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Universal Health Care



The New Politics of State Health Care Policy by Robert B. Hackey,

The New Politics of State Health Care Policy by Robert B. Hackey,
With the collapse of national health care reform efforts in the early 1990s, states emerged as a focal point for new policy and administrative developments in U.S. health care. This book provides a timely overview of the key issues facing states as they have responded to this challenge. It tells how states are making decisions about health policies and then putting them into action -- and how legislatures, executives, courts, and bureaucracies all participate in this process. The New Politics of State Health Policy describes many of the major trends in states' responses to health care problems of the 1990s, and it identifies the forces that will influence state policy actions in the new century. It examines reforms now under way, from Medicaid to tobacco control to mental health, and addresses today's most pressing issues surrounding managed care, health insurance, and public health administration. Editors Hackey and Rochefort have brought together a distinguished group of scholars and practitioners in the field of health policy analysis. Frank Thompson, Theodore Marmor, Michael Dukakis, and others map out the different institutional frames shaping how each state approaches the health care domain. While some states deliberate over universal coverage, others have shifted to the county level decisions once made in Washington, D.C. But all face the difficulty of taking on unprecedented responsibilities with limited resources amid the often-conflicting concerns of public management and "moral politics". Each contribution in the volume explores the interplay between state governance and health care policy by addressing four themes: the capacity of states to fulfill their new healthcare roles, the significance of recent policy changes, patterns in the politics of state health policy making, and the relationship of state-level changes to failed national health care reform.
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Health Care Choices: Private Contracts as Instruments of Health Reform by Clark C. Havighurst,
Health Care Choices: Private Contracts as Instruments of Health Reform by Clark C. Havighurst,
How can decisions about health care in the United States - too long dominated by providers, government, and the legal system - be put back into the hands of the people? Clark C. Havighurst contends that private contracts can be sharpened to do just that and ensure universal coverage, too. Private contracts, the author states, would allow for more and genuine consumer choice, based on real differences among competing health plans in content, coverage, and cost of services. Contracts would establish the standards and obligations of all parties - instead of the courts relying on definitions of care borrowed from the medical profession that drive health plans to overspending. Voluntary economizing would replace rationing without consent. Contracts could cure a dysfunctional health care market and end a severe misuse of U.S. resources. Often with specific contract language, Mr. Havighurst offers organized health plans, employers, purchasing cooperatives, Congress, and the courts ways they can turn private contracts into effective instruments of consumer-driven health reform. He recommends explicit recognition of contracts in any health reform legislation. With changes in how health coverage is purchased, courts would respect freedom of contract. And better health care contracts could be the key to designing an appropriate and affordable form of universal coverage.
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universalhealthcare

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