The Changing Federal Role in U.S. Health Care Policy

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Overview

Health care in the United States at the end of the 20th century occupies a completely different place in the economy, in the public consciousness, and in its impact on government, than it did at the beginning of the century, or even in the early years of the Clinton Administration. Health care is now a multi-billion dollar industry; one that consumes more than 15 percent of the nation's GNP. Citizens now regard health care as essential to the quality of their lives, and a steady stream of new medications and procedures point to ways to extend the lives of our aging population and restore those injured on or off the job. At the same time, the changing patterns of health care have stirred a national debate over the growth of managed care and the role that government can play in providing solid health care standards—a medical safety net—within tightening budgetary restraints. This book explores the role of the federal government in health care policy development from the years of the Founding Fathers to the present.

Kronenfeld reviews the key features of the American health care system, its infrastructure, and federal legislative process and outcomes in the health care arena. The current situation in health care is examined, with particular attention given to the attempt at major reform in the first Clinton administration, and to the modest changes that were ultimately passed. She closes with an examination of the future of health care and the role of government, emphasizing how current health care issues and concerns may set the stage for a changed federal role in funding and delivery of health care services in the next century. This comprehensive examination of the role of government in the health care system will be of great interest to students and researchers of public policy and the social aspects of American health care.

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Editorial Reviews

Booknews
Kronenfeld health administration and policy, Arizona State U. begins by looking at salient features of the US health care infrastructure and delivery system and the changing image of a crisis in health care. She then considers the policy formation process used in this country; the major types of federal health-related legislation; attempts at major health care reform in the first term of the Clinton presidency; and what the future holds for the federal role in health care delivery and the organization of the US health care delivery system. Annotation c. by Book News, Inc., Portland, Or.
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Product Details

  • ISBN-13: 9780275950231
  • Publisher: ABC-CLIO, Incorporated
  • Publication date: 10/30/1997
  • Pages: 196
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.56 (d)

Meet the Author

JENNIE JACOBS KRONENFELD is Professor of Health Administration and Policy, Arizona State University.

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Table of Contents

Pt. I The Evolving Federal Role in the U.S. Health Care System
1 General Comments on the U.S. Health Care Infrastructure and Delivery System 3
2 Salient Features of the U.S. Health Care Infrastructure and Delivery System 19
Pt. II The Federal Legislative Process and Its Outcome 49
3 Health Policy Process at the National Level and the Role of Politics 49
4 The History of Federal Involvement in Health and Major Health-Related Legislation 67
5 The Federal Role in the 1980s: The Reagan and Bush Years and Limited, Reactive Change 93
Pt. III The Future of Health Care and the Role of Government
6 The Lack of Success of Major Health Care Reforms in the Early 1990s: The Clinton Years 113
7 The Need for Reform: Failures of the Current System and Issues of the Future 135
Appendix 149
References 171
Subject Index 181
Author Index 185
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