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Politics Power and Policy Making Case of Health Care Reform in the 1990s

Politics  Power and Policy Making  Case of Health Care Reform in the 1990s Author Mark E Rushefsky
ISBN-10 9781315284552
Release 2016-09-16
Pages 224
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Tracking the issues of healthcare reform through the tumultous 1990s, this work opens a window on the changing dynamics of American politics from the Clinton inauguration in January 1993 through the Republican revolution of 1995 and the 1996 presidential race.



Healthcare Politics and Policy in America 2014

Healthcare Politics and Policy in America  2014 Author Kant Patel
ISBN-10 9781317468837
Release 2014-12-18
Pages 440
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This book provides a comprehensive examination of the ways that health policy has been shaped by the political, socioeconomic, and ideological environment of the United States. The roles played by public and private, institutional and individual actors in designing the healthcare system are identified at all levels. The book addresses the key problems of healthcare cost, access, and quality through analyses of Medicare, Medicaid, the Veterans Health Administration, and other programs, and the ethical and cost implications of advances in healthcare technology. This fully updated fourth edition gives expanded attention to the fiscal and financial impact of high healthcare costs and the struggle for healthcare reform, culminating in the passage of the Affordable Care Act, with preliminary discussion of implementation issues associated with the Affordable Care Act as well as attempts to defund and repeal it. Each chapter concludes with discussion questions and a comprehensive reference list. Helpful appendices provide a guide to websites and a chronology. PowerPoint slides and other instructional materials are available to instructors who adopt the book.



Healthcare Politics and Policy in America

Healthcare Politics and Policy in America Author Kant Patel
ISBN-10 9780765644411
Release 2014-04-25
Pages 440
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Fully updated, this new edition provides a comprehensive examination of the ways that health policy has been shaped by the political, socioeconomic, and ideological environment of the United States. The roles played by public and private, institutional and individual actors in designing the healthcare system are identified at all levels.



Health Care Policy in an Age of New Technologies

Health Care Policy in an Age of New Technologies Author Kant Patel
ISBN-10 0765606453
Release 2002-01-01
Pages 439
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Revolutionary advances in biomedical research and information systems technology pose new and difficult issues for American health care policy, especially in the context of managed care. Health Care Policy in an Age of New Technologies takes on this challenging array of issues, where the dignity of individual life meets the imperatives of the national-level health care system: the right to die, rationing of care, organ transplants, experiments with human embryos, genetic research, confidentiality of medical records, and other ethical dilemmas. Chapters on a patient's bill of rights, and on medical education and physician training, link the book to policy issues of direct concern to the public and practitioners. Throughout the book, the authors place critical questions in their political, legal, social, economic, and ethical context. Each chapter ends with discussion points, and a multimedia bibliography directs readers to relevant films, documentaries, and case studies.



The Economics of Public Health Care Reform in Advanced and Emerging Economies

The Economics of Public Health Care Reform in Advanced and Emerging Economies Author David Coady
ISBN-10 9781475583786
Release 2012-04-13
Pages 380
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Health care reform will be a key fiscal policy challenge in both advanced and emerging economies in coming years. In the advanced economies, the health sector has been one of the main drivers of government expenditure, accounting for about half of the rise in total spending over the past forty years. These spending pressures are expected to intensify over the next two decades, reflecting the aging of the population, income growth, and continued technological innovations in health care. These spending increases will come at a time when countries need to undertake fiscal consolidation to reduce public debt ratios in the wake of the global financial crisis. In the emerging economies, health care reform is also a key issue, given substantial lags in health indicators and limited fiscal resources. For these economies, the challenge will be to expand public coverage without undermining fiscal sustainability. This book provides new insights into these challenges and potential policy responses, with cross-country analysis and case studies.



Running Alone

Running Alone Author James MacGregor Burns
ISBN-10 9780786748570
Release 2009-06-16
Pages 336
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Since mid-century, America has witnessed an ominous decline in presidential leadership, culminating in the failing presidency of George W. Bush today. How did this happen? In Running Alone, the distinguished political scientist and leadership expert James MacGregor Burns finds the origin of the problem in John F. Kennedy's presidential style-and its influence on his successors in the Oval Office. Kennedy rejected collective leadership in favor of a highly personalized executive branch, run by a small group of hand-picked advisors. His successors followed his lead; each in his own way ran and governed alone, exploiting the party base while often ignoring party platforms and party needs. Burns charts the decline of genuine leadership in the Oval Office and offers practical proposals for restoring the kind of transforming leadership that this country so desperately needs. With unsurpassed knowledge of American history and politics, Burns shows us the way forward.



