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Since the 1960s, America's policymaking system has transitioned from one in which leaders like Lyndon Johnson could simply disparage the concept of budget projections to one in which policymakers consciously manipulate cost estimates. Paradoxically, the very safeguards put in place to thwart economically unsound legislation now cause chaos by incentivizing the development of flawed, even blatantly unworkable, policies. As Robert Saldin shows in When Bad Policy Makes Good Politics, the pathologies of the new system are illustrated by the Community Living Assistance Services and Supports Act and its role in aiding passage of President Obama's landmark health reform law. CLASS was supposed to b...
Health Systems & Delivery
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Why do protesters sometimes take to the streets to demand lower taxes on the rich? In this urgently relevant study, sociologist Isaac William Martin examines how these protesters used tactics that they learned in movements of the poor and powerless-and sometimes won big.
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William Jefferson Clinton's legacy remains a matter of significant contention among historians, political scientists, and pundits even after a decade of time to reflect. The Historical Dictionary of the Clinton Era covers both sides of the Clinton presidency through a chronology, an introductory essay, appendixes, and an extensive bibliography. --from publisher description.
This book examines the implementation of the prospective payment system (PPS) in the US for Medicare hospital reimbursement, which started in 1983. The authors discuss the impact of the PPS on health care provision and conclude that rather than improving conditions for the elderly in their transition from hospital to community and decreasing escalating health costs, the PPS has restructured the system with the result that the greater financial burden is placed on informal caregivers, community and home health care agencies and the elderly themselves.
This examination of the history, development, activities, successes, and limitations of the largest membership organization in the country will be of interest to anyone who belongs to or is curious about this sometimes-controversial group. AARP is one of Washington's most influential interest groups, but just who does it represent? To some, it represents the narrow special interests of older Americans who already consume more than their share of government benefits. To others, its advocacy encompasses everyone, including those with elderly parents and grandparents—and those who will comprise the older generations of the future. The most comprehensive volume ever written about AARP, the book...