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According to the Census Bureau, in 2003 more than 43 million Americans lacked health insurance. Being uninsured is associated with a range of adverse health, social, and economic consequences for individuals and their families, for the health care systems in their communities, and for the nation as a whole. This report is the sixth and final report in a series by the Committee on the Consequences of Uninsurance, intended to synthesize what is known about these consequences and communicate the extent and urgency of the issue to the public. Insuring America's Health recommends principles related to universality, continuity of coverage, affordability to individuals and society, and quality of care to guide health insurance reform. These principles are based on the evidence reviewed in the committee's previous five reports and on new analyses of past and present federal, state, and local efforts to reduce uninsurance. The report also demonstrates how those principles can be used to assess policy options. The committee does not recommend a specific coverage strategy. Rather, it shows how various approaches could extend coverage and achieve certain of the committee's principles.
This is a lucid, readable discussion of ethical questions in health care as they arise on the business or organizational level: an effort to spell out an ethical perspective for healthcare organizations. It will be of use to students in health services management programs, health care professionals, healthcare administrators, and members of healthcare ethics committees. Hall begins with the ethical analysis of decision-making in the management of healthcare organizations and then addresses some of the questions of organizational ethics through an analysis of corporate social responsibility in for-profit and not-for-profit organizations and of the problem of uncompensated care. Later chapters take up patient development, community relations, diversity, employee relations, governmental relations, regulatory compliance and medical records. The author's analysis focuses on healthcare institutions as business organizations with many of the problems faced by corporate management in other fields but with the difference that health care holds a special place among human needs and has traditionally been viewed from an altruistic perspective. He gives special attention to the new standards on organizational ethics promulgated by the Joint Commission on Accreditation of Healthcare Organizations and includes many case studies not only to illustrate the main points but also to direct the reader's attention to peripheral aspects that can complicate theses issues.
With the right information, we can develop public policies that work better. All too often, public policy textbooks offer a basic grounding in the policy process without the benefit of integrating the use of policy analysis. Michael E. Kraft and Scott R. Furlong take a different tack. Public Policy: Politics, Analysis, and Alternatives, Seventh Edition helps students understand how and why policy analysis is used to assess policy alternatives. The text encourages them to not only question the assumptions of policy analyst, but also recognize how these strategies are used in the support of political arguments. The authors introduce and fully integrate an evaluative approach to policy to encourage critical and creative thinking on issues ranging from health care to climate change. From a concise review of institutions, policy actors, and major theoretical models to a discussion of the nature of policy analysis and its practice, Kraft and Furlong show students how to employ evaluative criteria in six substantive policy areas. Students come away with the analytic tools they need to understand that the motivations of policy actors—both within and outside of government—influence a complex yet comprehensible policy agenda.
With the right information, we can develop public policies that work better. Public Policy: Politics, Analysis, and Alternatives, Eighth Edition helps students understand how and why policy analysis is used to assess policy alternatives. The text encourages them to not only question the assumptions of policy analysts, but also recognize how various strategies are used in support of political arguments.
"This very important work calls for research and policy-making that is proactive, multi-level, multi-method, and interdisciplinary--not disease-driven. It synthesizes perspectives on wellness that have the potential to produce a paradigm shift in research and policy planning, implementation, and evaluation." — Lené Levy-Storms, University of California, Los Angeles, Department of Medicine/Geriatrics "[This book] helps broaden the field of inquiry and legitimates the social and political perspectives in health care research and planning." —Ellen R. Shaffer, University of California, San Francisco, Program in Medical Ethics
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
This book provides a significant contribution to the discussions about the future of the system.The evidence-driven content draws from the deep expertise and experience of a wide spectrum of contributors, who represent virtually all relevant areas of the health system.
A 1998 AJN Book of the Year! Over 100 experts examine policy and politics in nursing within the workplace, government, professional organizations, and the community. Scholarly discussions, combined with personal narratives and case histories, bring an array of topics to life from the legislative and regulatory processes to the organization of health care in the United States. This resource helps readers develop valuable skills such as political and policy analysis, conflict management, lobbying, the use of media, and working with communities for change.
With budgets squeezed at every level of government, cost-benefit analysis (CBA) holds outstanding potential for assessing the efficiency of many programs. In this first book to address the application of CBA to social policy, experts examine ten of the most important policy domains: early childhood development, elementary and secondary schools, health care for the disadvantaged, mental illness, substance abuse and addiction, juvenile crime, prisoner reentry programs, housing assistance, work-incentive programs for the unemployed and employers, and welfare-to-work interventions. Each contributor discusses the applicability of CBA to actual programs, describing both proven and promising examples. The editors provide an introduction to cost-benefit analysis, assess the programs described, and propose a research agenda for promoting its more widespread application in social policy. Investing in the Disadvantaged considers how to face America’s most urgent social needs with shrinking resources, showing how CBA can be used to inform policy choices that produce social value.