Seeking the Center

Seeking the Center Author Martin A. Levin
ISBN-10 1589014138
Release 2001-08-03
Pages 448
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During the past decade, Democrats and Republicans each have received about fifty percent of the votes and controlled about half of the government, but this has not resulted in policy deadlock. Despite highly partisan political posturing, the policy regime has been largely moderate. Incremental, yet substantial, policy innovations such as welfare reform; deficit reduction; the North American Free Trade Agreement; and the deregulation of telecommunications, banking, and agriculture have been accompanied by such continuities as Social Security and Medicare, the maintenance of earlier immigration reforms, and the persistence of many rights-based policies, including federal affirmative action. In Seeking the Center, twenty-one contributors analyze policy outcomes in light of the frequent alternation in power among evenly divided parties. They show how the triumph of policy moderation and the defeat of more ambitious efforts, such as health care reform, can be explained by mutually supporting economic, intellectual, and political forces. Demonstrating that the determinants of public policy become clear by probing specific issues, rather than in abstract theorizing, they restore the politics of policymaking to the forefront of the political science agenda. A successor to Martin A. Levin and Marc K. Landy’s influential The New Politics of Public Policy (Johns Hopkins University Press, 1995), this book will be vital reading for advanced undergraduate and graduate students in political science and public policy, as well as a resource for scholars in both fields.



International Health and Aid Policies

International Health and Aid Policies Author Jean-Pierre Unger
ISBN-10 9781139489935
Release 2010-09-23
Pages
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International health and aid policies of the past two decades have had a major impact on the delivery of care in low and middle-income countries. This book argues that these policies have often failed to achieve their main aims, and have in fact contributed to restricted access to family medicine and hospital care. Presenting detailed evidence, and illustrated by case studies, this book describes how international health policies to date have largely resulted in expensive health care for the rich, and disjointed and ineffective services for the poor. As a result, large segments of the population world-wide continue to suffer from unnecessary casualties, pain and impoverishment. International Health and Aid Policies arms health professionals, researchers and policy makers with strategies that will enable them to bridge the gaps between public health, medicine and health policy in order to support robust, comprehensive and accessible health care systems in any political environment.



Second wave Neoliberalism

Second wave Neoliberalism Author Christina Ewig
ISBN-10 9780271037110
Release 2010
Pages 255
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"Analyzes the politics of neoliberal health sector reform and its effects in Peru. Focuses on the intersecting dynamics of race, class, and gender in the developing world"--Provided by publisher.



Obstetrics in the 1990s

Obstetrics in the 1990s Author T. Chard
ISBN-10 0521432308
Release 1992-01-01
Pages 249
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This book reviews some of the current questions and debates in obstetrics. The reactions of patients to screening for fetal abnormalities and antenatal diagnosis, public concern over assisting fertilization, the rise in caesarean sections, and the role of the midwife are just some of the topics discussed bythe authors. The book gives a good analysis of what are the principal developments and ethical concerns for obstetricians in the 1990s.



The System

The System Author Haynes Johnson
ISBN-10 9780316083959
Release 2009-09-26
Pages 688
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Taking as an example the Clinton health care reform initiative, the authors show how a policy that aimed to please everyone ended by satisfying no one due to pressure groups, political gamesmanship and the inertia of the American 'system'.



Fair Resource Allocation and Rationing at the Bedside

Fair Resource Allocation and Rationing at the Bedside Author Marion Danis
ISBN-10 9780190225476
Release 2014-10-02
Pages 352
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Health systems need to set priorities fairly. In one way or another, part of this important task will fall to physicians. How do they make judgments about resource stewardship, and how should they do so? How can they make such decisions in a manner that is compatible with their clinical duties to patients? In this book, philosophers, bioethicists, physicians, lawyers and health policy experts make the case that priority setting and rationing contribute significantly to the possibility of affordable and fair healthcare and that clinicians play an indispensable role in that process. The book depicts the results of a survey of European physicians about their experiences with rationing and other cost containment strategies, and their perception of scarcity and fairness in their health care systems. Responding to and complementing these findings, commentators discuss why resource allocation and bedside rationing is necessary and justifiable. The book explores how bedside rationing relates to clinical judgments about medical necessity and medical indications, marginal benefits, weak evidence based medicine, off-label use. The book highlights how comparative studies of health care systems can advance more effective and fair bedside rationing through learning from one another. From a practical standpoint, the book offers a number of strategies for health care systems and clinicians to work in tandem to allocate and ration resources as fairly as possible: how to foster more attention to fairness when rationing at the bedside, how to avoid exacerbating health disparities when allocating resources, how to teach about bedside rationing to students, how to discuss rationing more explicitly in the public arena and in the doctor's office.



Affluence and Influence

Affluence and Influence Author Martin Gilens
ISBN-10 9781400844821
Release 2012-07-22
Pages 352
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Can a country be a democracy if its government only responds to the preferences of the rich? In an ideal democracy, all citizens should have equal influence on government policy--but as this book demonstrates, America's policymakers respond almost exclusively to the preferences of the economically advantaged. Affluence and Influence definitively explores how political inequality in the United States has evolved over the last several decades and how this growing disparity has been shaped by interest groups, parties, and elections. With sharp analysis and an impressive range of data, Martin Gilens looks at thousands of proposed policy changes, and the degree of support for each among poor, middle-class, and affluent Americans. His findings are staggering: when preferences of low- or middle-income Americans diverge from those of the affluent, there is virtually no relationship between policy outcomes and the desires of less advantaged groups. In contrast, affluent Americans' preferences exhibit a substantial relationship with policy outcomes whether their preferences are shared by lower-income groups or not. Gilens shows that representational inequality is spread widely across different policy domains and time periods. Yet Gilens also shows that under specific circumstances the preferences of the middle class and, to a lesser extent, the poor, do seem to matter. In particular, impending elections--especially presidential elections--and an even partisan division in Congress mitigate representational inequality and boost responsiveness to the preferences of the broader public. At a time when economic and political inequality in the United States only continues to rise, Affluence and Influence raises important questions about whether American democracy is truly responding to the needs of all its citizens.



