In the national debate about who should have health insurance,surprisingly little attention has been focused on what medicalservices health insurance itself should cover. Historically,discussions of this topic have centered on concepts such asbasic health care or medically necessary care.1 When the powerof medical diagnosis and treatment was limited, these termshad boundaries as well. As physicians' diagnostic prowess hasincreased, however, especially in the area of genetics, suchterms have become open-ended. To avoid predictable conflictsover benefit coverage, much more precise definitions will berequired, so that patients and health care providers can understand. . . [Full Text of this Article]
The Dispute
The Opinion of the Nebraska Supreme Court
Preventive Interventions
Should Prophylactic Surgery Be Covered by Health Insurance?
Some Approaches to the Problem
References
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