Understanding The Healthcare Reform

Understanding The Healthcare Reform

by Theodore R. Marmor
     
 

ISBN-10: 0300058799

ISBN-13: 9780300058796

Pub. Date: 09/28/1994

Publisher: Yale University Press

The reform of American medical care is the most important topic on the nation's domestic agenda and the centerpiece of the Clinton administration's plans for social policy and long-term economic development. This book, written by a preeminent analyst of medical politics and policy who is a frequent adviser to Congress, helps to clarify the current debate over the…  See more details below

Overview

The reform of American medical care is the most important topic on the nation's domestic agenda and the centerpiece of the Clinton administration's plans for social policy and long-term economic development. This book, written by a preeminent analyst of medical politics and policy who is a frequent adviser to Congress, helps to clarify the current debate over the President's bill and the proposed alternatives to it. It is essential reading for 1994.

Theodore Marmor, whose work has appeared in scholarly journals and books, as well as in the nation's major newspapers and magazines, here presents some of his most recent writings that illuminate the historical, political, and economic considerations lying behind various proposals now under debate. Marmor explains what we can and cannot expect from reform of American medicine, and he addresses the many conflicting claims about the remedies for America's problems with medical costs, quality, access, and organizations. He discusses, for example:

-the misplaced faith that cutting waste will greatly ease our financial troubles and markedly improve our health;

-the exaggerated arguments for "managed competition";

-the myths that either non-profit or for-profit institutions are the key to reform;

-the misleading and fearful debate over rationing;

-the lessons to be learned from Canada's and Japan's experiments with universal health insurance;

-the controversial place of Medicare in the current reform struggle;

-barriers facing implementation of any of the major health care proposals;

-and the possibility of fusing different approaches to achieve reform.

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Product Details

ISBN-13:
9780300058796
Publisher:
Yale University Press
Publication date:
09/28/1994
Series:
Yale Fastback Series
Edition description:
New Edition
Pages:
302
Product dimensions:
6.00(w) x 9.00(h) x 0.68(d)

Table of Contents

Preface
Ch. 1American Health Care Reform: Separating Sense from Nonsense1
Pt. IMedical Care Politics: Constraints on Reform19
Ch. 2How We Got to Where We Are: American Health Care Politics, 1970 to 199021
Ch. 3Medical Care Crises and the Welfare State31
Ch. 4Nonprofit Organizations and Health Care48
Ch. 5Cutting Waste by Making Rules: Promises, Pitfalls, and Realistic Prospects86
Ch. 6Rationing: Painful Prescription, Inadequate Diagnosis107
Pt. IIThe Debate Over Universal Health Insurance121
Ch. 7American Medical Care Reform: Are We Doomed to Fail?123
Ch. 8Reflections on the Argument for Competition in Medical Care139
Ch. 9The Case for Straightforward Reform146
Ch. 10The Missing Alternative: How Washington Elites Pushed Single-Payer Reform Plans off the Agenda159
Ch. 11Hype and Hyperbole in Health Reform170
Pt. IIIComparative Perspectives177
Ch. 12Patterns of Fact and Fiction in Use of the Canadian Experience179
Ch. 13Japan - A Sobering Lesson195
Pt. IVPolicy Choices: Dilemmas and Decisions203
Ch. 14Coalition or Collision? Medicare and Health Reform205
Ch. 15Implementation: Making Reform Work215
Notes225
Glossary255
Index271

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