Primary Care and Home Care Scenarios 1990 2005

Primary Care and Home Care Scenarios 1990   2005 Author Steering Committee on Future Health Scenarios
ISBN-10 9789401108102
Release 2012-12-06
Pages 253
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CARE AT HOME -HOME CARE Health care in the Netherlands looks to be a well structured system. Supplementing the vital level of self-care and informal care are four levels of professional care: the public health service (known in the Netherlands as basic health care) is mainly concerned with preventive work aimed at the population at large; individuals with problems can contact their general practitioner or other primary care provider, who can -depending on the problem -refer them to specialists in the cure-oriented and hospital-centred secondary sector; where necessary, patients can then be referred on to the institutions of the tertiary sector with their role in mainly long-term care. On paper this pyramidal structure appears to work well; in practice, and in particular where complex forms of care are involved, the boundaries become blurred. Medical advances and social and economic developments may delay death to ever greater ages, but disease is not defeated; and since the risk of developing chronic conditions rises with age, more and more people become incapacitated and those who do remain so for longer. This leads to a growing demand for care and compels us to reconsider patterns of provision. The need for such reconsideration is reinforced by users' changing needs and aspirations, as patients increasingly wish to be nursed and cared for in their own surroundings if at all possible. Technological advances mean that wish can often be accommodated.



Chinese Politics as Fragmented Authoritarianism

Chinese Politics as Fragmented Authoritarianism Author Kjeld Erik Brosdgaard
ISBN-10 9781317245391
Release 2016-10-04
Pages 240
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This book explores how far the concept of fragmented authoritarianism remains valid as the key concept for understanding how the Chinese political process works. It contrasts fragmented authoritarianism, which places bureaucratic bargaining at the centre of policy-making, arguing that the goals and interests of the implementing agencies have to be incorporated into a policy if implementation is to be secured, with other characterisations of China’s political process. Individual chapters consider fragmented authoritarianism at work in a range of key policy areas, including energy issues, climate change and environmental management, financial reform, and civil-military relations. The book also explores policy making at the national, provincial, city and local levels; debates how far the model of fragmented authoritarianism is valid in its current form or whether modifications are needed; and discusses whether the system of policy making and implementation is overcomplicated, unwieldy and ineffective or whether it is constructive in enabling widespread consultation and scope for imagination, flexibility and variation.



Free for All

Free for All Author Joseph P. Newhouse
ISBN-10 0674318463
Release 1993-01
Pages 489
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In the most important health insurance study ever conducted researchers at the RAND Corporation devised all experiment to address two key questions in health care financing: how much more medical care will people use if it is provided free of charge, and what are the consequences for their health? For three- or five-year periods the experiment measured both use and health outcomes in populations carefully selected to be representative of both urban and rural regions throughout the United States. Participants were enrolled in a range of insurance plans requiring different levels of copayment for medical care, from zero to 95 percent. The researchers found that in plans that reimbursed a higher proportion of the bill, patients used substantially more services - indeed, those who paid nothing used 40 percent more services than those required to pay a high deductible - but the effect on the health of the average person was negligible. In addition, participants who were assigned at random to a well-established health maintenance organization used hospitals substantially less than those in the fee-for-service system, again with no measurable effect on the health of the average person. This book collects in one place for the first time results previously dispersed through many journals over many years. Drawing comprehensive, coherent conclusions from an immense amount of data, it is destined to be a classic work serving as an invaluable reference for all those concerned with health care policy - health service researchers, policymakers in both the public and the private sectors, and students.



Affordable Excellence

Affordable Excellence Author William A. Haseltine
ISBN-10 9780815724162
Release 2013
Pages 182
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A Brookings Institution Press and the National University of Singapore Press publication This is the story of the Singapore healthcare system: how it works, how it is financed, its history, where it is going, and what lessons it may hold for national health systems around the world. Singapore ranks sixth in the world in healthcare outcomes, yet spends proportionally less on healthcare than any other high-income country. This is the first book to set out a comprehensive system-level description of healthcare in Singapore, with a view to understanding what can be learned from its unique system design and development path. The lessons from Singapore will be of interest to those currently planning the future of healthcare in emerging economies, as well as those engaged in the urgent debates on healthcare in the wealthier countries faced with serious long-term challenges in healthcare financing. Policymakers, legislators, public health officials responsible for healthcare systems planning, finance and operations, as well as those working on healthcare issues in universities and think tanks should understand how the Singapore system works to achieve affordable excellence.