| Description |
1 online resource (547 pages) |
| Contents |
Cover -- Half Title -- Title Page -- Copyright Page -- Table of Contents -- List of tables and figures -- Preface -- Foreword -- List of Acronyms -- Acknowledgments -- I: Healthcare Politics and Policy -- 1. Healthcare Politics -- Health Policymaking in the United States -- The Health Policy Environment -- The Constitutional Environment -- The Institutional Environment -- The Political Environment -- The Changing Political Environment -- The Economic Environment -- The Technological Environment -- Key Health Policy Actors -- Healthcare Providers -- Third-Party Payers -- Employers -- Consumers -- Interest Groups -- Conclusion -- Study Questions -- References -- 2. Healthcare Policy in the United States -- The US Healthcare System in a Comparative Context -- Healthcare in Colonial Times -- Healthcare in the Nineteenth Century -- The Transformation of US Medicine: 1900-1935 -- The Role of the Federal Government in Healthcare -- Limited Federal Role: 1900s-1930s -- Expanded Federal Role: 1930s-1960s -- Efforts at Healthcare Cost Containment: 1970s-1980s -- Controlling Costs by Planning -- The Political Transformation of the US Healthcare System: 1981-2018 -- The Reagan Administration: 1981-1989 -- The George H.W. Bush Administration: 1989-1993 -- The Clinton Administration: 1993-2001 -- The George W. Bush Administration: 2001-2009 -- The Barack Obama Administration: 2009-2017 -- The Trump Administration: 2017- -- The Evolution of Public Health in the United States -- The Seventeenth Century -- The Eighteenth Century -- The Nineteenth Century -- The Twentieth Century -- The Twenty-First Century -- Organization and Functions of Public Health -- Public Health Spending and Financing -- Public Health Accomplishments and Challenges -- Conclusion -- Study Questions -- References -- II: Government Health Programs |
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3. The Affordable Care Act: Stumbling Toward Universal Health Insurance? -- The Road to the Affordable Care Act (2006-2008) -- Kingdon's Multiple Streams Model -- The Political Stream -- The Legislative Process: An Ordeal by Fire (2008-2010) -- The Opening Moves -- The Legislative Process: Ideal versus Real -- Political Parties at War -- Moving Through Congress -- The Affordable Care Act Clears the Obstacles -- The Patient Protection and Affordable Care Act -- Goals and Purposes -- Major Provisions -- Challenging the Affordable Care Act -- The Affordable Care Act on Trial -- Electoral Challenges -- Public Opinion -- Implementing the Affordable Care Act -- Federalism and the Affordable Care Act -- Health Insurance Exchanges -- Medicaid Expansion and the States -- Legislative Challenges -- Administrative Challenges -- Evaluating the Affordable Care Act -- Insurance Coverage -- Affordable Care -- Criticisms of the Affordable Care Act -- Conclusion -- Study Questions -- References -- 4. Medicaid and the Children's Health Insurance Program: Healthcare for the Poor and the Disabled -- Important Facts about the Current Medicaid Program -- Program Objective and Structure -- Medicaid Eligibility and Coverage, Services and Benefits -- Eligibility and Coverage -- Benefits and Services -- Medicaid Financing -- Federal Financing -- State Financing -- The Children's Health Insurance Program (CHIP) -- The Origins and Evolution of the CHIP -- The Struggle over the Renewal of the CHIP -- CHIP Eligibility, Benefits, Financing, and Cost-Sharing -- The Affordable Care Act of 2010 and Medicaid Expansion -- The Implementation of Medicaid Expansion under the ACA -- What Factors Explain States' Decisions to Expand or Not to Expand? -- Justifications for Expansion and Consequences -- Justifications for Non-Expansion and Consequences |
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Changes in Medicaid Enrollees, Enrollment, and Expenditures -- Characteristics of Program Enrollees -- Medicaid Enrollment and Expenditures -- Medicaid Waivers -- What are Medicaid Waivers? -- Types of Medicaid Waivers -- Medicaid Waivers and State Medicaid Reforms, 1980s-2010s -- The Current State of Medicaid Waivers and Reforms -- Broad Overview of Approved and Pending Waivers -- Trends in Medicaid Reforms and Experiments: Private-Sector Approaches -- Long-Term Care: Transition from Institutional to Community-Based/Home Care -- Medicaid Pay-For-Performance -- Conclusion -- Study Questions -- References -- 5. Medicare: Healthcare for the Elderly -- The Origins of Medicare -- Program Objectives and Structure -- Objectives -- Structure -- Financing Medicare -- Supplementing Medicare -- Medicaid Buy-In -- Medigap -- Employment Retiree Benefits -- Transforming Medicare -- The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 -- Medicare Advantage -- Lessons from the Medicare Modernization Act -- Controlling Costs -- Prospective Payment System -- Controlling Physician Costs -- Reorganizing Payment Mechanisms and Service Delivery -- The Problem of Long-Term Care -- Long-Term Care Insurance -- Policy Options: Transforming Medicare -- Incremental Policy Alternatives -- Comprehensive Policy Alternatives -- Medicare and the Affordable Care Act -- Conclusion: The Politics and Policy of Medicare -- Study Questions -- References -- 6. Healthcare for American Indians, Alaska Natives, and Veterans -- American Indians and Alaska Natives -- Population Characteristics and Trends -- Historical Background -- The Legal and Constitutional Status of American Indians and Alaska Natives -- American Indians -- Alaska Natives -- The Evolution of Health Policy -- The Nineteenth Century -- The Twentieth Century -- The Twenty-First Century |
