In this extended essay, Nortin M. Hadler and Stephen P. Carter introduce a new approach to reforming the American health-care system — a plan they call the Universal Workers' Compensation Model (UWCM). Drawing on Hadler’s expertise as a physician and Carter’s as an attorney, the two have conceived the UWCM as a state-level alternative that would supersede current solutions debated at the national level. They begin by summarizing the history and present complexity and irrationality of America’s health-insurance system. They then lay out the key concepts underlying the UWCM regime and the practical policy steps necessary to enact it. At the heart of the UWCM is a broader understanding of what constitutes worker’s health, one grounded in scientific research and cognizant of the wide range of physical and mental illnesses that can afflict workers. The UWCM stipulates a single policy providing rational and reasoned recourse for universal risks: illness, injury, disability, and death. Presenting their ideas with precision in this 34-page pamphlet, Hadler and Carter intend to spark discussion among health-care providers, insurers, legislators, and everyday citizens about how we might move beyond the limits of the current debate toward new, truly effective solutions.
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Nortin M. Hadler, M.D., M.A.C.P., M.A.C.R., F.A.C.O.E.M., is professor emeritus of medicine and microbiology/immunology at the University of North Carolina at Chapel Hill and attending rheumatologist at UNC Hospitals. He is author of several books, including Stabbed in the Back: Confronting Back Pain in an Overtreated Society and Rethinking Aging: Growing Old and Living Well in an Overtreated Society.
Stephen P. Carter is an attorney in Arkansas.
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