Covering America - Real Remedies for the Uninsured Economic and Social Research Institute

What people are saying...

"Congress now has a unique opportunity to help some of the uninsured while learning important lessons. Covering unemployed workers could teach us much about solving the larger problem of the uninsured. This paper describes some useful combinations of private insurance and public programs that could cover laid-off workers and let politicians from both parties take credit."
-Robert Helms

"Congress and the Administration can reach agreement on health insurance for displaced workers, particularly if they forgo trying to resolve irreconcilable philosophical differences about public vs private insurance, and let unemployed workers decide these issues for themselves. The types of pragmatic compromises outlined in this paper have been used successfully to reach bipartisan agreement on similar issues of public vs private coverage for Medicare, SCHIP, and Medicaid enrollees."
-
Lynn Etheredge

"If America is going to make progress covering the uninsured, we will need creative solutions that can generate bipartisan support. Our best bet is to draw from the various proposals that have been suggested, each of which reflects certain values and preferences."
-
Alan Weil

As Senate Debates Issue in Trade Legislation

Bipartisan compromise possible on health coverage for laid-off workers

Competing Congressional proposals could be combined to provide affordable coverage for laid-off workers, according to a brief report released today by the Economic and Social Research Institute. ESRI's Issue Alert identifies two hybrid approaches to covering unemployed workers. The first provides refundable, federal income tax credits to help uninsured, laid-off workers buy health insurance from a range of public and private sources. The second offers public programs to laid-off workers with limited resources, and tax credits to those with higher incomes.

"With more than eight million Americans still unemployed, the need for effective, bipartisan remedies remains compelling," said Stan Dorn, the report's lead author.

This issue last arose during Congressional debates over economic stimulus legislation, when policymakers could not resolve disagreements over how to cover the unemployed. The issue is now before the U.S. Senate, which is considering international trade legislation that could include provisions extending health coverage to workers who lose their jobs because of foreign competition.

Past Congressional debates pitted supporters of private, market approaches against proponents of public programs. ESRI's paper shows how the essential ingredients from both strategies could be combined to provide relief. "We explain two hybrid policies that might work, but other combinations could surely do as well or even better," said Jack Meyer, report co-author and President of ESRI. "Our modest goal is to illustrate that unemployed workers, many of whom are uninsured and unable to buy coverage on their own, could receive effective assistance if policymakers combine elements that appeal to diverse philosophies and policy preferences."

Click here to view the report in PDF format
Click here to view the report in HTML format


More resources

Key facts

Subsidy amounts and take-up rates: graphs and charts


Today's report is part of a series that will address current policy questions and system design issues related to proposals to expand health coverage.

Covering America promotes serious consideration of a diverse range of comprehensive proposals to provide affordable health coverage for millions of uninsured Americans.

The Covering America project is coordinated by the Economic and Social Research Institute, a nonprofit, nonpartisan institute in Washington, D.C., and is made possible by a grant from the Robert Wood Johnson Foundation, Princeton, New Jersey.


To subscribe to our newsletter:

To subscribe: tkutyla@esresearch.org


To contact ESRI:


For more information about ESRI or the Covering America project please contact:
Todd Kutyla
Research Associate

www.esresearch.org
Economic and Social Research Institute
1015 18th Street, N.W.
Suite 210
Washington, D.C. 20036
(202) 833-8877