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| Foreword | ||
| Introduction | ||
| Acknowledgments | ||
| Pt. I | Health Policy | 1 |
| Ch. 1 | Health Politics and Political Action | 3 |
| What It Is and How It Works | 4 | |
| Primer on Policy: The Legislative Process at the Federal Level | 15 | |
| Making the Political Process Work | 18 | |
| Myths as Barriers to Health Care Reform in the United States | 29 | |
| Why Congress Did Not Enact Health Care Reform | 36 | |
| Pt. II | Health Status and Access to Care | 41 |
| Ch. 2 | Health Status of the Population and Vulnerable Groups | 45 |
| Is U.S. Health Really the Best in the World? | 46 | |
| The Case for More Active Policy Attention to Health Promotion | 51 | |
| Women s Health Issues Across the Life Span | 59 | |
| Racial/Ethnic Discrimination and Health: Findings From Community Studies | 67 | |
| Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care | 71 | |
| Incorporating Socioeconomic Factors into U.S. Health Policy: Addressing the Barriers | 78 | |
| Ch. 3 | Access to Care | 83 |
| The Uninsured and Their Access to Health Care | 84 | |
| Millions of Mothers Lack Health Insurance Coverage in the United States | 88 | |
| Care Without Coverage: Too Little, Too Late | 94 | |
| Adequacy of Treatment for Serious Mental Illness in the United States | 100 | |
| Full Parity: Steps Toward Treatment Equity for Mental and Addictive Disorders | 105 | |
| Ch. 4 | Aging and Long-Term Care | 113 |
| The 2030 Problem: Caring for Aging Baby Boomers | 114 | |
| The Political Economy of Community-Based Long-Term Care | 123 | |
| Improving Medicare to Respond to Chronic Disease Issues | 131 | |
| Providing Care at the End of Life: Do Medicare Rules Impede Good Care? | 138 | |
| Informalization of Long-Term Caregiving: A Gender Lens | 147 | |
| Pt. III | Health Care Delivery System Issues | 157 |
| Ch. 5 | Organizational Change | 161 |
| Exploding the Merger Myth in U.S. Health Care | 162 | |
| Hospital Staffing, Organization, and Quality of Care: Cross-National Findings | 168 | |
| Changes in Hospital Competitive Strategy: A New Medical Arms Race? | 174 | |
| The Public Health Infrastructure: Rebuild or Redesign? | 184 | |
| Primary Care: The Next Renaissance | 188 | |
| Ch. 6 | Labor Issues | 195 |
| Fighting Hand to Hand Over Physician Workforce Policy | 196 | |
| Nursing Shortage Redux: Turning the Corner on an Enduring Problem | 201 | |
| The Case for Diversity in the Health Care Workforce | 209 | |
| Who Cares for Older Adults? Workforce Implications of an Aging Society | 216 | |
| Ch. 7 | Quality of Care | 223 |
| Nurse Staffing and Quality of Care in Hospitals in the United States | 224 | |
| Nursing Facility Staffing Policy: A Case for Political Change | 227 | |
| Health Plan Quality Data: The Importance of Public Reporting | 233 | |
| Does Publicizing Hospital Performance Stimulate Quality Improvement Efforts? | 236 | |
| Pt. IV | The Economics of Health Care | 243 |
| Ch. 8 | Financing Health Care | 249 |
| Health Spending Projections for 2001-2011: The Latest Outlook | 250 | |
| Economic Analysis in Health Care | 260 | |
| It's the Prices, Stupid: Why the United States Is So Different from Other Countries | 271 | |
| Effects of Cost Sharing on Care Seeking and Health Status: Results from the Medical Outcomes Study | 277 | |
| Ch. 9 | Public Financing | 281 |
| Medicaid: Lessons from a Decade | 282 | |
| Medicaid for Children: Federal Mandates, Welfare Reform, and Policy Backsliding | 287 | |
| Medicare at a Glance | 293 | |
| Comparing Medicare and Private Insurers: Growth Rates in Spending over Three Decades | 298 | |
| Affordable Prescriptions for the Elderly | 305 | |
| Women's Realities and Retirement Consequences | 308 | |
| Women's Stake in the Social Security Debate | 313 | |
| Ch. 10 | Private Insurance and Managed Care | 317 |
| Job-Based Health Insurance in 2001: Inflation hits Double Digits, Managed Care Retreats | 318 | |
| HMO Plan Performance Update: An Analysis of the Literature, 1997-2001 | 324 | |
| Does Investor Ownership of Nursing Homes Compromise the Quality of Care? | 332 | |
| Taking Care of Business: HMOs That Spend More on Administration Deliver Lower-Quality Care | 336 | |
| Pt. V | Reforming the U.S. Health Care System | 339 |
| Ch. 11 | International Health Systems | 343 |
| Health Care Reform: Lessons from Canada | 344 | |
| Universal Health Care: Lessons from the British Experience | 350 | |
| Insights from Health Care in Germany | 354 | |
| Comparing Health Systems in Four Countries: Lessons for the United States | 359 | |
| Comparison of Health Care System Views and Experiences in Five Nations, 2001 | 366 | |
| Health and Equity in the World in the Era of "Globalization" | 372 | |
| Ch. 12 | Health Reform for the Future | 381 |
| Policy Without Politics: The Limits of Social Engineering | 382 | |
| Paying for National Health Insurance - And Not Getting It | 388 | |
| The Movement for Universal Health Insurance: Finding Common Ground | 393 | |
| A Fresh Approach to Health Care in the United States: Improved and Expanded Medicare for All | 399 | |
| Labor Rekindles Reform | 401 | |
| National Health Insurance or Incremental Reform: Aim High, or at Our Feet? | 405 | |
| Conclusions | 409 | |
| Glossary | 411 | |
| ndex | 417 |
Overview