LEADER 04836nam 2200637 450 001 9910466067203321 005 20200520144314.0 010 $a0-231-54331-X 024 7 $a10.7312/almg17012 035 $a(CKB)3710000001023715 035 $a(MiAaPQ)EBC4784115 035 $a(StDuBDS)EDZ0001666818 035 $a(DE-B1597)481768 035 $a(OCoLC)1002241809 035 $a(OCoLC)1004878089 035 $a(OCoLC)1011453566 035 $a(OCoLC)969638256 035 $a(OCoLC)979953900 035 $a(OCoLC)999378305 035 $a(DE-B1597)9780231543316 035 $a(Au-PeEL)EBL4784115 035 $a(CaPaEBR)ebr11331382 035 $a(CaONFJC)MIL989464 035 $a(EXLCZ)993710000001023715 100 $a20170130h20172017 uy 0 101 0 $aeng 135 $aurcnu|||||||| 181 $2rdacontent 182 $2rdamedia 183 $2rdacarrier 200 10$aHealth care as a right of citizenship $ethe continuing evolution of reform /$fGunnar Almgren 210 1$aNew York, [New York] :$cColumbia University Press,$d2017. 210 4$dİ2017 215 $a1 online resource (359 pages) 225 1 $aColumbia scholarship online 300 $aPreviously issued in print: 2017. 311 $a0-231-17012-2 311 $a0-231-17013-0 320 $aIncludes bibliographical references and index. 327 $tFrontmatter -- $tContents -- $tPreface -- $tAcknowledgments -- $tChapter One. Statement of the Problem: American Exceptionalism in Health Care and the Emergence of the Great Unsustainable Compromise -- $tChapter Two. The Emergence of the New Era of Reform -- $tChapter Three. The Theoretical Foundations for Health Care as a Social Right of Citizenship -- $tChapter Four. A Principled Critique of the ACA and the ACA in an Evolutionary Perspective -- $tChapter Five. A Principled Approach to Radical Health-Care Finance Reform -- $tChapter Six. A Principled Approach to Essential Health- Care Delivery System Reforms -- $tChapter Seven. Assessing Health- Care System Performance Against the Four Core Aims of Health- Care Policy -- $tChapter Eight. Special Issues and Considerations -- $tNotes -- $tReferences -- $tIndex 330 $aWhile the Obama administration's Patient Protection and Affordable Care Act (ACA) has expanded health care coverage for millions of Americans, it has fallen short in offering universal health care to all. In Health Care as a Right of Citizenship, Gunnar Almgren argues that the ACA's primary significance is not in its expansion of health care entitlements but in its affirming by an act of Congress the idea that comprehensive health care must be available to all as a right of citizenship. The mainstream American public now views access to affordable health care to all citizens as a crucial function of just and effective governance-and any proposed alternative to the ACA must be reconciled with that expectation. This ambitious book examines how the American health care system must be further reformed to bring it closer in line with the ideals of a modern democracy, as well as how the ACA may change in the coming years. It suggests the next, natural step in the realization of health and well being as a fundamental human right.Based on a close analysis of the writings of sociologist TH Marshall and philosopher John Rawls, this book examines the theoretical foundations for health care as a social right of citizenship. Almgren then translates these theoretical principles into core health care policy aims. Throughout, he argues that the ACA is but an evolutionary step toward a more radical and fundamental health care reform. Almgren suggests how such a restructured health care system might operate, with specific proposals for its financing and delivery systems. He also explores the special issues and considerations that all nations must grapple with as they seek to provide a sustainable social right to health care. Health Care as a Right of Citizenship will stimulate and challenge readers who take an interest in America's health care policy, particularly those who wish for a health care system that is both financially sustainable and capable of making healthcare accessible, adequate, and affordable to all Americans, irrespective of their societal position and individual health needs. 410 0$aColumbia scholarship online. 606 $aHealth care reform$zUnited States 606 $aMedical policy$zUnited States 608 $aElectronic books. 615 0$aHealth care reform 615 0$aMedical policy 676 $a362.104250973 700 $aAlmgren$b Gunnar Robert$f1951-$0856457 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910466067203321 996 $aHealth care as a right of citizenship$92473049 997 $aUNINA