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Insuring America's Health: Principles and Recommendations - Institute of Medicine

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The principles to guide health finance reform that are recommended in this sixth and final report of the series are based on the evidence reviewed in the Committee's previous five reports and on new analyses of past and present federal, state, and local efforts to reduce uninsurance."> <meta name="keywords" content=""> <meta name="ITSMagicKeyword" content="175|20XX3|250"> <link rel="stylesheet" type="text/css" href="/web/20070818031109cs_/http://www.iom.edu/Layouts/iom_may_2005/Themes/IOM_0006.css"/> <script language="JavaScript" src="/web/20070818031109js_/http://www.iom.edu/Layouts/iom_may_2005/Pages/Interface.js"></script> <script language="JavaScript" src="/web/20070818031109js_/http://www.iom.edu/Layouts/iom_may_2005/Pages/Miscellaneous.js"></script> <script language="JavaScript" src="/web/20070818031109js_/http://www.iom.edu/Layouts/iom_may_2005/Pages/Navigation.js"></script> <script language="JavaScript" 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"/> 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<table cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td><a href="/web/20070818031109/http://www.iom.edu/"> <img src="/web/20070818031109im_/http://www.iom.edu/Layouts/iom_may_2005/Images/Header/iom_sub_1.gif" width="546" height="83" border="0" alt="Institute of Medicine."/></a> </td> <td width="100%"> <a href="/web/20070818031109/http://www.iom.edu/"><img src="/web/20070818031109im_/http://www.iom.edu/Layouts/iom_may_2005/Images/Header/iom_sub_repeater.gif" width="100%" height="83" border="0"/></a> </td> <td> <a href="/web/20070818031109/http://www.iom.edu/"><img src="/web/20070818031109im_/http://www.iom.edu/Layouts/iom_may_2005/Images/Header/iom_sub_endcap.gif" width="32" height="83" border="0"/></a> </td> </tr> </table> <img src="/web/20070818031109im_/http://www.iom.edu/Layouts/iom_may_2005/Images/pixel_clear.gif" width="1" height="5" border="0" alt=""/><br/> </td></tr></table> </td> </tr> <tr> <td><div id="Breadcrumb"> <a style="position:relative;top:0px;" href="/web/20070818031109/http://www.iom.edu/CMS/3809.aspx">Board on Health Care Services</a>&nbsp;&nbsp;<span style="font-family:verdana;font-size:100%;">&gt;</span>&nbsp;&nbsp;<a style="position:relative;top:0px;" href="/web/20070818031109/http://www.iom.edu/CMS/3809/4660.aspx">Consequences of Uninsurance</a>&nbsp;&nbsp;<span style="font-family:verdana;font-size:100%;">&gt;</span>&nbsp;&nbsp;<span style="position:relative;top:0px;">Insuring America's Health: Principles and Recommendations</span> </div> </td> </tr> <tr> <td class="Default_Header"> <span id="Body__ctl0__ctl0_sectionheader_DefaultHeader"> <table cellspacing="0" cellpadding="0" border="0" width="100%"> <tr> <td><img src="/web/20070818031109im_/http://www.iom.edu/Layouts/iom_may_2005/Images/misc/arrowbox_neither_turquoise.gif" width="25" height="18" border="0"/> </td> <td><img id="Body__ctl0__ctl0_sectionheader_SectionImage" 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id="Body__ctl0__ctl0_loader__ctl0_ReportInContent" href="https://web.archive.org/web/20070818031109/http://www.nap.edu/catalog/10874.html" target="_blank"><img id="Body__ctl0__ctl0_loader__ctl0_ReportCover" src="https://web.archive.org/web/20070818031109im_/http://newton.nap.edu/images/cover.php?type=minicov&amp;id=10874" alt="Insuring America's