Concentration Of Health Care Expenditures, Revisited”, Health Affairs, Volume 20, Number 2, March/April 2001. Retrieved February 27, 2008.
•	Marc L. Berk and Alan C. Monheit, “Datawatch: The Concentration Of Health Expenditures: An Update”, Health Affairs, Winter 1992. Retrieved February 27, 2008.
•	Micah Hartman, Aaron Catlin, David Lassman, Jonathan Cylus and Stephen Heffler, “U.S. Health Spending By Age, Selected Years Through 2004″, Health Affairs web exclusive, November 6, 2007. Retrieved February 27, 2008.
•	Henry J. Kaiser Family Foundation and Health Research and Educational Trust (Kaiser/HRET), Employer Health Benefits: 2008 Annual Survey (Washington, D.C.: Kaiser/HRET, September 2008).
•	Sally C. Pipes. The Top Ten Myths of American Health Care: A Citizen’s Guide, Pacific Research Institute. 2008.
•	Core Health Indicators; The latest data from multiple WHO sources, World Health Organization, 2008
•	David Brown, “Life Expectancy Hits Record High in United States,” The Washington Post, June 12, 2008, “http://www. washingtonpost.com/wp-dyn/content/article/2008/06/11/AR2008061101570.html?hpid=sec-health
•	Ezra Klein, “Health Care Reform for Beginners: The Many Flavors of the Public Option,” Washington Post, June 8, 2009.
•	Michael D. Tanner. Bad Medicine, A guide to the real costs and consequences of the new health care law. Cato Institute, 2010.
•	Michael F. Cannon, Sinking SCHIP A First Step toward Stopping the Growth of Government Health Programs, Cato Institute, 2007
•	Frank A. Sloan and Christopher J. Conover, “Effects of State Reforms on Health Insurance Coverage of Adults,” Inquiry 35, no. 3 (Fall 1998): 280–93. See also Christopher J. Conover, “Health Care Regulation: A $169 Billion Hidden Tax,” CatoInstitute Policy Analysis no. 527, October 4, 2004.
•	Mark V. Pauly and Bradley Herring, “Risk Pooling and Regulation: Policy and Reality in Today’s Individual Health Insurance Market,” Health Affairs 26, no. 3 (May/June 2007): 770–79.
•	Steven G. Craig and Joel W. Sailors, “Interstate Trade Barriers and the Constitution,” Cato Journal 6, no. 3 (Winter 1987): 821
•	Michael Tanner. A Fork in the Road Obama,McCain, and Health Care, Cato Institute, 2008
•	Devon Herrick, ‘How to Create a Competitive Insurance Market,” National Center for Policy Analysis Brief Analysis no. 558, June 15, 2007, citing data fromthe Commonwealth Fund.
•	Kim Bailey and Laura Parisi, Too Great A Burden: Americans Face Rising Health Care Costs (Washington: Families USA, April, 2009).</referencetext>
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