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Universal health care was on the national political agenda for nearly a hundred years until a comprehensive (but not universal) health care reform bill supported by President Obama passed in 2010. The most common explanation for the failure of past reform efforts is that special interests were continually able to block reform by lobbying lawmakers. Yet, beginning in the 1970s, accelerating with the failure of the Clinton health care plan, and continuing through the passage of the Affordable Care Act in 2010, health policy reform was alive and well at the state level. Interest Groups and Health Care Reform across the United States assesses the impact of interest groups to determine if collectively they are capable of shaping policy in their own interests or whether they influence policy only at the margins. What can this tell us about the true power of interest groups in this policy arena? The fact that state governments took action in health policy in spite of opposing interests, where the national government could not, offers a compelling puzzle that will be of special interest to scholars and students of public policy, health policy, and state politics.
This comprehensive text offers a broad view of health care policy, health services delivery and organization, and health care management. Drawing on the insights of over 100 scholars and leading practitioners, it highlights organizational changes reflected in health care mergers, networks, and affiliations and describes the role of funding agencies in the direct provision of services. Providing over 2350 references, tables, and drawings, the book charts the influences of managed care on provisions, funding, and the configuration of providers and services, and portrays the increasingly influential and challenging role of health administrators.
The Regulated Chemicals Directory"lM is meant to be a convenient source of information for everyone who needs to keep up-to-date regarding the regulations and recommendations that pertain to chemical substances. The RCDTM is designed to be the first reference book to consult when beginning compliance efforts. Every regulatory or advisory list used in the RCDTM is keyed to its source, to help readers who need more detailed information on regulations, recommendations, or guidelines readily locate source documents. Some organizations now center their compliance efforts on computerized information stored in cross-referenced databases. A unique feature of the RCDTM is the availability of an electronic version suitable for use on IBM-compatible personal computers, download onto mainframes and CD-ROM players. Both the print and electronic versions are updated with the same timeliness. For more information on the electronic versions of the Regulated Chemicals DirectoryTM, contact Chapman & Hall directly (One Penn Plaza, New York, NY 10119, fax-212-564-1505). Many companies working on product development need information on what may be regulated in the future. The RCDTM provides selected information on pending regulations and in-progress testing lists, which can provide a starting place for tracking future regulatory considerations. Information for the RCDTM is continually gathered and updated. Suggestions from readers for information that should be added to the RCDTM or for other ways to improve the book are welcomed by Chapman & Hall. - Patricia L. Dsida, Pres. ChemADVISOR® , Inc. ix Part A. Chemical Lists and Indexes Section 1.
Bioregionalism is the first book to explain the theoretical and practical dimensions of bioregionalism from an interdisciplinary standpoint, focusing on the place of bioregional identity within global politics. Leading contributors from a broad range of disciplines introduce this exciting new concept as a framework for thinking about indigenous peoples, local knowledge, globalization, science, global environmental issues, modern society, conservation, history, education and restoration. Bioregionalism's emphasis on place and community radically changes the way we confront human and ecological issues.
The healthcare delivery system in the United States is inundated with medical malpractice and liability issues, and there is no consensus about causes or solutions. Both physicians and an alliance of lawyers and consumer groups agree that there is a crisis, but physicians claim that the current medical malpractice system inheres in too many lawsuits while the lawyers argue that the current level of litigation is insufficient. Multivariate statistical methods are used in this much needed effort to investigate the effects of medical malpractice on various aspects of health care. After introducing the various tort reforms that have been proposed and implemented by some states, the author analyzes the impact of these reforms on medical malpractice payment rates, claim payments, malpractice insurance, and in dental malpractice. The impact of malpractice liability on costs, licensure, disciplinary action, the supply of physicians, and the practice of defensive medicine are also covered. This is an essential guide for students in law, medicine, and health administration, as well as anyone who wants to research these issues for public policy.