Guide to U.S. Health and Health Care Policy provides the analytical connections showing students how issues and actions are translated into public policies and institutions for resolving or managing healthcare issues and crises, such as the recent attempt to reform the national healthcare system. The Guide highlights the decision-making cycle that requires the cooperation of government, business, and an informed citizenry in order to achieve a comprehensive approach to advancing the nation's healthcare policies. Through 30 topical, operational, and relational essays, the book addresses the development of the U.S. healthcare system and policies, the federal agencies and public and private organizations that frame and administer those policies, and the challenges of balancing the nation's healthcare needs with the rising costs of medical research, cost-effective treatment, and adequate health insurance.
Key Features: 30 topical essays investigate the fundamental political, social, economic, and procedural initiatives that drive health and health care policy decisions affecting Americans at the local, regional, and national levels.; Essential themes traced throughout the chapters include providing access to healthcare, national and international intervention, nutrition and health, human and financial resource allocation, freedom of religion versus public policy, discrimination and healthcare policy, universal healthcare coverage, private healthcare versus publicly funded healthcare, and the immediate and long-term costs associated with disease prevention, treatment, and health maintenance.; A Glossary of Key Healthcare Policy Terms and Events, a Selected Master Bibliography, and a thorough Index are included.
This must-have reference for political science and public policy students who seek to understand the issues affecting health care policy in the U.S. is suitable for academic, public, high school, government, and professional libraries.
Chapter 10: Federalism: Cooperation and Conflict Between State and Federal Health Care Responsibilities (1960s–Present)
Federalism and health policy in the United States are inextricably linked. Until fairly recently, states and localities provided most of the funding supporting health care for the poor and then, as now, directly provided public health services such as immunizations and provision of clean water. However, in 1965, the country enacted Medicare and Medicaid, providing a new federal role for health care coverage for the elderly and the poor. Since that time, federal and state spending in health has increased significantly and even in tough economic times continues to grow, at times squeezing out other state responsibilities like education. ...