Unequal Treatment

Unequal Treatment

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2009-02-06

Total Pages: 781

ISBN-13: 030908265X

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Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.


Healthcare Politics and Policy in America: 2014

Healthcare Politics and Policy in America: 2014

Author: Kant Patel

Publisher: Routledge

Published: 2014-12-18

Total Pages: 615

ISBN-13: 1317468821

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This book provides a comprehensive examination of the ways that health policy has been shaped by the political, socioeconomic, and ideological environment of the United States. The roles played by public and private, institutional and individual actors in designing the healthcare system are identified at all levels. The book addresses the key problems of healthcare cost, access, and quality through analyses of Medicare, Medicaid, the Veterans Health Administration, and other programs, and the ethical and cost implications of advances in healthcare technology. This fully updated fourth edition gives expanded attention to the fiscal and financial impact of high healthcare costs and the struggle for healthcare reform, culminating in the passage of the Affordable Care Act, with preliminary discussion of implementation issues associated with the Affordable Care Act as well as attempts to defund and repeal it. Each chapter concludes with discussion questions and a comprehensive reference list. Helpful appendices provide a guide to websites and a chronology. PowerPoint slides and other instructional materials are available to instructors who adopt the book.


Health Care Politics and Policy in America

Health Care Politics and Policy in America

Author: Kant Patel

Publisher: M.E. Sharpe

Published: 1999

Total Pages: 484

ISBN-13: 9780765603906

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Fully updated in this new edition, Health Care Politics and Policy in America combines a historical overview of U.S. health policy and programs with analysis of current trends and reform efforts. The book -- shows how health policy fits into the larger social, economic, political, and ideological environment of the United States; -- identifies the roles played by both public and private, institutional and individual actors in shaping the health care system at all levels; -- considers the trade-offs inherent in various policy choices and their impacts on different social groups; -- takes account of the dynamic impact of technological change on health care capacities, costs, and ethics. This edition includes expanded discussion of equity issues and whether there is a "right" to health care, and a new chapter on the issue of medical liability. The concluding chapter brings the story of health care policy up to the end of the millennium, with particular attention to the managed care revolution and reaction to it. The book equips readers with the basic tools for drawing more informed judgments in the ongoing debate about health care policy in the United States.


Medicaid Politics and Policy

Medicaid Politics and Policy

Author: David G. Smith

Publisher: Routledge

Published: 2017-09-08

Total Pages: 472

ISBN-13: 1351295780

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The story of Medicaid comes alive for readers in this strong narrative, including detailed accounts of important policy changes and extensive use of interviews. A central theme of the book is that Medicaid is a "weak entitlement," one less established or effectively defended than Medicare or Social Security, but more secure than welfare or food stamps. In their analysis, the authors argue that the future of Medicaid is sound. It has the flexibility to be adapted by states as well as to allow for policy innovation. At the same time, the program lacks an effective mechanism for overall reform. They note Medicaid has become a source of perennial political controversy as it has grown to become the largest health insurance system in the country. The book's dual emphasis on politics and policy is important in making the arcane Medicaid program accessible to readersand in distinguishing policy grounded in analysis from partisan ideology. This second edition features a new preface, three new chapters accounting for the changes to the Affordable Care Act, and an updated glossary.


Healthcare Politics and Policy in America

Healthcare Politics and Policy in America

Author: Kant Patel

Publisher: M.E. Sharpe

Published: 2014-04-25

Total Pages: 459

ISBN-13: 076564441X

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Fully updated, this new edition provides a comprehensive examination of the ways that health policy has been shaped by the political, socioeconomic, and ideological environment of the United States. The roles played by public and private, institutional and individual actors in designing the healthcare system are identified at all levels.


For-Profit Enterprise in Health Care

For-Profit Enterprise in Health Care

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1986-01-01

Total Pages: 580

ISBN-13: 0309036437

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"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.


