The accidental system : health care policy in America / Michael D. Reagan.

Format:

Book

Author/Creator:

Reagan, Michael D.

Series:

Dilemmas in American politics.

Dilemmas in American politics

Language:

English

Subjects (All):

Medical care--United States.

Medical care.

Medical policy--United States.

Medical policy.

Physical Description:

1 online resource (334 p.)

Edition:

First edition.

Place of Publication:

Boulder, Colo. : Westview Press, 1999.

Language Note:

English

Summary:

With the demise of the Clinton health care reform plan, the debate on health care changed but did not subside. From opinion pieces in newspapers to dinner-table conversations, the debate over whether the right to quality health care is a public right, akin to educating our children, or whether it is a private one, akin to life insurance, continues. In The Accidental System Michael Reagan shows that in the American political context, health care is neither exclusively a public right nor a private privilege. This insightful policy study provides students with an excellent demonstration of how public policy intersects with private markets.

Contents:

Cover; Title Page; Copyright; Contents; List of Tables and Photos; List of Acronyms; 1: The Basic Dilemma: Is Health Care a Right or a Market Commodity?; What's Wrong with the Market Model?; Is There an Ethical "Right" to Health Care?; 2: The Accidental System; The Early Years,; HMOs and Prospective Payment,; The Public Sector: Niche Health Care,; Where Are Current Trends Leading?; 3: The Stakeholders and the Policy Process; The Clinton Health Plan Debacle and Its Aftermath,; Federalism Is Alive and Well in Health Care,; The Cast of Characters and Their Strategies,

4: Beneath the Dilemmas, the TrilemmaHow Do We Define Quality Care?; Health Care Costs: How High the Moon?; Is the Insured Population Increasing? No,; So, What's the Trilemma?; 5: Medicare and Medicaid: The Entitlement Dilemmas; What Does Medicare Cost the Taxpayers? The Seniors?; Medicare: The Policy Dilemmas,; Medicaid: Medicare's Poor Relation,; 6: Good Health at Lower Cost: How Do Other Nations Do It?; Canada: Mixed Funding and Provincial Responsibility,; United Kingdom: Socialism with Private Beds,; Germany: Public Framework, Private Operation,; To Each Its Own,

7: Managed Care: Boon or Bane? Both! 107A Managed Care Profile,; The Case for Managed Care,; The Case Against Managed Care,; The Bottom Line? A Mixed Verdict,; 8: Controlling Costs: Mission Impossible?; Cost Cutting-Business Style,; Better Treatments Lead to Lower Costs,; Can the United States Change Its Culture of Medicine?; 9: A Sensible Wild Idea: Universalize Medicare; Americans Will Live with the Dilemma-But Not Forever,; Light at the End of the Health Care Tunnel?; A Simple Idea: Universalize Medicare,; Notes; Index

Notes:

Includes index.

Includes bibliographical references and index.

Description based on print version record.

ISBN:

0-429-97651-8

0-367-31824-5

0-429-96543-5

0-429-49688-5

1-283-30106-7

9786613301062

0-8133-4701-7

1-4294-8755-0

9780429496882

OCLC:

756484348