A SCHOLARLY BOOK REPOSITORY11 start with H start with H
In this concise, straightforward analysis, Jost challenges the historical and theoretical assumptions on which the consumer-driven health care movement is based and reexamines the empirical evidence that it claims as support. He traces the histories of both private health insurance in the United States and the CDHC movement. The idea animating the drive for consumer-driven health care is that the fundamental problem with the American health care system is what economists call “moral hazard,” the risk that consumers overuse services for which they do not bear the cost. Jost reveals moral hazard as an inadequate explanation of the complex problems plaguing the American health care system, and he points to troubling legal and ethical issues raised by CDHC. He describes how other countries have achieved universal access to high-quality health care at lower cost, without relying extensively on cost sharing, and he concludes with a proposal for how the United States might do the same, incorporating aspects of CDHC while recognizing its limitations.
Recent data show wide disparity between Japan and the United States in the effectiveness of their health care systems. Japan spends close to the lowest percentage of its gross domestic product on health care among OECD countries, the United States spends the highest, yet life expectancies in Japan are among the world’s longest. Clearly, a great deal can be learned from a comprehensive comparative analysis of health care issues in these two countries.
In Health Care Issues in the United States and Japan, contributors explore the structural characteristics of the health care systems in both nations, the economic incentives underlying the systems, and how they operate in practice. Japan’s system, they show, is characterized by generous insurance schemes, a lack of gatekeepers, and fee-for-service mechanisms. The United States’ structure, on the other hand, is distinguished by for-profit hospitals, privatized health insurance, and managed care. But despite its relative success, an aging population and a general shift from infectious diseases to more chronic maladies are forcing the Japanese to consider a model more closely resembling that of the United States.
In an age when rising health care costs and aging populations are motivating reforms throughout the world, this timely study will prove invaluable.
If we can decode the human genome and fashion working machines out of atoms, why can't we navigate the quagmire that is our health care system? In this important new book, Julius Richmond and Rashi Fein recount the fraught history of health care in America since the 1960s. After the advent of Medicare and Medicaid and with the progressive goal to make advances in medical care available to all, medical costs began their upward spiral. Cost control measures failed and led to the HMO revolution, turning patients into consumers and doctors into providers. The swelling ranks of Americans without any insurance at all dragged the United States to the bottom of the list of industrialized nations.
Over the last century medical education was also profoundly transformed into today's powerful triumvirate of academic medical centers, schools of medicine and public health, and research programs, all of which have shaped medical practice and medical care. The authors show how the promises of medical advances have not been matched either by financing or by delivery of care.
As a new crisis looms, and the existing patchwork of insurance is poised to unravel, American leaders must again take up the question of health care. This book brings the voice of reason and the promise of compromise to that debate.
Janzen explores the manner in which power and information, including science, are legitimized in the preservation and improvement of health. Institutional validity and knowledge empower citizens and health practitioners to gain the upper hand over the region's principal diseases, including malaria, tuberculosis, typhoid, and HIV/AIDS.
The female inmate population in the United States has exploded in the past two decades, increasing nearly six-fold. The U.S. correctional system, however, has not expanded its health care to provide for this growing population of women. This comprehensive reader addresses the physical and mental needs of women inmates and suggests that they cannot be properly treated unless their lifestyles before, during, and after incarceration are considered.
This book abounds with statistics that outline the unique needs of the female inmate population. For instance, a significant proportion of female inmates suffer physical and sexual violence before serving time. Incarcerated teenagers are more likely than others from their age group to have engaged in behaviors that increased their risk for contracting sexually transmitted diseases like HIV. Because African American women are more likely than their counterparts to encounter prison time, their needs warrant specific attention.
Bringing together twenty original essays, this volume will be invaluable for lobbyists and policy makers as well as for graduate students and faculty in the fields of criminal justice and public health.
Christie Kiefer vividly brings home the meaning of poverty in peoples’ lives as he examines both their access to—and their lack of—health care.
Aimed at both students and professionals in the field, this book argues that individuals serving the poor have the means and obligation to address the root causes of ill health of the poor, not just the symptoms. These causes, Kiefer argues, are overwhelmingly social and political. In a ringing indictment of the factors that perpetuate poverty, he declares that the work of healing at its best must include advocacy.