Health: Principles and Recommendations" border="1"/></a></span> </td> <td width="100%" height="100%"> <table cellspacing="0" cellpadding="0" height="100%" width="100%"> <tr> <td colspan="2"> <span style="font-size: 1em;"><br/></span> <span class="Default_Title">Insuring America's Health: Principles and Recommendations</span><br/> <img src="/web/20070818031109im_/http://www.iom.edu/Images/spacer.gif" width="1" height="5" border="0" alt=""/><br/> </td> </tr> <tr> <td colspan="2"> <img src="/web/20070818031109im_/http://www.iom.edu/layouts/iom_may_2005/images/pixel_darkgray.gif" width="100%" height="1" border="0" alt=""/><br/> </td> </tr> <span id="Body__ctl0__ctl0_loader__ctl0_Published_Label"><!-- Using Label instead of Panel because of a .NET rendering issue - FF=Tables, IE -DIV--> <tr> <td colspan="2"> <table cellspacing="0" cellpadding="0"> <tr> <td class="small_bold" nowrap="true" style="padding:.25em">Released On: &nbsp;&nbsp;<br/> </td> <td class="small" width="100%"> <span id="Body__ctl0__ctl0_loader__ctl0_PublishedOn">January 14, 2004</span></td> </tr> </table> </td> </tr> <tr> <td colspan="2"> <img src="/web/20070818031109im_/http://www.iom.edu/layouts/iom_may_2005/images/pixel_darkgray.gif" align="top" width="100%" height="1" border="0" alt=""/> </td> </tr> </span> <tr> <td height="100%" colspan="2"> <span style="font-size:100%"><br/></span> </td> </tr> <tr> <td nowrap> <a id="Body__ctl0__ctl0_loader__ctl0_ReadAndPurchase" class="Bold" href="https://web.archive.org/web/20070818031109/http://www.nap.edu/catalog/10874.html"><font color="#993300">Read and Purchase</font></a> <br/><br/> </td> <td width="100%" align="right"> <!-- Declarations --> <!-- With regard to layouts, many Detailviews and other controls only differ by the look the email/print buttons. Therefore it makes sense to break the intended functionality, in order to save on redundancy.--> <a href="/web/20070818031109/http://www.iom.edu/CMS/3809/4660/17632.aspx?printfriendly=true" target="_blank"><img src="/web/20070818031109im_/http://www.iom.edu/Layouts/iom_may_2005/Images/icons/icon_print.gif" alt="Print" border="0"/></a>&nbsp;&nbsp; <a href="https://web.archive.org/web/20070818031109/mailto:/?subject=Institute Of Medicine: Insuring America's Health: Principles and Recommendations&amp;body=I thought you might find this link of interest. %0D%0DInsuring America's Health: Principles and Recommendations %0Dhttp://www.iom.edu/Default.aspx?id=17848 %0D%0DExcerpt from the page: %0D%22Lack of health insurance causes roughly 18,000 unnecessary deaths every year in the United States. Although America leads the world in spending on health care, it is the only wealthy, industrialized nation that does not ensure that all citizens have coverage. To help policy-makers, elected officials, and others judge and compare proposals to extend coverage to the nation's 43 million uninsured, ...%22 "><img src="/web/20070818031109im_/http://www.iom.edu/Layouts/iom_may_2005/Images/icons/icon_email.gif" alt="Email" border="0"/></a> <br/><br/> </td> </tr> </table> </td> </tr> <tr> <td colspan="2"> <span id="Body__ctl0__ctl0_loader__ctl0_content"> <table border="0" cellpadding="0" cellspacing="0" width="100%"> <tr> <td> Lack of health insurance causes roughly 18,000 unnecessary deaths every year in the United States. Although America leads the world in spending on health care, it is the only wealthy, industrialized nation that does not ensure that all citizens have coverage. To help policy-makers, elected