Introduction to U. S. Health Policy: The Organization, Financing, and Delivery of Health Care in America / Edition 3

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Overview

Health care reform has dominated public discourse over the past several years, and the recent passage of the Affordable Care Act, rather than quell the rhetoric, has sparked even more debate. Donald A. Barr reviews the current structure of the American health care system, describing the historical and political contexts in which it developed and the core policy issues that continue to confront us today.

This comprehensive analysis introduces the various organizations and institutions that make the U.S. health care system work—or fail to work, as the case may be. A principal message of the book is the seeming paradox of the quality of health care in this country—on the one hand it is the best medical care system in the world, on the other it is one of the worst among developed countries because of how it is organized.

Barr introduces readers to broad cultural issues surrounding health care policy, such as access, affordability, and quality. He discusses specific elements of U.S. health care, including insurance, especially Medicare and Medicaid, the shift to for-profit managed care, the pharmaceutical industry, issues of long-term care, the plight of the uninsured, medical errors, and nursing shortages. The latest edition of this widely adopted text updates the description and discussion of key sectors of America’s health care system in light of the Affordable Care Act.

Johns Hopkins University Press

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Editorial Reviews

Future Survey

Excellent starting point for exploring the complexities of U.S. healthcare.

JAMA

This book stands out for its emphasis on the historical roots of modern health care institutions... Barr's new book has much to recommend it.

Philosophy

A lucid and informative overview of the U.S. health system and the dilemmas policy makers currently face... Even those knowledgeable about the U.S. health care system are likely to find much to stimulate their thinking.

Choice

An excellent analysis and comprehensive study of the US health-care system.

Journal of Health Care for the Poor and Underserved

Barr's book is intended to inform the reader of the complex history of health care in the United States.

— Katarzyna Kowalska

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Product Details

  • ISBN-13: 9781421402185
  • Publisher: Johns Hopkins University Press
  • Publication date: 10/31/2011
  • Edition description: third edition
  • Edition number: 3
  • Pages: 376
  • Sales rank: 252,446
  • Product dimensions: 6.90 (w) x 9.90 (h) x 1.10 (d)

Meet the Author

Donald A. Barr, M.D., Ph.D., is an associate professor at Stanford University in the Department of Pediatrics. He is the author of Questioning the Premedical Paradigm: Enhancing Diversity in the Medical Profession a Century after the Flexner Report and Health Disparities in the United States: Social Class, Race, Ethnicity, and Health, both also published by Johns Hopkins.

Johns Hopkins University Press

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Table of Contents


Preface     vii
Health, Health Care, and the Market Economy     1
Health Care as a Reflection of Underlying Cultural Values and Institutions     20
The Health Professions and the Organization of Health Care     52
Health Insurance, HMOs, and the Managed Care Revolution     79
Medicare     113
Medicaid and the State Children's Health Insurance Program     144
The Increasing Role of For-Profit Health Care     166
Pharmaceutical Policy and the Rising Cost of Prescription Drugs     186
Long-Term Care     210
The Uninsured     224
Factors Other Than Health Insurance that Impede Access to Health Care     239
Key Policy Issues for Deciding the Direction of Health Care Reform     258
Where Do We Go from Here? Options for Health Care Reform     273
On-line Data Sources     287
References     291
Index     301
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