LEADER 04220oam 2200697I 450 001 9910820186603321 005 20230814231613.0 010 $a0-429-97651-8 010 $a0-367-31824-5 010 $a0-429-96543-5 010 $a0-429-49688-5 010 $a1-283-30106-7 010 $a9786613301062 010 $a0-8133-4701-7 010 $a1-4294-8755-0 035 $a(CKB)1000000000476196 035 $a(EBL)782174 035 $a(OCoLC)756484348 035 $a(SSID)ssj0000096488 035 $a(PQKBManifestationID)12033158 035 $a(PQKBTitleCode)TC0000096488 035 $a(PQKBWorkID)10081882 035 $a(PQKB)11037171 035 $a(MiAaPQ)EBC782174 035 $a(OCoLC)1029237459 035 $a(FlBoTFG)9780429496882 035 $a(EXLCZ)991000000000476196 100 $a20181122h20181999 uy 0 101 0 $aeng 135 $aur||| ||||| 181 $ctxt 182 $cc 183 $acr 200 14$aThe Accidental System $eHealth Care Policy In America /$fby Michael D Reagan 205 $aFirst edition. 210 1$aBoca Raton, FL :$cRoutledge,$d[2018]. 210 4$dİ1999. 215 $a1 online resource (334 p.) 225 1 $aDilemmas in American Politics 300 $aIncludes index. 311 $a0-8133-9997-1 311 $a0-8133-9996-3 320 $aIncludes bibliographical references and index. 327 $aCover; 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, 327 $a4: 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 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, 327 $a7: 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 330 3 $aWith the demise of the Clinton health care reform plan, the debate on health care changed but did not subside. From opinion pieces in newspapers to dinner-table conversations, the debate over whether the right to quality health care is a public right, akin to educating our children, or whether it is a private one, akin to life insurance, continues. In The Accidental System Michael Reagan shows that in the American political context, health care is neither exclusively a public right nor a private privilege. This insightful policy study provides students with an excellent demonstration of how public policy intersects with private markets. 410 0$aDilemmas in American politics. 606 $aMedical policy$zUnited States 606 $aMedical care$zUnited States 615 0$aMedical policy 615 0$aMedical care 676 $a362.1/0973 676 $a362.10973 700 $aReagan$b Michael D$0141164 801 0$bFlBoTFG 801 1$bFlBoTFG 906 $aBOOK 912 $a9910820186603321 996 $aThe Accidental System$93996148 997 $aUNINA