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Cato Institute
The Cato Institute seeks to broaden the parameters of public policy debate—including debates over health and medicine—to allow consideration of the traditional American principles of limited government, individual liberty, free markets, and peace. Toward that goal, the Cato Institute strives to achieve greater involvement of the intelligent, concerned lay public in questions of policy and the proper role of government.
Background
The Cato Institute was founded in 1977 by Edward H. Crane. It is a nonprofit public policy research foundation headquartered in Washington, D.C. The institute is named for Cato's Letters, a series of libertarian pamphlets that helped lay the philosophical foundation for the American Revolution.
To maintain its independence, the Cato Institute accepts no government funding. Cato receives approximately 75% of its funding from individuals, with smaller amounts coming from foundations, corporations, and the sale of publications. Cato's 2005 revenues were more than $22.4 million, and it has approximately 95 full-time employees, 70 adjunct scholars, and 20 fellows, plus interns.
Publications Program
The Cato Institute undertakes an extensive publications program dealing with the complete spectrum of public policy issues. Books, monographs, briefing papers, and shorter studies are commissioned to examine issues in nearly every corner of the public policy debate. Policy forums and book forums are held regularly, as are major policy conferences, which Cato hosts throughout the year and from which papers are published thrice yearly in the Cato Journal. All these events are recorded and archived on Cato's Web site. Additionally, Cato has held major conferences in London, Moscow, Shanghai, and Mexico City. The institute also published the quarterly magazine, Regulation, and a bimonthly newsletter, Cato Policy Report. The institute recently launched the Cato@Liberty blog, where its scholars provide timely commentary on public affairs, and Cato Unbound, a monthly online magazine that engages the world's leading thinkers in the exchange of big-picture ideas.
Health Policy Studies
Cato scholars argue that individuals should be free to own and control their earnings, to engage in whatever exchanges of health-related goods and services they choose, and to engage in whatever behaviors they choose—provided they respect the equal rights of others. Cato scholars maintain that in a free and open society, the government should play no special role in health or medicine: In the absence of violence, theft, tortious injury, fraud, or breach of contract, introducing the government's power to coerce is unwarranted, immoral, and counterproductive.
For example, Cato scholars assert that federal and state governments deny individuals the freedom to choose whether to purchase health insurance and what type; deny the freedom to choose whether and how to provide charitable care; restrict patients' ability to choose their course of medical treatment; restrict free entry into the medical professions; prohibit the sale of human organs; and refuse to honor contracts limiting providers' liability for malpractice. These scholars argue that individuals have a fundamental right to self-determination in each of these areas, free from any coercive restraints.
Where advocates of government regulation of drugs and medical devices claim that such regulation protects the public from unsafe products, Cato scholars maintain that government has no constitutional or moral authority to prohibit a patient from using a medical treatment that imposes costs on no one but herself or himself. Moreover, the economic literature suggest that the U.S. Food and Drug Administration (FDA) causes more morbidity and mortality than it prevents.
