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AIDS and the limits of insurability
The Milbank Quarterly
|January 1, 1986
Summary
Insurance can mitigate AIDS-related economic losses. However, insuring this risk faces challenges in identifying those at risk, but solutions may involve public and legal actions for health insurance accommodation.
Area of Science:
- Public Health
- Health Economics
- Risk Management
Background:
- Insurance functions by redistributing economic losses across a group.
- Acquired Immunodeficiency Syndrome (AIDS) presents unique challenges as an insurable risk.
- Key issues include civil liberties and fiscal viability concerns.
Purpose of the Study:
- To analyze the insurability of Acquired Immunodeficiency Syndrome (AIDS).
- To explore challenges in identifying and classifying individuals at risk of contracting AIDS.
- To investigate potential mechanisms for accommodating AIDS within health insurance frameworks.
Main Methods:
- Review of insurance principles and actuarial criteria.
- Analysis of societal and ethical considerations in risk classification.
- Exploration of public policy and legal interventions.
Main Results:
- AIDS does not meet traditional criteria for an insurable risk without compromise.
- Identification and classification of individuals at risk are significant contentious issues.
- Potential accommodation strategies exist through mandated pools and legal actions.
Conclusions:
- Health insurance for AIDS presents substantial actuarial and ethical challenges.
- Public and legal interventions are likely necessary to ensure equitable insurance access.
- Innovative approaches are required to balance risk management with civil liberties and fiscal responsibility.
Keywords:
Health Care and Public Health