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The Indian Health Service: Organization and Structure -- Organization and Delivery of Health Services -- Urban Indian Health Programs -- The Indian Health Service and Funding -- Health Status and Trends -- Accomplishments of the IHS -- Challenges Confronting the IHS and Healthcare Policy for AIs/ANs -- Increasing Funding for the IHS -- Increasing Access to Healthcare Services -- Providing Culturally Competent Care -- Conclusion -- Healthcare for Veterans -- Population Characteristics and Trends -- Historical Background: The Development of Veterans' Benefits -- Veterans' Health Policy Development -- The Veterans Health Administration -- Mission -- Organization and Structure -- Transitioning from Tricare to VA Healthcare -- The VA Healthcare System -- Eligibility and Enrollment -- Benefits and Services -- Health Benefits for Family Members of Veterans -- The Health Status of Veterans -- Funding and Expenditures of the VA and VHA -- Veterans' Use of Benefits and Services -- AHistory of Scandals at the Veterans Administration -- Challenges Confronting the VA Healthcare System -- Conclusion -- Study Questions -- References -- III: Problems of the Healthcare System -- 7. Falling Through the Safety Net: The Disadvantaged -- Equality and Equity -- Important Considerations -- Social Determinants of Health -- Geography is Destiny -- Addressing Social Determinants -- The Uninsured and Underinsured -- Consequences of Uninsurance and Underinsurance -- Insurance and the Idea of Community -- A Closer Look: The Poor, Minorities, and Women -- Minorities and Low-Income Groups -- Women -- Immigrants and Healthcare -- Lawful Noncitizen Immigrants and Healthcare -- Undocumented Immigrants and Healthcare -- Conclusion: The Problems of the Disadvantaged Remain -- Study Questions -- References -- 8. The Problem of Rising Healthcare Costs and Spending |
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Rising Healthcare Costs/Expenditures -- Expenditures by Type of Health Service -- Growth in Public-Sector Expenditures and Decline in Out-of-Pocket Expenditures -- Concentration of Expenditures -- Healthcare Expenditures in the United States Compared to Other Countries -- Who is Affected by High and Increasing Healthcare Costs? -- Households -- Businesses -- Government -- Americans' Views about Healthcare Costs/Expenditures -- Factors Responsible for Rising Healthcare Costs/Expenditures -- The Role and Growth of Medical Technology -- Medical Errors and Costs -- Costs of Waste, Fraud, and Abuse in the US Healthcare System -- Lifestyle Choices and Costs/Expenditures -- Administration -- The Overpriced American Healthcare System -- Prescription Drugs and Costs/Expenditures -- Cost Drivers -- Healthcare Cost-Containment: Bending the Cost Curve -- Theoretical Framework: Government Regulation and Market Competition -- The Regulatory Strategy -- The Market Strategy -- Past Efforts at Controlling Healthcare Costs -- Healthcare Planning and Cost-Containment -- Professional Standards Review -- Price Regulation -- The Special Case of Maryland -- Controlling Drug Prices -- Health Maintenance Organizations, Healthcare Rationing, Managed Care, and Cost-Containment -- Health Maintenance Organizations -- Healthcare Rationing -- Managed Competition -- Managed Care -- Wellness Programs -- Cost-Sharing -- Cost-Containment in the Twenty-First Century -- Fraud, Waste, and Cost Control -- The Affordable Care Act and Cost Control -- The Federal Budget and Healthcare Costs -- A Strategy for Controlling Costs -- Conclusion -- Study Questions -- References -- IV: Contemporary Challenges in American Healthcare -- 9. The Role of Biomedical Technology: The Beginning and the End of Life -- Medical Technologies: Law, Politics, Religion, and Ethics -- The Beginning of Life |
| Notes |
What are Assisted Reproductive Technologies? |
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Publisher supplied metadata and other sources |
| Subject |
Medical policy -- United States
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Medical care -- Political aspects -- United States
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Medical care -- Political aspects
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Medical policy
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United States
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| Form |
Electronic book
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| Author |
Rushefsky, Mark E
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| ISBN |
9780429674426 |
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0429674422 |
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