Psychiatric Insurance-Ten Years Later
HELEN HERSHFIELD AVNET 1
1 Director of research, Group Health Insurance, 227 West 40th St., New York, N. Y. 10018
Ten years after the Group Health Insurance research project to determine the feasibility of insuring short-term ambulatory psychiatric treatment, the author describes the remarkable gains in mental health insurance in the interim. Progress has been along two contrasting linesthe "social" approach, emphasizing easy access to care with a minimal financial deterrent, and the "business" approach, with deductibles and co-insurance. Underlying some of the still unresolved problems, the author feels, is the basic schism in this country concerning how medical care should be provided and distributed.