Kirjahaku

This monograph is devoted to an analysis of Medicare and Medicaid provisions together with a brief description of the conditions and events that led to their enactment into law. . . . Chapter 1 is devoted to the provisions of Medicare and attempts to appraise their probable effect. The conditions that gave rise to the law are reviewed in Chapter 2, and a brief chronicle of the legislation is given in Chapter 3. Chapters 4 and 5 deal with Medicaid, its provision, and its effect on state medical care plans.-- from the introduction--

Welfare politics have now been part of American life for four centuries. Beyond a persistent general idea that Americans have a collective obligation to provide for the poorest among us, there has been little common ground on which to forge political and philosophical consensus. Are poor people poor because of their own shortcomings and moral failings, or because of systemic societal and economic obstacles? That is, does poverty have individual or structural causes? This book demonstrates why neither of these two polemical stances has been able to prevail permanently over the other and explores the public policy—and real-life—consequences of the stalemate. Author Greg M. Shaw pays special attention to the outcome of the 1996 act that was heralded as ending welfare as we know it.Historically, people on all sides of the welfare issue have hated welfare—but for different reasons. Like our forebears, we have constantly disagreed about where to strike the balance between meeting the basic needs of the very poor and creating dependency, or undermining individual initiative. The shift in 1996 from New Deal welfare entitlement to workfare mirrored the national mood and ascendant political ideology, as had welfare policy throughout American history. The special contribution of this book is to show how evolving understandings of four key issues—markets, motherhood, race, and federalism—have shaped public perceptions in this contentious debate. A rich historical narrative is here complemented by a sophisticated analytical understanding of the forces at work behind attempts to solve the welfare dilemma.How should we evaluate the current welfare-to-work model? Is a precipitous decline in state welfare caseloads sufficient evidence of success? Success, this book finds, has many measures, and ending welfare as an entitlement program has not ended arguments about how best to protect children from the ravages of poverty or how to address the plight of the most vulnerable among us.Timeline anchoring the discussion in time and place Bibliography of print and Internet resources guiding further exploration of the subject Charts and tables analyzing complex data, including survey results

With the debate over health care consuming the nation, this timely book looks at the evolution of healthcare policy in the United States throughout its history. Concise, authoritative, and unbiased, The Healthcare Debate provides meaningful context for thinking about one of the most controversial public policy issues the United States faces. It traces the evolution of the argument over the government's role in healthcare financing and delivery since the early 1800s, with an emphasis on the major reform efforts since the mid-20th century. Following the complex dynamics of public health policy across U.S. history, The Healthcare Debate brings together a wide range of voices on the subject—presidents, policymakers, reformers, lobbyists, and everyday citizens. Each of its eight chronologically organized chapters focuses on the battle over government involvement in healthcare in a specific era, drawing on historic documents and the latest retrospective research. With President Obama making healthcare reform his top domestic priority in his first year in office, this remarkable new book could not be more timely.

While analyzing the contentious debate over health care reform, this much-needed study also challenges the argument that treating medical patients like shoppers can significantly reduce health expenditures.This revealing work focuses on the politics surrounding the Affordable Care Act (ACA), explaining how and why supporters and opponents have approached the issue as they have since the act's passage in 2010. The first book to systematically examine public knowledge of the ACA across time, it also documents how that knowledge has remained essentially static since 2010, despite the importance of health-policy reform to every American.An important book for anyone concerned about the skyrocketing costs of health care in the United States, the work accomplishes three main tasks intended to help readers better understand one of the most important policy challenges of our time. The early chapters explain why congressional Democrats designed the Affordable Care Act of 2010 as they did, clarifies some of the consequences of the act's features, and examines why Republicans have fought the implementation of the law so fiercely. The study then looks at how the intersection of economics and politics applies to the ACA. Finally, the book details what the public knows—and doesn't know—about the law and discusses the prospects for citizens gaining the knowledge they should have about the overall issue of health-policy reform.

This guide helps readers understand the past, present, and future of America's Medicare and Medicaid programs, which provide health care services and medical coverage to millions of Americans across the USA. In the decades since President Lyndon B. Johnson signed legislation creating the Medicare and Medicaid health care programs in 1965, hundreds of millions of older and low-income Americans and people with disabilities have benefited. This book provides in-depth coverage of the origins, history, and evolution of both programs, as well as a guide to present-day problems, controversies, and reforms related to each of these programs. Readers will also benefit from a wide range of perspectives from scholars, advocates, critics, and beneficiaries on the goals and performances of Medicare and Medicaid over time.