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The American health care system is a unique mix of public and private programs that critics argue has produced a two-tier system - one for the rich and the other for the poor - that delivers dramatically unequal care and leaves millions of Americans seriously underinsured or with no coverage at all. This book examines the root causes of the inequalities of the American health care system and discusses various policy alternatives. It systematically documents the demands on and the performance of our health care system for different population groups as defined on the basis of gender (women), age (children), race and ethnicity (African Americans, Hispanics, Native Americans), and residence in high poverty areas (rural and inner city locales).For each population, the book documents: historical and demographic profile, data on health status, aspects of inequality including access; quality of care; and endemic, cultural, and lifestyle issues affecting health; policies, laws, and programs relevant to health care; and, indicators of improvement or negative trends.
The fifth edition of this well-regarded text covers the period up through the 2012 elections. It has been revised to make it sleeker, more concise, and up-to-date with a clear organisational structure. This edition accomplishes these three important goals: First, it introduces readers to the American approach to public policy making as it has been shaped by our political institutions, changing circumstances, and ideology. Second, it surveys American public policy and policymaking in all the major policy areas from economic policy to health care policy to environmental policy, and does so clearly and even-handedly, with well-selected illustrations, case studies, terms, and study questions. Finally, in addition to providing analytical tools and empirical information, the book challenges readers to come to terms with the widely shared but often competing values that must be balanced and rebalanced in the ongoing policy making process, affecting issues of the highest concern to the American public.
Fully updated in this new edition, Health Care Politics and Policy in America combines a historical overview of U.S. health policy and programs with analysis of current trends and reform efforts. The book -- shows how health policy fits into the larger social, economic, political, and ideological environment of the United States; -- identifies the roles played by both public and private, institutional and individual actors in shaping the health care system at all levels; -- considers the trade-offs inherent in various policy choices and their impacts on different social groups; -- takes account of the dynamic impact of technological change on health care capacities, costs, and ethics. This edition includes expanded discussion of equity issues and whether there is a "right" to health care, and a new chapter on the issue of medical liability. The concluding chapter brings the story of health care policy up to the end of the millennium, with particular attention to the managed care revolution and reaction to it. The book equips readers with the basic tools for drawing more informed judgments in the ongoing debate about health care policy in the United States.
The current opioid epidemic in the United States began in the mid-1990s with the introduction of a new drug, OxyContin, viewed as a safer and more effective opiate for chronic pain management. By 2017, the opioid epidemic had become a full-blown crisis as over two million Americans had become dependent on and abused prescription pain pills and street drugs. This book examines the origins, development, and rise of the opioid epidemic in the United States from the perspective of the public policy process. The authors, political scientists Kant Patel and Mark Rushefsky, discuss institutional features of the American political system that impact the making of public policy, arguing that the frag...
Congress, the Presidency and American Foreign Policy provides a critical look at the resulting executive-legislative relations in the conduct of American foreign policy. This book explores the capacity of American political institutions to conduct a foreign policy that will meet the nation's many needs. Organized into eight chapters, this book begins with an explanation of the Jackson-Vanik amendment; the congressional participation in US-Middle East Policy; and the implication of the domestic politics of SALT II for the foreign policy process. Subsequent chapters explore the negotiations and ratification of the Panama Canal treaties; the Turkish Embargo problem; economic sanctions against Rhodesia; and the energy policy. Lastly, the dilemmas of policy-making in a democracy are addressed.
In this book, authors Kant Patel and Mark Rushefsky analyze how political polarization at the state level has impacted state health policymaking, policy outputs, and policy outcomes and led red and blue states to create vastly different healthcare and health policies.
Walter A. Rosenbaum’s classic Environmental Politics and Policy provides definitive coverage of environmental politics and policy, lively case material, and a balanced assessment of current environmental issues. The first half of the book sets needed context and describes the policy process while the second half covers specific environmental issues such as air and water; toxic and hazardous substances; energy; and a global policymaking chapter focused on climate change and trans-boundary politics. The eleventh edition includes updates on the Trump administration′s initiatives and controversies with regard to environmental policy, offering the currency and relevancy needed for any environmental politics course.
Table of Contents List of Tables List of Figures Preface Acknowledgments 1 Process, Structure, and Ideology 3 2 Economic Policy: To Promote the General Welfare 53 3 Foreign and Defense Policy: To Provide for the Common Defense 121 4 Poverty and Welfare: The Poor Ye Always Have with You? 169 5 Health Policy: The Problems of Cost and Access 208 6 Environmental Policy: Challenges and Opportunities 250 7 Criminal Justice: To Ensure Domestic Tranquility 294 8 Education: The Promise of America 350 9 Equality: The Second American Revolution 406 10 At the Dawn of the Twenty-First Century 443 References 455 Index 507.
This book focuses on the politics, policies, and methodologies of public health and the 21st century challenges to the public health system of the United States..
In recent years, bitter partisan disputes have erupted over Medicare reform. Democrats and Republicans have fiercely contested issues such as prescription drug coverage and how to finance Medicare to absorb the baby boomers. As Jonathan Oberlander demonstrates in The Political Life of Medicare, these developments herald the reopening of a historic debate over Medicare's fundamental purpose and structure. Revealing how Medicare politics and policies have developed since Medicare's enactment in 1965 and what the program's future holds, Oberlander's timely and accessible analysis will interest anyone concerned with American politics and public policy, health care politics, aging, and the welfare state.