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Health care for the elderly American is among our nation's more pressing social issues. Our society wishes to ensure quality health care for all older people, but there is growing concern about our ability to maintain and improve quality in the face of efforts to contain health care costs. Medicare: A Strategy for Quality Assurance answers the U.S. Congress' call for the Institute of Medicine to design a strategic plan for assessing and assuring the quality of medical care for the elderly. This book presents a proposed strategic plan for improving quality assurance in the Medicare program, along with steps and timetables for implementing the plan by the year 2000 and the 10 recommendations for action by Congress. The book explores quality of careâ€"how it is defined, measured, and improvedâ€"and reviews different types of quality problems. Major issues that affect approaches to assessing and assuring quality are examined. Medicare: A Strategy for Quality Assurance will be immediately useful to a wide audience, including policymakers, health administrators, individual providers, specialists in issues of the older American, researchers, educators, and students.
After a half-a-century of school reform, a majority of Americans consider the public schools as worse today than when they attended school. Those reforms missed the mark because they were not focused on the backgrounds of the students’ parents--by far the most important indicator of students’ progress in school. The importance of parents was documented by the Coleman Report more than 50 years ago. School reform must be continued but re-directed to over-come the power of low parental socio-economic status. The best way to improve the schools is to create a better, fairer economy providing parents with good jobs and decent wages. In the meantime, good pre-school, after-school, and other aids are needed to help students from low income families. Teacher quality, although not as influential as the parents’ backgrounds, is the second most significant indicator of student success. Teachers, like parents, have not been the focus of the attention their importance deserves. In particular, teachers should be fairly paid, and their verbal and cognitive skills improved. The Coleman Report again documented the importance of those skills more than half-a-century ago. Instead, money, time, and effort have been spent on reforms that won’t bring about great improvement because they did not address adequately those two important factors.
Considers S. 3029 and numerous related bills, to amend National Housing Act to provide low and moderate income home purchase and rental assistance and to upgrade existing public housing programs.
Considers constitutional amendments to reverse various court decisions prohibiting prayer in public schools.