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Record Nr. |
UNINA9910778293703321 |
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Autore |
Reagan Michael D |
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Titolo |
The Accidental System : Health Care Policy In America / / by Michael D Reagan |
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Pubbl/distr/stampa |
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Boca Raton, FL : , : Routledge, , [2018] |
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©1999 |
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ISBN |
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0-429-97651-8 |
0-367-31824-5 |
0-429-96543-5 |
0-429-49688-5 |
1-283-30106-7 |
9786613301062 |
0-8133-4701-7 |
1-4294-8755-0 |
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Edizione |
[First edition.] |
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Descrizione fisica |
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1 online resource (334 p.) |
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Collana |
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Dilemmas in American Politics |
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Disciplina |
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Soggetti |
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Medical policy - United States |
Medical care - United States |
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Lingua di pubblicazione |
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Formato |
Materiale a stampa |
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Livello bibliografico |
Monografia |
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Note generali |
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Nota di bibliografia |
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Includes bibliographical references and index. |
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Nota di contenuto |
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Cover; Title Page; Copyright; Contents; List of Tables and Photos; List of Acronyms; 1: The Basic Dilemma: Is Health Care a Right or a Market Commodity?; What's Wrong with the Market Model?; Is There an Ethical "Right" to Health Care?; 2: The Accidental System; The Early Years,; HMOs and Prospective Payment,; The Public Sector: Niche Health Care,; Where Are Current Trends Leading?; 3: The Stakeholders and the Policy Process; The Clinton Health Plan Debacle and Its Aftermath,; Federalism Is Alive and Well in Health Care,; The Cast of Characters and Their Strategies, |
4: Beneath the Dilemmas, the TrilemmaHow Do We Define Quality Care?; Health Care Costs: How High the Moon?; Is the Insured Population Increasing? No,; So, What's the Trilemma?; 5: Medicare and |
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Medicaid: The Entitlement Dilemmas; What Does Medicare Cost the Taxpayers? The Seniors?; Medicare: The Policy Dilemmas,; Medicaid: Medicare's Poor Relation,; 6: Good Health at Lower Cost: How Do Other Nations Do It?; Canada: Mixed Funding and Provincial Responsibility,; United Kingdom: Socialism with Private Beds,; Germany: Public Framework, Private Operation,; To Each Its Own, |
7: Managed Care: Boon or Bane? Both! 107A Managed Care Profile,; The Case for Managed Care,; The Case Against Managed Care,; The Bottom Line? A Mixed Verdict,; 8: Controlling Costs: Mission Impossible?; Cost Cutting-Business Style,; Better Treatments Lead to Lower Costs,; Can the United States Change Its Culture of Medicine?; 9: A Sensible Wild Idea: Universalize Medicare; Americans Will Live with the Dilemma-But Not Forever,; Light at the End of the Health Care Tunnel?; A Simple Idea: Universalize Medicare,; Notes; Index |
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Sommario/riassunto |
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With the demise of the Clinton health care reform plan, the debate on health care changed but did not subside. From opinion pieces in newspapers to dinner-table conversations, the debate over whether the right to quality health care is a public right, akin to educating our children, or whether it is a private one, akin to life insurance, continues. In The Accidental System Michael Reagan shows that in the American political context, health care is neither exclusively a public right nor a private privilege. This insightful policy study provides students with an excellent demonstration of how public policy intersects with private markets. |
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