Politics, Health, and Health Care: Selected Essays

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Two towering figures in the field of health care policy analysis, Theodore R. Marmor and Rudolf Klein, reflect on a lifetime of thought in this wide-ranging collection of essays published in the wake of President Obama’s health care reform. Presented as a kind of dialogue between the two, the book offers their recent writings on the future of Medicare; universal health insurance; conflicts of interest among physicians, regulators, and patients; and many other topics.

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Product Details

  • ISBN-13: 9780300110876
  • Publisher: Yale University Press
  • Publication date: 7/24/2012
  • Pages: 592
  • Product dimensions: 6.40 (w) x 9.30 (h) x 1.60 (d)

Meet the Author

Theodore R. Marmor is professor emeritus of public policy, management, and political science at Yale University. Rudolf Klein is professor of social policy emeritus at the University of Bath.

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Table of Contents

Preface xi

Acknowledgments xiv

1 Politics and Policy Analysis: Fundamentals Rudolf Klein Theodore R. Marmor 1

2 What's Special About Health Care and Its Politics? Rudolf Klein Theodore R. Marmor 22

3 The High Politics of Systems Change Over Time 34

American Health Care Policy and Politics: The Promise and Perils of Reform Theodore R. Marmor 37

Medicare's Future: Fact, Fiction and Folly Theodore R. Marmor Gary J. McKissick 53

From Church to Garage Rudolf Klein 89

4 High Politics, Or Explanations of Great Conflicts in the World of Health Care 102

The Politics of the Big Bang Rudolf Klein 104

The Politics of Universal Health Insurance: Lessons for and from the 1990s Theodore R. Marmor Morris L. Barer 127

5 Ideas: Movements and Influence 152

Fads in Medical Care Policy and Politics: The Rhetoric and Reality of Managerialism Theodore R. Marmor 155

The Politics of Medical Inflation Theodore R. Marmor Donald A. Wittman Thomas C. Heagy 176

The Great Transformation Rudolf Klein 192

O'Goffe's Tale: Or What Can We Learn from the Success of the Capitalist Welfare States? Rudolf Klein 201

6 Values, Policies, and Programs 212

Values, Institutions and Health Policies: A Comparative Perspective Theodore R. Marmor Kieke G. H. Okma Stephen R. Latham 214

Values Talk in the (English) NHS Rudolf Klein 242

7 The State and the Medical Profession 252

Doctors, Politics and Pay Disputes: "Pressure Group Politics" Revisited Theodore R. Marmor David Thomas 255

Constitutional and Distributional Conflict in British Medical Politics: The Case of General Practice, 1911-1991 Patricia Day Rudolf Klein 274

8 No Analysis without Comparison 295

Comparative Perspectives and Policy Learning in the World of Health Care Theodore R. Marmor Richard Freeman Kieke G. H. Okma 297

Learning from Others: Shall the Last Be the First? Rudolf Klein 319

9 Resources and Rationing 329

Cutting Waste by Making Rules: Promises, Pitfalls, and Realistic Prospects Jan Blustein Theodore R. Marmor 332

The Politics of Health Care Rationing: Lessons from Oregon Jonathan Oberlander Lawrence Jacobs Theodore R. Marmor 359

Rationing Health Care: The Dilemma of Choice Rudolf Klein Patricia Day 380

Viagra: A Success Story for Rationing? A Possible Blueprint for Coverage of Other New, Much-Promoted Drugs Rudolf Klein Heidrun Sturm 387

10 Patients, Consumers, and Citizens 403

The Politics of Participation Rudolf Klein 406

Representing Consumer Interests: The Case of American Health Planning James A. Morone Theodore R. Marmor 421

11 The Politics of Panics 443

The Comparative Politics of Contaminated Blood: From Hesitancy to Scandal Theodore R. Marmor Patricia A. Dillon Stephen Scher 445

The Power of Professionalism: Policies for AIDS in Britain, Sweden, and the United States Daniel M. Fox Patricia Day Rudolf Klein 464

12 Politics of Health Crusades 481

Tobacco Control in Comparative Perspective: Eight Nations in Search of an Explanation Theodore R. Marmor Evan S. Lieberman 484

13 New Paradigms: Health Care to Population Health 504

A New Perspective on Health: Learning from Lalonde? Theodore R. Marmor Albert Weale 507

Acceptable Inequalities Rudolf Klein 521

Coda: Looking Back, Looking Forward 538

Credits 541

Index 545

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