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- Access to Care
- Access to Healthcare
- Access, Models of
- Critical Access Hospitals (CAHs)
- Cultural Competency
- Direct-to-Consumer Advertising (DTCA)
- E-Health
- E-Prescribing
- Ethnic and Racial Barriers to Healthcare
- Geographic Barriers to Healthcare
- Health Communication
- Health Literacy
- Health Professional Shortage Areas (HPSAs)
- Healthcare Web Sites
- Hospital Closures
- Inner-City Healthcare
- Medical Travel
- National Health Service Corps (NHSC)
- Patient Dumping
- Patient Transfers
- Rural Health
- Safety Net
- Telemedicine
- Transportation
- Accreditation, Associations, Foundations, and Research Organizations
- Accreditation
- Associations
- AARP
- AcademyHealth
- America's Health Insurance Plans (AHIP)
- American Academy of Family Physicians (AAFP)
- American Academy of Pediatrics (AAP)
- American Association of Colleges of Nursing (AACN)
- American Association of Preferred Provider Organizations (AAPPO)
- American College of Healthcare Executives (ACHE)
- American Health Care Association (AHCA)
- American Health Planning Association (AHPA)
- American Hospital Association (AHA)
- American Medical Association (AMA)
- American Nurses Association (ANA)
- American Osteopathic Association (AOA)
- American Public Health Association (APHA)
- American Society of Health Economics (ASHE)
- Association of American Medical Colleges (AAMC)
- Association of University Programs in Health Administration (AUPHA)
- Healthcare Financial Management Association (HFMA)
- Institute for Healthcare Improvement (IHI)
- International Health Economics Association (IHEA)
- National Alliance for the Mentally Ill (NAMI)
- National Association of Health Data Organizations (NAHDO)
- National Association of State Medicaid Directors (NASMD)
- National Center for Assisted Living (NCAL)
- National Citizens' Coalition for Nursing Home Reform (NCCNHR)
- National Coalition on Health Care (NCHC)
- National Commission for Quality Long-Term Care (NCQLTC)
- National Health Policy Forum (NHPF)
- National Medical Association (NMA)
- National Quality Forum (NQF)
- University HealthSystem Consortium (UHC)
- Business Coalitions
- Foundations
- Research Organizations
- Biographies of Current and Past Leaders - Current Leaders
- Current Leaders
- Aday, Lu Ann
- Aiken, Linda H.
- Altman, Drew E.
- Andersen, Ronald M.
- Arrow, Kenneth J.
- Berwick, Donald M.
- Brook, Robert H.
- Chassin, Mark R.
- Clancy, Carolyn M.
- Culyer, Anthony J.
- Davis, Karen
- Drummond, Michael
- Ellwood, Paul M.
- Enthoven, Alain C.
- Evans, Robert G.
- Feder, Judith
- Fuchs, Victor R.
- Ginsburg, Paul B.
- Grossman, Michael
- Kane, Robert L.
- Katz, Sidney
- Lee, Philip R.
- Lomas, Jonathan
- Luft, Harold S.
- Marmor, Theodore R.
- Maynard, Alan
- Mechanic, David
- Naylor, C. David
- Newhouse, Joseph P.
- O'Leary, Dennis S.
- Pauly, Mark V.
- Reinhardt, Uwe E.
- Relman, Arnold S.
- Rice, Dorothy P.
- Roos, Leslie L.
- Roos, Noralou P.
- Rosenbaum, Sara
- Sackett, David L.
- Scott, W. Richard
- Shortell, Stephen M.
- Starfield, Barbara
- Starr, Paul
- Stevens, Rosemary A.
- Tarlov, Alvin R.
- Ware, John E.
- Wennberg, John E.
- White, Kerr L.
- Wilensky, Gail R.
- Past Leaders
- Anderson, Odin W.
- Cochrane, Archibald L.
- Codman, Ernest Amory
- Cohen, Wilbur J.
- Davis, Michael M.
- Donabedian, Avedis
- Eisenberg, John M.
- Farr, William
- Flexner, Abraham
- Ginzberg, Eli
- Kimball, Justin Ford
- McNerney, Walter J.
- Nightingale, Florence
- Roemer, Milton I.
- Rorem, C. Rufus
- Shapiro, Sam
- Sheps, Cecil G.
- Thompson, John Devereaux
- Williams, Alan H.
