In this absorbing story of how child abuse grew from a small, private-sector charity concern into a multimillion-dollar social welfare issue, Barbara Nelson provides important new perspectives on the process of public agenda setting. Using extensive personal interviews and detailed archival research, she reconstructs an invaluable history of child abuse policy in America. She shows how the mass media presented child abuse to the public, how government agencies acted and interacted, and how state and national legislatures were spurred to strong action on this issue. Nelson examines prevailing theories about agenda setting and introduces a new conceptual framework for understanding how a social issue becomes part of the public agenda. This issue of child abuse, she argues, clearly reveals the scope and limitations of social change initiated through interest-group politics. Unfortunately, the process that transforms an issue into a popular cause, Nelson concludes, brings about programs that ultimately address only the symptoms and not the roots of such social problems.

Addressing volatile social issues such as gender, pornography, race, welfare, immigration, and schooling, Alan Wolfe examines the ills of American society in the 1990s. He shows that it is possible to be critical and fair at the same time, and concludes that social criticism does not lie within the boundaries of either left-wing or right-wing ideas, but rather is connected to a broad understanding of liberalism. This immensely readable book illustrates the power of social criticism to enlarge discussion of issues at the heart of democracy today.

"In applying a realist approach to controversies over immigration, pornography, race relations, and the apparent communications gap between the genders, Wolfe seeks to demonstrate the advantages of combining the insights of criticism and the tools of social science."—Library Journal

"A plea for a return to liberal thinking, an insistence on the value of 'social criticism beyond politics.' "—Washington Post Book World

"[Wolfe] surveys contemporary public discourse on racial and sexual relations, welfare policy, immigration, pornography, education and cultural politics . . . he manages to bring some fresh thinking to most of these stale debates."—T. J. Jackson Lears, New York Times Book Review

At a time when Medicare stands at the forefront of national politics, Medicare: Intentions, Effects, and Politics moves past the political rhetoric of the moment to provide a groundwork for informed debate. This special issue of the Journal of Health Politics, Policy, and Law offers a historically-based exploration and understanding of Medicare as well as needed perspectives for intelligent reform.
A complete understanding of the particular and peculiar structure of Medicare can be gained only by considering the ideas, politics, and institutions of the 1960s that shaped it. With this historical perspective, the articles in this collection can move beyond partisan arguments and politically motivated reform proposals. Instead, they outline educated guidelines for improving Medicare and debunk commonly held but false assumptions about the program. In "How Not to Think about Medicare" the field’s most noted scholar, Theodore Marmor, exposes four such misconceptions, including the program’s seeming inability to control costs and ward off what some call a fiscal tsunami—the aging of the baby boomers. Other contributions address frequently overlooked functions of Medicare. While the program is known for its universal health coverage for the elderly and the disabled, for instance, Medicare also serves a crucial role in overseeing hospital performance and furthering health education. This special issue concludes with a discussion of Marmor’s recently revised classic book, The Politics of Medicare, by five leading specialists who interpret the present Medicare program in light of its original construct and current political influences.

Contributors. Michael Gusmano, Jacob Hacker, Nancy M. Kane, Stephen A. Magnus, Theodore Marmor, Jonathan Oberlander, Eric M. Patashnik, Mark A. Peterson, Mark J. Schlesinger, Carolyn Tuohy, Bruce Vladeck, Julian Zelizer