officials, and others judge and compare proposals to extend coverage to the nation's 43 million uninsured, the Institute of Medicine of the National Academies offers a set of guiding principles and <a class="linkTextBlock" href="/web/20070818031109/http://www.iom.edu/?id=17754">a checklist</a> in a new report, <i>Insuring America's Health: Principles and Recommendations</i>. <p>The report is the culmination of a series that offers the most comprehensive examination to date of the consequences of lack of health insurance on individuals, their families, communities and the whole society. The report also demonstrates how the principles can be used to assess policy options. The IOM Committee does not recommend a specific coverage strategy. Rather, it shows how various approaches could extend coverage and achieve certain of the Committee's principles. <p class="MsoNormal">The committee proposes a clear and compelling overall recommendation — by 2010 everyone in the United States should have health insurance — and urges the president and Congress to act immediately by establishing a firm and explicit plan to reach this goal. The committee envisions an approach that will promote better overall health for individuals, families, communities, and the nation by providing financial access for everyone to necessary, appropriate, and effective health services. <p class="MsoNormal">In <i>Insuring America’s Health: Principles and Recommendations</i>, the committee offers a set of guiding principles, based on the evidence reviewed in the Committee's previous five reports and on new analyses of past and present federal, state, and local efforts to reduce uninsurance., for analyzing the pros and cons of different approaches to providing coverage. The principles for guiding the debate and evaluating various strategies are: <ol type="1"> <li><a class="linkTextBlock" href="/web/20070818031109/http://www.iom.edu/?id=17758">Health care coverage should be universal.</a> <li><a class="linkTextBlock" href="/web/20070818031109/http://www.iom.edu/?id=17759">Health care coverage should be continuous.</a> <li><a class="linkTextBlock" href="/web/20070818031109/http://www.iom.edu/?id=17760">Health care coverage should be affordable to individuals and families.</a> <li><a class="linkTextBlock" href="/web/20070818031109/http://www.iom.edu/?id=17761">The health insurance strategy should be affordable and sustainable for society.</a> <li><a class="linkTextBlock" href="/web/20070818031109/http://www.iom.edu/?id=17762">Health insurance should enhance health and well-being by promoting access to high-quality care that is effective, efficient, safe, timely, patient-centered, and equitable.</a></li></ol> <p class="MsoNormal">Although all the principles are necessary, the first is the most basic and important. The principles are intentionally general, which allows them to be applied in more specific operational and political processes. A fact sheet on each of these principles and a checklist of questions based on the principles are available below. <p> </td> </tr> </table> </span><br/><br/> <!