Health Work with the Poor offers to both health workers and activists a wealth of practical information. Kiefer’s trenchant analysis of the factors that help cause and perpetuate poverty offers students the needed intellectual framework not only to accomplish short-term change but also to strive toward long-term social advocacy. Each chapter ends with a set of discussion questions—a real boon for instructors. Appendices on Internet resources for the study of poverty and on a proposed program detailing how to teach health workers in a way that promotes social awareness make this book a valuable resource for courses on poverty and health. It will also be an indispensable manual for all those who work with the poor.
With original contributions from leading social science health policy analysts, this volume addresses the full context of health system change. Believing that the analysis of health care change is too important to be left to economists alone, Mark A. Peterson has collected a mulitdisciplinary group of experts who revisit the contentious debate over the market approaches to health care and consider the disparate effects of these approaches on cost, quality, and coverage of both managed care and Medicaid and Medicare. While market enthusiasts applaud the enhanced efficiency, reduced excess capacity, and abatement of the decades-long health care cost explosion, a backlash has emerged among many providers and the public against the perceived excesses of the market: diminished access to care, commercialization of the physician-patient relationship, and exacerbated inequality. Contributors assess these varied responses while examining the impact that market-based applications are likely to have for future health policy making, the significance of the U.S. experience for policy makers abroad, and the lessons that these changes might provide for thinking sensibly about the future of our health care system.
This volume will be useful for public policy analysts, economists, social scientists, health care providers and administrators, and others interested in the future—and in understanding the past—of American health care.
Contributors. Gary S. Belkin, Lawrence D. Brown, Robert G. Evans, Martin Gaynor, Paul B. Ginsburg, Marsha Gold, Theodore R. Marmor, Cathie Jo Martin, Jonathan B. Oberlander, Mark V. Pauly, Mark A. Peterson, Thomas Rice, Deborah A. Stone, William B. Vogt, Kenneth E. Thorpe
Public silence in policymaking can be deafening. When advocates for a disadvantaged group decline to speak up, not only are their concerns not recorded or acted upon, but also the collective strength of the unspoken argument is lessened—a situation that undermines the workings of deliberative democracy by reflecting only the concerns of more powerful interests.
But why do so many advocates remain silent on key issues they care about and how does that silence contribute to narrowly defined policies? What can individuals and organizations do to amplify their privately expressed concerns for policy change?
In Healthy Voices, Unhealthy Silence, Colleen M. Grogan and Michael K. Gusmano address these questions through the lens of state-level health care advocacy for the poor. They examine how representatives for the poor participate in an advisory board process by tying together existing studies; extensive interviews with key players; and an in-depth, first-hand look at the Connecticut Medicaid advisory board's deliberations during the managed care debate. Drawing on the concepts of deliberative democracy, agenda setting, and nonprofit advocacy, Grogan and Gusmano reveal the reasons behind advocates' often unexpected silence on major issues, assess how capable nonprofits are at affecting policy debates, and provide prescriptive advice for creating a participatory process that adequately addresses the health care concerns of the poor and dispossessed.
Though exploring specifically state-level health care advocacy for the poor, the lessons Grogan and Gusmano offer here are transferable across issue areas and levels of government. Public policy scholars, advocacy organizations, government workers, and students of government administration will be well-served by this significant study.
After one traumatic year, she came home, a Vietnam veteran. Coming home was nearly as devastating as the time she spent in Asia. Nothing was the same -- including Lynda herself. Viewed by many as a murderer instead of a healer, she felt isolated and angry. The anger turned to depression; like many other Vietnam veterans she suffered from delayed stress syndrome. Working in hospitals brought back chilling scenes of hopelessly wounded soldiers. A marriage ended in divorce. The war that was fought physically halfway around the world had become a personal, internal battle.
Home before Morning is the story of a woman whose courage, stamina, and personal history make this a compelling autobiography. It is also the saga of others who went to war to aid the wounded and came back wounded -- physically and emotionally -- themselves. And, it is the true story of one person's triumphs: her understanding of, and coming to terms with, her destiny.
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