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Since the late 1960s, health care in the United States has been described as a system in crisis. No matter their position, those seeking to improve the system have relied on the rhetoric of crisis to build support for their preferred remedies, to the point where the language and imagery of a health care crisis are now deeply embedded in contemporary politics and popular culture. In Cries of Crisis, Robert B. Hackey analyzes media coverage, political speeches, films, and television shows to demonstrate the role that language and symbolism have played in framing the health care debate, shaping policy making, and influencing public perceptions of problems in the health care system. He demonstra...
This book provides a comprehensive introduction to significant U.S. health policy controversies, including Democratic and Republican responses to the coronavirus pandemic. It explores partisan divisions, major challenges, and policy preferences of key Democratic and Republican stakeholders. This volume provides readers with a broad overview of a variety of issues in contemporary health policy that span health care reform, health insurance, pharmaceuticals, public health, health care for underserved populations, and responses to the COVID-19 pandemic. The book explores the politics of each issue, drawing upon historical evidence, legislative research, public opinion polls, and the views of ke...
State governments in the past decade have had to take on the problem of health care, with mixed results. This collection of 11 essays (of which two are an introduction and conclusion) by academics and policy makers consider the many issues that concern health care in the US and their effects at the state level, including managed care, health insurance expansion, mental health care, public health administration, and bureaucratic reactions to health policy. Hackey teaches health policy and management at Providence College in Rhode Island; Rochefort teaches political science and public administration at Northeastern U. in Boston. c. Book News Inc.
Local governments do not stand alone—they find themselves in new relationships not only with state and federal government, but often with a widening spectrum of other public and private organizations as well. The result of this re-forming of local governments calls for new collaborations and managerial responses that occur in addition to governmental and bureaucratic processes-as-usual, bringing locally generated strategies or what the authors call "jurisdiction-based management" into play. Based on an extensive study of 237 cities within five states, Collaborative Public Management provides an in-depth look at how city officials work with other governments and organizations to develop the...
Democratic government is about making choices. Sometimes those choices involve the distribution of benefits. At other times they involve the imposition of some type of loss—a program cut, increased taxes, or new regulatory standards. Citizens will resist such impositions if they can, or will try to punish governments at election time. The dynamics of loss imposition are therefore a universal—if unpleasant—element of democratic governance. The Government Taketh Away examines the repercussions of unpopular government decisions in Canada and the United States, the two great democratic nations of North America. Pal, Weaver, and their contributors compare the capacities of the U.S. presiden...
This distinguished collection stands out from the recent flurry of books on health reform by its sustained and sophisticated analysis of the political dimension. In The Politics of Health Care Reform, some of America's best-known political scientists, historians, and legal scholars make sense of our most turbulent policy issue. They dig below the jargon and minutiae to explore the enduring questions of American politics, government reform, and health care. The Politics of Health Care Reform explains how successful reforms occur in the United States and shows what is unique about health care issues. Theoretically informed, politically astute, historically nuanced, this volume takes an invento...
Manna explores the dynamics of forty years of education policymaking to answer a puzzling question: if state and local governments are the primary caretakers of elementary and secondary education, how have federal policymakers so greatly expanded their involvement in the country's schools since 1965? From Lyndon B. Johnson's signing of the carefully worded funding bill, the Elementary and Secondary Education Act of 1965 to George W. Bush's imposing but underfunded "No Child Left Behind" initiative, Washington's influence over America's schools has increased signficantly. At the same time, the states have developed more comprehensive, and often innovative education policies. A wide array of e...
Governments throughout the industrialized world make decisions that fundamentally affect the quality and accessibility of medical care. In the United States, despite the absence of universal health insurance, these decisions have great influence on the practice of medicine. In Medical Governance, David Weimer explores an alternative regulatory approach to medical care based on the delegation of decisions about the allocation of scarce medical resources to private nonprofit organizations. He investigates the specific development of rules for the U.S. organ transplant system and details the conversion of a voluntary network of transplant centers to one private rulemaker: the Organ Procurement ...
In the American federal system, states actively compete for jobs, business investment, and factory locations. Labor costs have played an important role in such interstate competition since the days of the pre-Civil War plantation economy. In recent years, however, global economic trends have put added pressures on businesses and government to reduce labor costs. At least, that is what most politicians, the media, and the business community believe. Globalization and the Politics of Pay examines the economic, political, and social causes and consequences of declining wages in the United States. It challenges the conventional wisdom that globalization is to blame for the decline in workers' ea...
Although the linking of "ethics" and "politics" may seem more like the ingredients for a comedian's monologue, it is a sober issue and one that affects every American—especially when it comes to state politics, where the cynical might say ethics can never survive. To find examples of the latest corruption du jour, all one has to do is turn to the newspaper, or switch on the local newscast (think Illinois and New Jersey). Scandals have been ubiquitous since the beginning of the Republic, but it wasn't until 1954 that ethical self-regulation began to move legislatively beyond bribery statutes to address deeper issues—those which, in New York Governor Thomas Dewey's words, skulked in the "s...