A Practical Guide for Policy Analysis

A Practical Guide for Policy Analysis

Author: Eugene Bardach

Publisher: CQ Press

Published: 2015-08-19

Total Pages: 203

ISBN-13: 1483359476

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In the Fifth Edition of A Practical Guide for Policy Analysis: The Eightfold Path to More Effective Problem Solving, Eugene Bardach and new co-author Eric Patashnik draw on more than 40 years of experience teaching students to be effective, accurate, and persuasive policy analysts. This bestselling handbook presents dozens of concrete tips, interesting case studies, and step-by-step strategies that are easily applicable for the budding analyst as well as the seasoned professional. In this new edition, Bardach and Patashnik update many examples to reflect the shifting landscape of policy issues. A new section with advice on how to undertake policy design in addition to making policy choices makes the book even more engaging. Readers will also appreciate a sample document of real world policy analysis, suggestions for developing creative, "out-of-the-box" solutions, and tips for working with clients.


Moral Hazard in Health Insurance

Moral Hazard in Health Insurance

Author: Amy Finkelstein

Publisher: Columbia University Press

Published: 2014-12-02

Total Pages: 161

ISBN-13: 0231538685

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Addressing the challenge of covering heath care expenses—while minimizing economic risks. Moral hazard—the tendency to change behavior when the cost of that behavior will be borne by others—is a particularly tricky question when considering health care. Kenneth J. Arrow’s seminal 1963 paper on this topic (included in this volume) was one of the first to explore the implication of moral hazard for health care, and Amy Finkelstein—recognized as one of the world’s foremost experts on the topic—here examines this issue in the context of contemporary American health care policy. Drawing on research from both the original RAND Health Insurance Experiment and her own research, including a 2008 Health Insurance Experiment in Oregon, Finkelstein presents compelling evidence that health insurance does indeed affect medical spending and encourages policy solutions that acknowledge and account for this. The volume also features commentaries and insights from other renowned economists, including an introduction by Joseph P. Newhouse that provides context for the discussion, a commentary from Jonathan Gruber that considers provider-side moral hazard, and reflections from Joseph E. Stiglitz and Kenneth J. Arrow. “Reads like a fireside chat among a group of distinguished, articulate health economists.” —Choice


On Borrowed Time

On Borrowed Time

Author:

Publisher: Transaction Publishers

Published:

Total Pages: 446

ISBN-13: 1412829992

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Entitlements represent one of the largest and fastest-growing portions of the federal budget. They are regarded as sacrosanct by lawmakers, yet many people see them as one of the greatest threats to the American Dream. This volume argues that by sacrificing the future in order to pay ever-larger federal benefits through programs such as Social Security, Medicare, and federal pensions, entitlement spending has become a crushing burden to American workers. Peterson and Howe destroy myths surrounding entitlement spending. They show that the bulk of it does not go to the poor. The majority of the elderly are not needy and dependent. Entitlement programs, not defense spending, consume the largest share of the federal budget. In short, we cannot balance the budget without reducing entitlement spending. In a country that demands critical investments--improving public education, alleviating poverty, increasing professional opportunity--growth in entitlement spending is unaffordable. On Borrowed Time is an important and timely book that will be mandatory reading for policymakers, politicians, economists, and a general public concerned with its financial future. "This book should be read by everyone who wants to understand how government spending can be controlled."--Martin Feldstein, George F. Baker Professor of Economics, Harvard University "A powerful analyses and policy prescriptions which will challenge every thoughtful person coping with the dilemma of providing humane, but cost effective, entitlements."--Michael J. Boskin, Professor of Economics, Stanford University Peter G. Peterson is chairman and co-founder of The Blackstone Group. He is chairman of the Federal Reserve Bank of New York, chairman of the Council on Foreign Relations, founding chairman of the Institute for International Economics (Washington, D.C.), founding president of The Concord Coalition, and co-chair of The Conference Board Commission on Public Trust and Private Enterprises. Neil Howe is a partner and co-founder of LifeCourse Associates, a Virginia-based consulting firm and senior associate at the Center for Strategic and International Studies. A historian, economist, author, and speaker, he is the co-author (with William Strauss) of several books, including Generations, The Fourth Turning, and Millennials Rising.