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Still Broken
The debate over health care policy in the U. S. did not end when President Obama signed the landmark Patient Protection and Affordable Care Act (PPACA) on March 23, 2010. Since then, half the states have sued and federal judges have issued conflicting rulings about the law's constitutionality. In addition, the new Republican-controlled House of Representatives voted to repeal it, and Republicans have pledged to bring it up again during negotiations over the 2012 federal budget. The continuing controversies over PPACA are only one reason that Still Broken: Understanding the U.S. Health Care System is a must-read for engaged citizens, policymakers, students, and scholars alike. The book takes ...
Uncertain Times
This volume revisits the Nobel Prize-winning economist Kenneth Arrow’s classic 1963 essay “Uncertainty and the Welfare Economics of Medical Care” in light of the many changes in American health care since its publication. Arrow’s groundbreaking piece, reprinted in full here, argued that while medicine was subject to the same models of competition and profit maximization as other industries, concepts of trust and morals also played key roles in understanding medicine as an economic institution and in balancing the asymmetrical relationship between medical providers and their patients. His conclusions about the medical profession’s failures to “insure against uncertainties” helpe...
The Transformation of American Health Insurance
Can American health insurance survive? In The Transformation of American Health Insurance, Troyen A. Brennan traces the historical evolution of public and private health insurance in the United States from the first Blue Cross plans in the late 1930s to reforms under the Biden administration. In analyzing this evolution, he finds long-term trends that form the basis for his central argument: that employer-sponsored insurance is becoming unsustainably expensive, and Medicare for All will emerge as the sole source of health insurance over the next two decades. After thirty years of leadership in health care and academia, Brennan argues that Medicare for All could act as a single-payer program ...
Markets and Majorities
America's government intervenes in almost every aspect of its citizens' daily lives. From the air we breathe, to our health, wealth, and security, Americans wade through a vast political ocean. Unfortunately, we do so blindly; few Americans understand how or why our government regulates the market mechanisms that surround us. In Markets and Majorities, Steven Sheffrin addresses essential yet overlooked questions about political intervention in economic spheres. Why should we trust the government to clean our air? How do we know what to define as clean? What kind of health insurance business will the government run? What are the dangers of publicly financed doctors? Sheffrin first explains tr...
Michiganensian
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The Road to Nowhere
During the 1992 presidential campaign, health care reform became a hot issue, paving the way for one of the most important yet ill-fated social policy initiatives in American history: Bill Clinton's 1993 proposal for comprehensive coverage under "managed competition." Here Jacob Hacker not only investigates for the first time how managed competition became the president's reform framework, but also illuminates how issues and policies emerge. He follows Clinton's policy ideas from their initial formulation by policy experts through their endorsement by medical industry leaders and politicians to their inclusion--in a new and unexpected form--in the proposal itself. Throughout he explores key ...
Health Care Politics, Policy, and Distributive Justice
This book describes and evaluates power and influence in the creation, administration, and distribution of health care in the United States. His work is uniquely concerned with distributive justice as well as power. Who ought to receive more (or less) health care? How should we decide these distributions? Such questions are addressed in works of philosophy with little attention to political, legal, and economic analysis of budget dilemmas, professional and industrial politics, and technology. This volume takes the issue a step further by placing health policy issues in the broader context of American politics, illuminating the conflict between health resources and other needs, and evaluating the trade offs.
Timing & Turnout
Public policy in the United States is the product of decisions made by more than 500,000 elected officials, and the vast majority of those officials are elected on days other than Election Day. And because far fewer voters turn out for off-cycle elections, that means the majority of officials in America are elected by a politically motivated minority of Americans. Sarah F. Anzia is the first to systemically address the effects of election timing on political outcomes, and her findings are eye-opening. The low turnout for off-cycle elections, Anzia argues, increases the influence of organized interest groups like teachers’ unions and municipal workers. While such groups tend to vote at high...
