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In 2010, the Patient Protection and Affordable Care Act instituted one of the most comprehensive overhauls of the United States health care system in history, with the goal of insuring almost every American. Factions opposed to the law argue that the government should not have a role in providing health care coverage, and that lower-quality care and high costs are the inevitable result. Supporters of universal health care argue that every person has the right to health, and that government has a role to play in protecting this right. This book presents an in-depth overview of the health care debate from every angle, featuring sidebars and photographs that offer insight into questions of who provides and regulates health care and how questions of health coverage have played out in domestic and international politics.
This authoritative reference work explores the factors driving the much-debated increase in economic inequality in U.S. society, as well as the impact that this divide is having on U.S. culture, politics, families, communities, and institutions. This reference work provides an authoritative and comprehensive resource for both students and scholars who are interested in learning more about the rich-poor divide in the United States—a divide regarded by many lawmakers, researchers, pundits, and concerned citizens as one of the nation's most serious problems. The book provides important historical background for understanding how the nation has grappled with (or ignored) this issue in the past, examines specific causes of inequality identified by observers across the political spectrum, and summarizes the potential consequences (both present and future) of economic inequality. This book examines more than 25 issues frequently cited as factors contributing to the rapidly widening gap between socioeconomic classes in the U.S., ranging from such demographic factors as race and gender to tax code provisions and differences in access to quality education and health care. The book also provides both a retrospective and prospective look at government policies aimed at addressing inequality or assisting the poor. Finally, the book looks ahead to survey the future of inequality in America.
In a way, the situation is ironic: housing was at the root of the financial crisis, and six years after the meltdown, housing finance is still the greatest unsolved issue. The U.S. housing market is roughly $10 trillion, making it one of the largest segments of the bond market. Roughly 70 percent of the American population has a mortgage, and for most people, the mortgage is the most important financial instrument in their lives. But until the financial crisis, few people knew the essential role that Fannie Mae and Freddie Mac play in their mortgages. Given the $188 billion government bailout of the two firms the most expensive bailout in history the politics surrounding housing are worse than they've ever been, and the two gigantic firms sit in limbo. Best-selling investigative journalist Bethany McLean, the coauthor of The Smartest Guys in the Room andAll the Devils Are Here, explains why the situation is dangerous and unsustainable, and proposes a few solutions from the perfect, but politically unfeasible to the doable, but ugly.
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.
Cut Adrift makes an important and original contribution to the national conversation about inequality and risk in American society. Set against the backdrop of rising economic insecurity and rolled-up safety nets, Marianne Cooper’s probing analysis explores what keeps Americans up at night. Through poignant case studies, she reveals what families are concerned about, how they manage their anxiety, whose job it is to worry, and how social class shapes all of these dynamics, including what is even worth worrying about in the first place. This powerful study is packed with intriguing discoveries ranging from the surprising anxieties of the rich to the critical role of women in keeping struggling families afloat. Through tales of stalwart stoicism, heart-wrenching worry, marital angst, and religious conviction, Cut Adrift deepens our understanding of how families are coping in a go-it-alone age—and how the different strategies on which affluent, middle-class, and poor families rely upon not only reflect inequality, but fuel it.
This practical guide provides the knowledge and skills social workers need when navigating the complex health care environment, while having to continuously adapt to change. Substantially revised and updated, the fourth edition delivers a wealth of new information reflecting the rapidly evolving health care landscape. Full of practice-oriented advice, it encompasses all aspects of professional health care social work in the U.S. health care system, across all key settings. Throughout the fourth edition there is a strong emphasis on the importance of developing best practices that are evidence-based, culturally-sensitive, supportive, and ethically accountable. The book is also a call to action for social workers, who must not only be therapeutically effective but also professionally competitive with other health care providers offering similar services. Each chapter contains professional profiles in diverse practice areas along with a glossary, reflective questions, and relevant websites. New to the Fourth Edition: Major updates on all recent changes in health care practice and the ACA and the role of the health care social worker, including an increased emphasis on the role of social justice Updated information related to the NASW Code of Ethics, including use of technology and evaluation Increased emphasis on Evidence-Based Practice throughout Updated with the different roles of social workers, including medical social work in the military, VA hospitals and clinics, and advocacy for those who are serving or have served New sections on behavioral health and integrative practice, telehealth, Institutional Review Boards (IRBs), social work practice in emergency departments, and home health, intimate partner/domestic violence, mandated reporting, and duty to protect/duty to warn Major changes to health and mental health assessment, including updated DSM-5 and WHO assessments Examining ethical dilemmas, including vaccinations and new sections on pain and spirituality Completely rewritten content on prevention, health, and wellness coaching Key Features: Encompasses all aspects of professional health care social work in the U.S. health care system, across key settings and patient populations Highlights the need for more organizational and leadership knowledge Provides tools for adapting to all major changes in health care with updated roles and functions Includes a wealth of advice through professional profiles Supplementary material for instructors includes PowerPoints and an Instructor’s Manual with sample syllabus, course-related CSWE accreditation suggestions, classroom activities, and a test bank for each chapter
An incisive biography of the Supreme Court's enigmatic Chief Justice, taking us inside the momentous legal decisions of his tenure so far. John Roberts was named to the Supreme Court in 2005 claiming he would act as a neutral umpire in deciding cases. His critics argue he has been anything but, pointing to his conservative victories on voting rights and campaign finance. Yet he broke from orthodoxy in his decision to preserve Obamacare. How are we to understand the motives of the most powerful judge in the land? In The Chief, award-winning journalist Joan Biskupic contends that Roberts is torn between two, often divergent, priorities: to carry out a conservative agenda, and to protect the Court's image and his place in history. Biskupic shows how Roberts's dual commitments have fostered distrust among his colleagues, with major consequences for the law. Trenchant and authoritative, The Chief reveals the making of a justice and the drama on this nation's highest court.
The Supreme Court's decision in the Health Care Case, NFIB v. Sebelius, gripped the nation's attention during the spring of 2012. Like the legislative battle leading to adoption of ?Obamacare?, the litigation took many unexpected twists and turns, culminating in a surprising, fractured and confusing decision from the Supreme Court. This volume gathers together reactions to the decision from an ideologically diverse selection of the nation's leading scholars of constitutional, administrative, and health law.
Building with earthquakes is a familiar yet persistent design problem for resilient construction on all continents. This book elaborates on various factors for earthquake-resilient architecture in six thematic chapters that explore the design strategies of lightness, quickness, exactitude, visibility, multiplicity and consistency. These factors allow designers to develop contextual solutions that marry technical know-how with social and cultural understanding, ranging in scale from buildings to furniture and urban master plans. 120 case studies from roughly 30 countries, including some highly prestigious buildings, provide a comprehensive overview of the different design strategies.