This work discusses a transformation of health care delivery that was launched by coalitions of business leaders during the early 1970s. It argues for a single-payer system and considers how public regulation offers the possibility of democratic participation in setting health care policies.

Fully updated, this new edition provides a comprehensive examination of the ways that health policy has been shaped by the political, socioeconomic, and ideological environment of the United States. The roles played by public and private, institutional and individual actors in designing the healthcare system are identified at all levels.

Fully updated in this new edition, Health Care Politics and Policy in America combines a historical overview of U.S. health policy and programs with analysis of current trends and reform efforts. The book -- shows how health policy fits into the larger social, economic, political, and ideological environment of the United States; -- identifies the roles played by both public and private, institutional and individual actors in shaping the health care system at all levels; -- considers the trade-offs inherent in various policy choices and their impacts on different social groups; -- takes account of the dynamic impact of technological change on health care capacities, costs, and ethics. This edition includes expanded discussion of equity issues and whether there is a "right" to health care, and a new chapter on the issue of medical liability. The concluding chapter brings the story of health care policy up to the end of the millennium, with particular attention to the managed care revolution and reaction to it. The book equips readers with the basic tools for drawing more informed judgments in the ongoing debate about health care policy in the United States.

Despite the attention to the problem of protecting the health care interests of Americans, there is little consensus on what should be done politically or otherwise to address this problem. In Protecting American Health Care Consumers Eleanor DeArman Kinney, a nationally regarded expert on health policy and law, tackles the serious and ongoing debate among state and federal policymakers, health care providers, third-party payers, and consumers about how to provide procedural justice to patients in the present health care climate. To promote and ensure consumer protection in an increasingly adversarial and complicated health-care culture, Kinney first analyzes the procedures by which consumer concerns are presently discerned and resolved and then explains why these systems are unsatisfactory. She also discusses problematic procedures for making coverage policy and quality standards and proposes reforms in a variety of processes that would enable all consumers, including the uninsured, to influence key policies and standards and also to raise concerns and obtain appropriate remedies. As the first comprehensive treatment of administrative procedures in American health plans and other such institutions, Protecting American Health Care Consumers will be welcomed by state and federal policymakers, managed care executives, and lawyers charged with designing and implementing protections for consumers in public and private health plans.

Every industrial nation in the world guarantees its citizens access to essential health care services--every country, that is, except the United States. In fact, one in eight Americans--a shocking 43 million people--do not have any health care insurance at all. One Nation, Uninsured offers a vividly written history of America's failed efforts to address the health care needs of its citizens. Covering the entire twentieth century, Jill Quadagno shows how each attempt to enact national health insurance was met with fierce attacks by powerful stakeholders, who mobilized their considerable resources to keep the financing of health care out of the government's hands. Quadagno describes how at first physicians led the anti-reform coalition, fearful that government entry would mean government control of the lucrative private health care market. Doctors lobbied legislators, influenced elections by giving large campaign contributions to sympathetic candidates, and organized "grassroots" protests, conspiring with other like-minded groups to defeat reform efforts. As the success of Medicare and Medicaid in the mid-century led physicians and the AMA to start scaling back their attacks, the insurance industry began assuming a leading role against reform that continues to this day. One Nation, Uninsured offers a sweeping history of the battles over health care. It is an invaluable read for anyone who has a stake in the future of America's health care system.

The fifth edition of this well-regarded text covers the period up through the 2012 elections. It has been revised to make it sleeker, more concise, and up-to-date with a clear organisational structure. This edition accomplishes these three important goals: First, it introduces readers to the American approach to public policy making as it has been shaped by our political institutions, changing circumstances, and ideology. Second, it surveys American public policy and policymaking in all the major policy areas from economic policy to health care policy to environmental policy, and does so clearly and even-handedly, with well-selected illustrations, case studies, terms, and study questions. Finally, in addition to providing analytical tools and empirical information, the book challenges readers to come to terms with the widely shared but often competing values that must be balanced and rebalanced in the ongoing policy making process, affecting issues of the highest concern to the American public.

Revolutionary advances in biomedical research and information systems technology pose new and difficult issues for American health care policy, especially in the context of managed care. Health Care Policy in a New Millennium takes on this challenging array of issues where the dignity of individual life meets the imperatives of national-level health-care systems - patients' rights, rationing of care, organ transplants, genetic research, confidentiality of medical records, the right to die, and other ethical dilemmas. The book places these critical questions about the quality of life in our society in their political, legal, social, economic, and ethical contexts.

Offering the widest breadth of policy issue coverage on the market, the sixth edition of this well-regarded text covers events through the 2016 elections and beyond. Though the content has been extensively and thoughtfully revised and updated, the sixth edition maintains its clear approach, without an overreliance on policy theory, and popular threefold structure: First, it introduces readers to the American approach to public policy making as it has been shaped by our political institutions, changing circumstances, and ideology. Second, it surveys all of the major policy areas from foreign policy to health care policy to environmental policy, and does so with well-selected illustrations, case studies, terms, and study questions. Third, it provides readers with analytical tools and frameworks to examine current problems and be able to understand and critique proposed public policy solutions. New to the sixth edition is an exploration of: The Affordable Care Act and its implementation, controversies, and impact The American economy since the end of the Great Recession, trade policy, and economic equality issues Foreign policy including relations with Russia, China, and Iran, as well as the civil war in Syria, the continuing conflicts in Iraq, and the challenge of ISIS The US Criminal Justice system and its incarceration challenges as well as issues of minorities, police, and crime. This new edition includes, for the first time, a test bank with multiple choice, short answer, and discussion/essay questions as well as an instructor’s manual. Public Policy in the United States, 6e is an ideal undergraduate text for introductory courses on American Public Policy and Politics, and can be used as supplementary reading in undergraduate courses on policy process, policy analysis, and American government.

The issue of justice in the field of health care is becoming more central with concerns over access, cost and provision. Obamacare in the United States and the Health and Social Care Act 2012 in the United Kingdom are key examples illustrating the increasing pressure put on governments to find just and equitable solutions to the problem of health care provision. Justice and Profit in Health Care Law explores the influence of justice principles on the elaboration of laws reforming health care systems. By examining the role played by key for-profit stakeholders (doctors, employers and insurers), it tracks the evolution of distributive norms for the allocation of health care resources in western welfare states. Essentially, this book sheds light on the place given to justice in the health care law-making process in order to understand the place we wish to give these principles in future health care reforms.