- Current Leaders
- Cost of Care, Economics, Finance, and Payment Mechanisms
- Administrative Costs
- Capitation
- Charity Care
- Committee on the Costs of Medical Care (CCMC)
- Compensation Differentials
- Cost Containment Strategies
- Cost of Healthcare
- Cost Shifting
- Cost-Benefit and Cost-Effectiveness Analyses
- Current Procedural Terminology (CPT)
- Diagnosis Related Groups (DRGs)
- Economic Barriers to Healthcare
- Economic Recessions
- Economic Spillover
- Economies of Scale
- Fee-for-Service
- Flat-of-the-Curve Medicine
- Health Economics
- Healthcare Financial Management
- Healthcare Markets
- Inflation in Healthcare
- Long-Term Care Costs in the United States
- Market Failure
- Pay-for-Performance
- Payment Mechanisms
- Pharmacoeconomics
- Prospective Payment
- Resource-Based Relative Value Scale (RBRVS)
- Supplier-Induced Demand
- U.S. National Health Expenditures
- Uncompensated Healthcare
- Disease, Disability, Health, and Health Behavior
- Activities of Daily Living (ADL)
- Acute and Chronic Diseases
- Adverse Drug Events
- Chronic-Care Model
- Diabetes
- Disability
- Disease
- Emerging Diseases
- Genetics
- Health
- Health Indicators, Leading
- Iatrogenic Disease
- Infectious Diseases
- International Classification of Diseases (ICD)
- Life Expectancy
- Medical Sociology
- Medicalization
- Mental Health
- Morbidity
- Mortality
- Mortality, Major Causes in the United States
- Obesity
- Pain
- Prescription and Generic Drug Use
- Tobacco Use
- Government and International Healthcare Organizations
- International Organizations
- Canadian Association for Health Services and Policy Research (CAHSPR)
- Canadian Health Services Research Foundation (CHSRF)
- Canadian Institute of Health Services and Policy Research (IHSPR)
- Pan American Health Organization (PAHO)
- United Kingdom's National Health Service (NHS)
- United Kingdom's National Institute for Health and Clinical Excellence (NICE)
- World Health Organization (WHO)
- U.S. Government Organizations
- Agency for Healthcare Research and Quality (AHRQ)
- Centers for Disease Control and Prevention (CDC)
- Centers for Medicare and Medicaid Services (CMS)
- Congressional Budget Office (CBO)
- Health Resources and Services Administration (HRSA)
- Indian Health Service (IHS)
- Medicare Payment Advisory Commission (MedPAC)
- National Center for Health Statistics (NCHS)
- National Guideline Clearinghouse (NGC)
- National Information Center on Health Services Research and Health Care Technology (NICHSR)
- National Institutes of Health (NIH)
- Substance Abuse and Mental Health Services Administration (SAMHSA)
- TRICARE, Military Health System
- U.S. Department of Veterans Affairs (VA)
- U.S. Food and Drug Administration (FDA)
- U.S. Government Accountability Office (GAO)
- International Organizations
- Health Insurance
- Adverse Selection
- Blue Cross and Blue Shield
- Carve-Outs
- Coinsurance, Copays, and Deductibles
- Consumer-Directed Health Plans (CDHPs)
- Crowd-Out
- Employee Health Benefits
- Flexible Spending Accounts (FSAs)
- Health Insurance
- Health Insurance Coverage
- Health Savings Accounts (HSAs)
- Medicaid
- Medicare
- Medicare Part D Prescription Drug Benefit
- Moral Hazard
- RAND Health Insurance Experiment
- Selective Contracting
- Single-Payer System
- State Children's Health Insurance Program (SCHIP)
- State-Based Health Insurance Initiatives
- Tax Subsidy of Employer-Sponsored Health Insurance
- Health Professionals and Healthcare Organizations
- Academic Medical Centers
- Allied Health Professionals
- Ambulatory Care
- Case Management
- Chiropractors
- Community Health Centers (CHCs)
- Community Mental Health Centers (CMHCs)
- Complementary and Alternative Medicine
- Dentists and Dental Care
- Disease Management
- Diversity in Healthcare Management
- Emergency Medical Services (EMS)
- Eye Care Services
