TY - JOUR AU - Feldstein,Martin TI - Balancing the Goals of Health Care Provision JF - National Bureau of Economic Research Working Paper Series VL - No. 12279 PY - 2006 Y2 - June 2006 UR - http://www.nber.org/papers/w12279 L1 - http://www.nber.org/papers/w12279.pdf N1 - Author contact info: Martin S. Feldstein President Emeritus NBER 1050 Massachusetts Avenue Cambridge, MA 02138-5398 Tel: 617/868-3905 Fax: 617/868-7194 E-Mail: msfeldst@nber.org M2 - featured in NBER digest on 2006-06-05 AB - A desirable system for providing and financing health care would achieve three goals: (1) preventing the deprivation of care because of a patient's inability to pay; (2) avoiding wasteful spending; and (3) allowing care to reflect the different tastes of individual patients. Although it is not possible to realize fully all three of these goals, they can condition and inform the design of a good system for financing health care. This paper discusses the application of these goals in more detail and use them to consider a reform of the system of Health Savings Accounts that was enacted as part of the 2003 Medicare legislation and, separately, the challenge posed by the very expensive treatments for rare diseases that are becoming more common. ER -