-- Declarations --> <table cellpadding="5" cellspacing="0" border="0" width="100%"> <tr> <td colspan="4" height="1" class="ListSection"> <span id="Body__ctl0__ctl0_loader__ctl0_RelatedReports_RelatedReportsListTitle">Related Reports</span> </td> </tr> <tr valign="top"> <td width="0"> </td> <td width="80"> <a href="/web/20070818031109/http://www.iom.edu/CMS/3809/4660/12313.aspx"> <img src="https://web.archive.org/web/20070818031109im_/http://newton.nap.edu/images/cover.php?type=minicov&amp;id=10719" alt="Hidden Costs, Value Lost: Uninsurance in America " width="50"></a> </td> <td width="100%"> <a href="/web/20070818031109/http://www.iom.edu/CMS/3809/4660/12313.aspx">Hidden Costs, Value Lost: Uninsurance in America </a><br/> Jun 17, 2003 </td> </tr> <tr valign="top"> <td width="0"> </td> <td class="altRow" width="80"> <a href="/web/20070818031109/http://www.iom.edu/CMS/3809/4660/5404.aspx"> <img src="https://web.archive.org/web/20070818031109im_/http://newton.nap.edu/images/cover.php?type=minicov&amp;id=10602" alt="A Shared Destiny: Community Effects of Uninsurance" width="50"></a> </td> <td class="altRow" width="100%"> <a href="/web/20070818031109/http://www.iom.edu/CMS/3809/4660/5404.aspx">A Shared Destiny: Community Effects of Uninsurance</a><br/> Mar 6, 2003 </td> </tr> <tr valign="top"> <td width="0"> </td> <td width="80"> <a href="/web/20070818031109/http://www.iom.edu/CMS/3809/4660/4356.aspx"> <img src="https://web.archive.org/web/20070818031109im_/http://newton.nap.edu/images/cover.php?type=minicov&amp;id=10503" alt="Health Insurance is a Family Matter " width="50"></a> </td> <td width="100%"> <a href="/web/20070818031109/http://www.iom.edu/CMS/3809/4660/4356.aspx">Health Insurance is a Family Matter </a><br/> Sep 18, 2002 </td> </tr> <tr valign="top"> <td width="0"> </td> <td class="altRow" width="80"> <a href="/web/20070818031109/http://www.iom.edu/CMS/3809/4660/4333.aspx"> <img src="https://web.archive.org/web/20070818031109im_/http://newton.nap.edu/images/cover.php?type=minicov&amp;id=10367" alt="Care Without Coverage: Too Little, Too Late " width="50"></a> </td> <td class="altRow" width="100%"> <a href="/web/20070818031109/http://www.iom.edu/CMS/3809/4660/4333.aspx">Care Without Coverage: Too Little, Too Late </a><br/> May 21, 2002 </td> </tr> <tr valign="top"> <td width="0"> </td> <td width="80"> <a href="/web/20070818031109/http://www.iom.edu/CMS/3809/4660/4662.aspx"> <img src="https://web.archive.org/web/20070818031109im_/http://newton.nap.edu/images/cover.php?type=minicov&amp;id=10188" alt="Coverage Matters: Insurance and Health Care " width="50"></a> </td> <td width="100%"> <a href="/web/20070818031109/http://www.iom.edu/CMS/3809/4660/4662.aspx">Coverage Matters: Insurance and Health Care </a><br/> Oct 11, 2001 </td> </tr> </table> <!-- Declarations --> <table cellpadding="2" cellspacing="0" border="0" width="100%"> <tr> <td height="1" colspan="2" class="ListSection"> Resources &amp; Links </td> </tr> <tr> <td width="20"><img src="/web/20070818031109im_/http://www.iom.edu/images/iom_may_2005/pixel_clear.gif" width="20px" height="1px"/></td> <td width="100%"> <a href="/web/20070818031109/http://www.iom.edu/CMS/3809/4660/17632/17732.aspx" title="PDF Adobe Acrobat, 632.00 KB"><img src="/web/20070818031109im_/http://www.iom.edu/Layouts/iom_may_2005/Images/icons/icon_floppydisk_small.gif" width="12" height="12" border="0"/> Report Brief. Insuring America's Health: Principles and Recommendations (PDF)</a> </td> </tr> <tr> <td width="20"><img src="/web/20070818031109im_/http://www.iom.edu/images/iom_may_2005/pixel_clear.gif" width="20px" height="1px"/></td> <td class="altRow" width="100%"> <a href="/web/20070818031109/http://www.iom.edu/CMS/3809/4660/17632/17734.aspx" title="PDF Adobe Acrobat, 586.20 KB"><img src="/web/20070818031109im_/http://www.iom.edu/Layouts/iom_may_2005/Images/icons/icon_floppydisk_small.gif" width="12" height="12" border="0"/> Report