Health Policy and the Disadvantaged

Health Policy and the Disadvantaged

by Lawrence D. Brown
     
 

ISBN-10: 0822311429

ISBN-13: 9780822311423

Pub. Date: 09/19/1991

Publisher: Duke University Press Books

This important collection of essays, originating in a 1989 conference on the disadvantaged in American health care, provides incisive commentary on U.S. health care policy and politics. Examining public responses to health crises and analyzing the political logic of the American community, this volume charts the immobility of U.S. health policy in recent years and

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Overview

This important collection of essays, originating in a 1989 conference on the disadvantaged in American health care, provides incisive commentary on U.S. health care policy and politics. Examining public responses to health crises and analyzing the political logic of the American community, this volume charts the immobility of U.S. health policy in recent years and points to its disastrous consequences for the 1990s.
Focusing on the particular needs of disadvantaged groups—the elderly, children, people with AIDS, the mentally ill, the chemically dependent, the homeless, the hungry, the medically uninsured—these essays develop strong policy statements. The authors describe the growth in U.S. health care programs, from Kerr-Mills to Medicare, Medicaid, and subsequent revisions, and stress the serious omissions resulting from incremental policy expansion, both in identifying disadvantaged groups and in implementing programs. They report the weakness of the U.S. health care system compared to systems of other technologically developed countries.

Contributors. Deborah A. Stone and Theodore R. Marmor, Judith Feder, Alice Sardell, Bruce C. Vladeck, Michael Lipsky and Marc A. Thibodeau, Daniel M. Fox, William E. McAuliffe, M. Gregg Bloche and Francine Cournos, Lawrence D. Brown, James A. Morrone

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Product Details

ISBN-13:
9780822311423
Publisher:
Duke University Press Books
Publication date:
09/19/1991
Edition description:
New Edition
Pages:
222
Product dimensions:
6.03(w) x 8.94(h) x 0.63(d)
Lexile:
1510L (what's this?)

Table of Contents

Contents

Acknowledgment,
Introduction,
References,
Health Care of the Disadvantaged: The Elderly,
The financial burden of out-of-pocket expenses,
The risks of cost containment,
The limits to "self-financing",
Expanding Medicare's protection: Long-term care,
References,
Child Health Policy in the U.S.: The Paradox of Consensus,
Introduction,
Child health policy at the federal level: From the Progressive era to the Reagan "revolution",
Child health on the policy agenda in the 1980s: The expansion of Medicaid eligibility,
The limitations of the Medicaid expansions,
Child health on the governmental agenda: The framing of the issue,
Beyond Medicaid expansion: Proposals for financing and restructuring health care delivery,
Child health legislation for fiscal years 1990 and 1991,
Child health policy and health care politics: Speculation on the future,
Conclusion,
References,
Health Care and the Homeless: A Political Parable for Our Time,
The homeless population,
Homelessness and health,
Health services to the homeless,
The politics of homelessness,
The politics of studying homelessness,
References,
Domestic Food Policy in the United States,
Introduction,
Development of food policies,
Ongoing issues,
Directions for the future,
References,
Chronic Disease and Disadvantage: The New Politics of HIV Infection,
The politics of AIDS to 1989,
Perceiving HIV infection as a problem of the disadvantaged,
Policies for HIV infection among the disadvantaged,
The future of policy for HIV and the disadvantaged,
References,
Health Care Policy Issues in the Drug Abuser Treatment Field,
Legalization of drugs of abuse,
Policy issues in the public sector,
Policy issues in the private sector,
Conclusions,
References,
Mental Health Policy for the 1990s: Tinkering in the Interstices,
Introduction,
Identifying the chronic and disabled mentally ill,
The tragic incompleteness of "deinstitutionalization" policy,
A failure of empathy,
Clinical opportunities and political possibilities,
Conclusion,
References,
The Medically Uninsured: Problems, Policies, and Politics,
Who are the uninsured?,
What can be done?,
Is change imminent?,
Conclusions,
References,
The Deconstructed Center: Of Policy Plagues on Political Houses,
Epilogue: Tales of Trouble,
References,
Index,
Contributors,

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