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This study chronicles the entry of the controversial issue of combining work and family life into the European political agenda and shows how concrete policies on childcare and part-time work were debated between different member states and European institutions. Moreover, it argues that European debates on social care rights exemplify traces of an emerging European citizenship. European rights regarding time of care and care services unite the contradictory demands for social equality and a free market, offering citizens basic social equality, while simultaneously supplying the common market with a female labour force.
According to the Latina health paradox, Mexican immigrant women have less complicated pregnancies and more favorable birth outcomes than many other groups, in spite of socioeconomic disadvantage. Alyshia Gálvez provides an ethnographic examination of this paradox. What are the ways that Mexican immigrant women care for themselves during their pregnancies? How do they decide to leave behind some of the practices they bring with them on their pathways of migration in favor of biomedical approaches to pregnancy and childbirth? This book takes us from inside the halls of a busy metropolitan hospital’s public prenatal clinic to the Oaxaca and Puebla states in Mexico to look at the ways Mexican women manage their pregnancies. The mystery of the paradox lies perhaps not in the recipes Mexican-born women have for good perinatal health, but in the prenatal encounter in the United States. Patient Citizens, Immigrant Mothers is a migration story and a look at the ways that immigrants are received by our medical institutions and by our society
Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.
This book offers a first overarching look at the relationship between states and their citizens abroad, approached through the concept 'Duty of Care'. How can society best be protected, when increasing numbers of citizens are found outside the borders of the state? What are the limits to care – in theory as well as in practical policy? With over 1.2 billion tourists crossing borders every day and more than 230 million expatriates, questions over the sort of duty states have for citizens abroad are politically pressing. Contributors explore both theoretical topics and empirical case studies, examining issues such as as how to care for citizens who become embroiled in political or humanitarian crises while travelling, and exploring what rights and duties states should acknowledge toward nationals who have opted to take up arms for terrorist organizations. This work will be of great interest to scholars in a wide range of academic fields including international relations, international security, peacebuilding, ethics and migration.
There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.
A New York Times bestseller/Washington Post Notable Book of 2017/NPR Best Books of 2017/Wall Street Journal Best Books of 2017 "This book will serve as the definitive guide to the past and future of health care in America.”—Siddhartha Mukherjee, Pulitzer Prize-winning author of The Emperor of All Maladies and The Gene At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system - and offers practical solutions to its myriad problems. In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast? Breaking down this monolithic business into the individual industries—the hospitals, doctors, insurance companies, and drug manufacturers—that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn't just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.
Citizens and Health Care: Participation and Planning for Social Change considers the citizen participation in health care planning. This book is organized into three parts encompassing 18 chapters that specifically discuss the leading policy problems, planning issues, and prospects for change of public health care. The first part deals first with the analysis of the imbalanced political arenas in which planning and participation operate. This part then explains the role of consumer participation on health planning boards in effective participation. This part also describes alternative health movements that have arisen in response to perceived social shortcomings. These movements, including holistic health care, self-care, and prevention, tend to oppose the disease orientation of scientific medicine, emphasize continuous care, make use of nonphysician practitioners, and have a serious commitment to changing life-styles. The second part describes health planning agencies that have employed innovative methods of citizen participation and the case of a health planning agency that uses community organization to ensure participation and build constituencies to overcome resistance and implement plans. This part also examines political strategies for health planning agencies. The third part introduces the so-called "public health movement", which grows from recognition of the environmental, occupational, and social causes of illness. This part also looks into the expansion of vision of social change beyond existing health policy and planning, as well as the unrealistic expectations and irreconcilable alternatives between imperfections of the bureaucracy and imperfections of the marketplace. This book is of great value to health care workers and planners and the general public.
Developed in response to the question "I love ABCD (Asset Based Community Development); what do I do Monday Morning?"--and based on Mike Green & Henry Moore's highly regarded work as ABCD organizers, consultants and trainers--these materials support a practical approach to creating community collaborations that work. Enriching each other, the book and the DVD provide clear exposition of ABCD organizing principles and best practices, examples of ABCD organizing in action, learning exercises, worksheets, and reflections from experienced practitioners of ABCD organizing. Main topics include: ABCD Principles & Practice Discovering What People Care About Mobilizing A Community's Assets People & Programs: We Need Both Leading By Stepping Back: The Role Of Governments & Agencies Inclusion: There Is No One We Do Not Need John McKnight's Reflections On ABCD organizing. Lessons from Ashville NC, Marque.e, MI, Laconia, NH, Savannah, GA, Ames, IO.
As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.
The Patient Protection and Affordable Care Act (ACA) was designed to increase health insurance quality and affordability, lower the uninsured rate by expanding insurance coverage, and reduce the costs of healthcare overall. Along with sweeping change came sweeping criticisms and issues. This book explores the pros and cons of the Affordable Care Act, and explains who benefits from the ACA. Readers will learn how the economy is affected by the ACA, and the impact of the ACA rollout.