Brief. Insuring America's Health: Principles and Recommendations - Spanish version (PDF)</a> </td> </tr> <tr> <td width="20"><img src="/web/20070818031109im_/http://www.iom.edu/images/iom_may_2005/pixel_clear.gif" width="20px" height="1px"/></td> <td width="100%"> <a href="/web/20070818031109/http://www.iom.edu/CMS/3809/4660/17632/17738.aspx" title="PDF Adobe Acrobat, 142.91 KB"><img src="/web/20070818031109im_/http://www.iom.edu/Layouts/iom_may_2005/Images/icons/icon_floppydisk_small.gif" width="12" height="12" border="0"/> Uninsurance: Checklist of the Five Principles</a> </td> </tr> <tr> <td width="20"><img src="/web/20070818031109im_/http://www.iom.edu/images/iom_may_2005/pixel_clear.gif" width="20px" height="1px"/></td> <td class="altRow" width="100%"> <a href="/web/20070818031109/http://www.iom.edu/CMS/3809/4660/17632/17736.aspx" title="PDF Adobe Acrobat, 284.18 KB"><img src="/web/20070818031109im_/http://www.iom.edu/Layouts/iom_may_2005/Images/icons/icon_floppydisk_small.gif" width="12" height="12" border="0"/> Uninsurance Facts and Figures: Overview</a> </td> </tr> <tr> <td width="20"><img src="/web/20070818031109im_/http://www.iom.edu/images/iom_may_2005/pixel_clear.gif" width="20px" height="1px"/></td> <td width="100%"> <a href="/web/20070818031109/http://www.iom.edu/CMS/3809/4660/17632/17740.aspx" title="PDF Adobe Acrobat, 438.19 KB"><img src="/web/20070818031109im_/http://www.iom.edu/Layouts/iom_may_2005/Images/icons/icon_floppydisk_small.gif" width="12" height="12" border="0"/> Uninsurance Facts and Figures: Fact Sheet 1</a> </td> </tr> <tr> <td width="20"><img src="/web/20070818031109im_/http://www.iom.edu/images/iom_may_2005/pixel_clear.gif" width="20px" height="1px"/></td> <td class="altRow" width="100%"> <a href="/web/20070818031109/http://www.iom.edu/CMS/3809/4660/17632/17742.aspx" title="PDF Adobe Acrobat, 332.94 KB"><img src="/web/20070818031109im_/http://www.iom.edu/Layouts/iom_may_2005/Images/icons/icon_floppydisk_small.gif" width="12" height="12" border="0"/> Uninsurance Facts and Figures: Fact Sheet 2</a> </td> </tr> <tr> <td width="20"><img src="/web/20070818031109im_/http://www.iom.edu/images/iom_may_2005/pixel_clear.gif" width="20px" height="1px"/></td> <td width="100%"> <a href="/web/20070818031109/http://www.iom.edu/CMS/3809/4660/17632/17744.aspx" title="PDF Adobe Acrobat, 387.01 KB"><img src="/web/20070818031109im_/http://www.iom.edu/Layouts/iom_may_2005/Images/icons/icon_floppydisk_small.gif" width="12" height="12" border="0"/> Uninsurance Facts and Figures: Fact Sheet 3</a> </td> </tr> <tr> <td width="20"><img src="/web/20070818031109im_/http://www.iom.edu/images/iom_may_2005/pixel_clear.gif" width="20px" height="1px"/></td> <td class="altRow" width="100%"> <a href="/web/20070818031109/http://www.iom.edu/CMS/3809/4660/17632/17746.aspx" title="PDF Adobe Acrobat, 388.36 KB"><img src="/web/20070818031109im_/http://www.iom.edu/Layouts/iom_may_2005/Images/icons/icon_floppydisk_small.gif" width="12" height="12" border="0"/> Uninsurance Facts and Figures: Fact Sheet 4</a> </td> </tr> <tr> <td width="20"><img src="/web/20070818031109im_/http://www.iom.edu/images/iom_may_2005/pixel_clear.gif" width="20px" height="1px"/></td> <td width="100%"> <a href="/web/20070818031109/http://www.iom.edu/CMS/3809/4660/17632/17748.aspx" title="PDF Adobe Acrobat, 304.34 KB"><img src="/web/20070818031109im_/http://www.iom.edu/Layouts/iom_may_2005/Images/icons/icon_floppydisk_small.gif" width="12" height="12" border="0"/> Uninsurance