This revealing book tackles the daunting problem of increasing chronic illness in America, offering fresh ideas for the ways in which the challenge can be successfully managed. Remaking Chronic Care in the Age of Health Care Reform: Changes for Lower Cost, Higher Quality Treatment is nothing less than a blueprint for a new mode of chronic care. It depicts a current system in which there is little financial incentive to furnish coordinated services via appropriate primary care and few penalties for failure to deliver such care. Arguing that the current system is unsustainable, the book documents efforts that have been made to promote better coordination of care through patient-centered medical homes and accountable care organizations. Specifically, the book focuses on linking the ongoing innovations in health care practices with the supports for scaling up innovations found in the Patient Protection and Affordable Care Act. It shows how expanding and improving primary care as the vehicle for care coordination will reduce costs for those with conditions such as arthritis, diabetes, hypertension, or other longstanding disorders, but also makes it clear that incentives have to be realigned if such improved primary care is to become a reality.

Over the past three decades, the contours of American social, economic, and political life have changed dramatically. The post-war patterns of broadly distributed economic growth have given way to stark inequalities of income and wealth, the GOP and its allies have gained power and shifted U.S. politics rightward, and the role of government in the lives of Americans has changed fundamentally. Remaking America explores how these trends are related, investigating the complex interactions of economics, politics, and public policy. Remaking America explains how the broad restructuring of government policy has both reflected and propelled major shifts in the character of inequality and democracy in the United States. The contributors explore how recent political and policy changes affect not just the social standing of Americans but also the character of democratic citizenship in the United States today. Lawrence Jacobs shows how partisan politics, public opinion, and interest groups have shaped the evolution of Medicare, but also how Medicare itself restructured health politics in America. Kimberly Morgan explains how highly visible tax policies created an opportunity for conservatives to lead a grassroots tax revolt that ultimately eroded of the revenues needed for social-welfare programs. Deborah Stone explores how new policies have redefined participation in the labor force—as opposed to fulfilling family or civic obligations—as the central criterion of citizenship. Frances Fox Piven explains how low-income women remain creative and vital political actors in an era in which welfare programs increasingly subject them to stringent behavioral requirements and monitoring. Joshua Guetzkow and Bruce Western document the rise of mass incarceration in America and illuminate its unhealthy effects on state social-policy efforts and the civic status of African-American men. For many disadvantaged Americans who used to look to government as a source of opportunity and security, the state has become increasingly paternalistic and punitive. Far from standing alone, their experience reflects a broader set of political victories and policy revolutions that have fundamentally altered American democracy and society. Empirically grounded and theoretically informed, Remaking America connects the dots to provide insight into the remarkable social and political changes of the last three decades.

During the eighteenth century the Spanish Bourbon monarchs attempted to transform Spanish America. This study analyses the efforts to transform frontier missions, and the consequences and particularly demographic consequences for the indigenous peoples that lived on the missions.

"Health Policy Analysis analyzes current U.S. health policy and proposes various alternatives for developing future health policy without pushing a single solution set-rather, it considers the viewpoints of economics, political science, management, communications, technology, and public health"--

The surprise election of Donald J. Trump to the presidency of the United States marks a singular turning point in the American republic – not only because of his idiosyncratic approach to the office, but also because the Republican Party now holds the presidency and both houses of Congress, presenting a historic opportunity for change. The role of older Americans has been critical in both shaping and reacting to this political moment. Their political orientations and behaviors have shaped it through their electoral support for Republican candidates. But, older Americans stand as highly invested stakeholders in the policy decisions made by the very officials they elected and as beneficiaries of the programs that Republicans have targeted for cuts or elimination. This comprehensive volume explores the ways in which Trump administration policies are likely to significantly undermine the social safety net for near-elderly and older Americans, including long-term care, housing, health care, and retirement. The authors also explore how the Trump administration might shape politics and political behavior through the policy changes made. The response of older voters, in upcoming elections, to efforts by the Trump administration and its Republican allies in Congress to draw back on the federal government’s commitment to programs and policies affecting them will shape the direction of aging policy and politics for years to come. This book was originally published as a special issue of the Journal of Aging & Social Policy.

This book teaches the fundamental and practical knowledge necessary to advance wireless health technology and applications. It is suitable for both instructional and self-learning. The approach is an integrated, multidisciplinary treatment of the subject. Each chapter includes: Abstract, Learning Objectives, Introduction, Chapter Content, and Summary. This book is developed for graduate students and working professionals with technology, science and clinical backgrounds. It is also an effective informational resource for the broader community. The authors are practicing topic experts from academia and industry. The editor has developed a graduate course in the topic, which has been taught using informal drafts of this book since 2011. This book covers the following topics: About the Authors Foreword Preface Introduction Chapter 1 Introduction to Wireless Health Mehran Mehregany Chapter 2 Products, Services, and Business Models Mehran Mehregany and Vicki Smith Chapter 3 Physicians, Hospitals, and Clinics Kendal Williams Chapter 4 The Current US Health Care System David Gruber Chapter 5 Policy and Regulatory Aspects Dale Nordenberg Chapter 6 Personalized Medicine and Public Health Brigitte Piniewski, MD Chapter 7 Health Information Technology Rick Cnossen Chapter 8 Microsystems Masoud Roham Chapter 9 Wireless Communications Stein Lundby Chapter 10 Computing and Information John Sharp Chapter 11 Social Media and Health Keith Monrose Chapter 12 Electronic Instrumentation Christian Falconi Chapter 13 Medical Device Design Enrique Saldívar and Rajeev D. Rajan Chapter 14 Design for the Consumer Patient Srinivas Raghavan Chapter 15 Design for the Health Care Team Srinivas Raghavan Chapter 16 Leveraging the Power of Games Alan Price Chapter 17 Platforms, Interoperability, and Standards Rajeev D. Rajan Chapter 18 Steps Toward Security of Wireless Medical Devices Mike Ahmadi