Catastrophic Health Insurance

David D. Rutstein, Arthur Mazer, Steven S. Sharfstein, Benjamin Liptzin, John Rafferty, Mark Hornbrook, George H. Harris, Harry B. Wissmann

Research output: Contribution to journalLetterpeer-review


To the Editor: The interpretation of the meticulous studies reported in “Impact of Nationwide Catastrophic Health Insurance,” in the editorial by Harris and Wissmann (N Engl J Med 293:721–722, 1975), is based on an untenable assumption. It assumes that if Congress enacts legislation that is restricted to catastrophic health insurance, the definition of a medical catastrophe will not change. Past experience with hospital insurance that does not cover ambulatory care — e.g., many Blue Cross-Blue Shield contracts — has clearly demonstrated that the insurance coverage has unnecessarily shifted many vertical ambulatory-care patients into the more expensive horizontal treatment in.

Original languageEnglish (US)
Pages (from-to)346-348
Number of pages3
JournalNew England Journal of Medicine
Issue number6
StatePublished - Feb 5 1976
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)


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