Facts and Figures: Fact Sheet 5</a> </td> </tr> <tr> <td width="20"><img src="/web/20070818031109im_/http://www.iom.edu/images/iom_may_2005/pixel_clear.gif" width="20px" height="1px"/></td> <td class="altRow" width="100%"> <a href="/web/20070818031109/http://www.iom.edu/CMS/3809/4660/17632/17756.aspx" title="Link to http://www4.nationalacademies.org/news.nsf/isbn/0309091055?OpenDocument">Press Release. Insuring America's Health: Principles and Recommendations</a> </td> </tr> </table> </td> </tr> </table> </td> <td width="16" nowrap><br/></td> </tr> <!-- ### Child Lists Moved to Individual Section/Content pages--> <tr> <td width="18" nowrap></td> <td> <!-- Declarations --> <table width="100%" cellpadding="0" cellspacing="0" border="0"> <tr> <td colspan="2"> <span style="font-size:7;"><br/></span> <img src="/web/20070818031109im_/http://www.iom.edu/Layouts/iom_may_2005/Images/pixel_darkgray.gif" height="1" width="100%"/> </td> </tr> <tr> <td nowrap="true"> <span id="LastUpdated">Last Updated: 2/24/2004, 02:59 PM</span> </td> <td width="100%" align="right"> <span id="RSS" class="RSS"><a href="/web/20070818031109/http://www.iom.edu/CMS/31457.aspx">RSS</a></span> </td> </tr> </table> </td> <td width="16"><br/> </td> </tr> </table> <br/> </td> <td width="225" valign="top" align="right"> </td> </tr> </table> </td> </tr> </table> </td> </tr> </table> </span></span> <span id="Footer"> <!-- Declarations --> <!-- ### Divider //--> <img src="/web/20070818031109im_/http://www.iom.edu/Layouts/iom_may_2005/Images/pixel_clear.gif" width="1" height="10" border="0" alt=""/><br/> <img src="/web/20070818031109im_/http://www.iom.edu/Layouts/iom_may_2005/Images/pixel_darkgray.gif" width="100%" height="1" border="0" alt=""/><br/> <img src="/web/20070818031109im_/http://www.iom.edu/Layouts/iom_may_2005/Images/pixel_clear.gif" width="1" height="10" border="0" alt=""/><br/> <!-- ### Page Footer //--> <table border="0" cellpadding="0" cellspacing="0" width="100%"> <tr> <td class="small" nowrap="true"> <!-- ### Bottom Navigation //--> <span class="HighlightText"> <a href="/web/20070818031109/http://www.iom.edu/">Home</a> <span class="HighlightText2">|</span> <a href="/web/20070818031109/http://www.iom.edu/CMS/AboutIOM.aspx">About</a> <span class="HighlightText2">|</span> <a href="/web/20070818031109/http://www.iom.edu/CMS/2956.aspx">Topics</a> <span class="HighlightText2">|</span> <a href="/web/20070818031109/http://www.iom.edu/CMS/2954.aspx">Projects</a><span class="HighlightText2">|</span> <a href="/web/20070818031109/http://www.iom.edu/CMS/2951.aspx">Memberships</a><span class="HighlightText2">|</span> <a href="/web/20070818031109/http://www.iom.edu/CMS/2953.aspx">Boards</a> <span class="HighlightText2">|</span> <a href="/web/20070818031109/http://www.iom.edu/CMS/2957.aspx">Events</a> <span class="HighlightText2">|</span> <a href="/web/20070818031109/http://www.iom.edu/CMS/2955.aspx">Reports</a> <span class="HighlightText2">|</span> <a href="/web/20070818031109/http://www.iom.edu/CMS/3237.aspx">Sitemap</a> </span> <br/> </td> <td width="100%"></td> <td rowspan="2" width="219" valign="top" align="right"> <!-- ### Sitemap/Search //--> <a href="https://web.archive.org/web/20070818031109/http://www.nationalacademies.org/" target="_blank"><img src="/web/20070818031109im_/http://www.iom.edu/Layouts/iom_may_2005/Images/Footer/nationalacademies_logo.gif" width="219" height="37" border="0" alt="The logo of the National Acadamies. 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