- Federally Qualified Health Centers (FQHCs)
- Free Clinics
- General Practice
- Health Maintenance Organizations (HMOs)
- Health Systems Agencies (HSAs)
- Health Workforce
- Healthcare Organization Theory
- Home Health Care
- Hospice
- Hospital Emergency Departments
- Hospitalists
- Hospitals
- Intensive-Care Units
- Intermediate-Care Facilities (ICFs)
- Long-Term Care
- Managed Care
- Medical Group Practice
- Multihospital Healthcare Systems
- Nonprofit Healthcare Organizations
- Nurse Practitioners (NPs)
- Nurses
- Nursing Homes
- Pharmaceutical Industry
- Pharmacy
- Physician Assistants
- Physician Workforce Issues
- Physicians
- Physicians, Osteopathic
- Preferred Provider Organizations (PPOs)
- Primary Care
- Primary-Care Case Management (PCCM)
- Primary-Care Physicians
- Skilled-Nursing Facilities
- Health Services Research
- Data Sources in Conducting Health Services Research
- Health Services Research at the Veterans Health Administration (VHA)
- Health Services Research in Australia
- Health Services Research in Canada
- Health Services Research in Dentistry and Oral Health
- Health Services Research in Eastern Europe
- Health Services Research in Germany
- Health Services Research in Sub-Saharan Africa
- Health Services Research in the People's Republic of China
- Health Services Research in the United Kingdom
- Health Services Research Journals
- Health Services Research, Definition
- Health Services Research, Origins
- Laws, Regulations, and Ethics
- Measurement, Data Sources and Coding, and Research Methods
- Case-Mix Adjustment
- Causal Analysis
- Clinical Decision Support
- Cohort Studies
- Community-Based Participatory Research (CBPR)
- Computers
- Cross-Sectional Studies
- Data Privacy
- Data Security
- Diagnostic and Statistical Manual of Mental Disorders (DSM)
- Electronic Clinical Records
- Evidence-Based Medicine (EBM)
- General Health Questionnaire
- Geographic Information Systems (GIS)
- Health Informatics
- Health Surveys
- Healthcare Cost and Utilization Project (HCUP)
- Healthcare Effectiveness Data and Information Set (HEDIS)
- Healthcare Informatics Research
- Measurement in Health Services Research
- Meta-Analysis
- Minimum Data Set (MDS) for Nursing Home Resident Assessment
- National Practitioner Data Bank (NPDB)
- ORYX Performance Measurement System
- Provider-Based Research Networks (PBRNs)
- Quality of Well-Being Scale (QWB)
- Randomized Controlled Trials (RCTs)
- Satisfaction Surveys
- Severity Adjustment
- Short-Form Health Surveys (SF-36, -12, -8)
- Outcomes of Care
- Policy Issues, Healthcare Reform, and International Comparisons
- Comparing Health Systems
- Competition in Healthcare
- Equity, Efficiency, and Effectiveness in Healthcare
- Focused Factories
- For-Profit Versus Not-for-Profit Healthcare
- Forces Changing Healthcare
- Health Disparities
- Healthcare Reform
- International Health Systems
- National Health Insurance
- National Healthcare Disparities Report (NHDR)
- Public Policy
- Rationing Healthcare
- Technology Assessment
- Public Health
- Quality and Safety of Care
- Accreditation
- Benchmarking
- Clinical Practice Guidelines
- Continuum of Care
- Credentialing
- Geographic Variations in Healthcare
- International Classification for Patient Safety (ICPS)
- Malpractice
- Medical Errors
- National Healthcare Quality Report (NHQR)
- National Patient Safety Goals (NPSG)
- Nursing Home Quality
- Patient Safety
- Patient-Centered Care
- Quality Enhancement Research Initiative (QUERI) of the Veterans Health Administration (VHA)
- Quality Improvement Organizations (QIOs)
- Quality Indicators
- Quality Management
- Quality of Healthcare
- Quality of Life, Health-Related (HRQOL)
- Quality-Adjusted Life Years (QALYs)
- Structure-Process-Outcome Quality Measures
- Timeliness of Healthcare
- Special and Vulnerable Groups
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