Gunnar Almgren
- Published in print:
- 2017
- Published Online:
- January 2019
- ISBN:
- 9780231170130
- eISBN:
- 9780231543316
- Item type:
- chapter
- Publisher:
- Columbia University Press
- DOI:
- 10.7312/columbia/9780231170130.003.0002
- Subject:
- Political Science, Public Policy
The chapter begins with a review of the efforts to reform health care in ways that would assure health care for all Americans, beginning with Progressive Era reforms in the early 1900’s through the ...
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The chapter begins with a review of the efforts to reform health care in ways that would assure health care for all Americans, beginning with Progressive Era reforms in the early 1900’s through the William Clinton administration’s ill-fated Health Security Act in the early 1990’s. After delving into the less ambitious reforms of late 1900’s aimed at cost-containment and incremental expansions of health insurance coverage for low-income children, the chapter examines the devolution of the employment-based insurance for working families was pivotal to the economic and political context of the Affordable Care Act (ACA) of 2009 –the first federal legislation in U.S. history to advance universal health insurance for all American citizens as its central goal. The chapter concludes with a prognosis for the successful implementation of the ACA, as well as its long term prospects.Less
The chapter begins with a review of the efforts to reform health care in ways that would assure health care for all Americans, beginning with Progressive Era reforms in the early 1900’s through the William Clinton administration’s ill-fated Health Security Act in the early 1990’s. After delving into the less ambitious reforms of late 1900’s aimed at cost-containment and incremental expansions of health insurance coverage for low-income children, the chapter examines the devolution of the employment-based insurance for working families was pivotal to the economic and political context of the Affordable Care Act (ACA) of 2009 –the first federal legislation in U.S. history to advance universal health insurance for all American citizens as its central goal. The chapter concludes with a prognosis for the successful implementation of the ACA, as well as its long term prospects.
Muriel R. Gillick
- Published in print:
- 2017
- Published Online:
- May 2018
- ISBN:
- 9781469635248
- eISBN:
- 9781469635255
- Item type:
- book
- Publisher:
- University of North Carolina Press
- DOI:
- 10.5149/northcarolina/9781469635248.001.0001
- Subject:
- Palliative Care, Palliative Medicine and Older People
Since the introduction of Medicare and Medicaid in 1965, the American health care system has grown in size and complexity. Muriel R. Gillick takes readers on a narrative tour of American health care, ...
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Since the introduction of Medicare and Medicaid in 1965, the American health care system has grown in size and complexity. Muriel R. Gillick takes readers on a narrative tour of American health care, incorporating the stories of older patients as they travel from the doctor’s office to the skilled nursing facility, and examining the influence of forces as diverse as pharmaceutical corporations, device manufacturers, and health insurance companies on their experience. A scholar who has practiced medicine for over thirty years, Gillick offers readers an informed and straightforward view of health care from the ground up, revealing that many crucial medical decisions are based not on what is best for the patient but rather on outside forces, sometimes to the detriment of patient health and quality of life. Gillick suggests a broadly imagined patient-centered reform of the health care system with Medicare as the engine of change, a transformation that would be mediated through accountability, cost-effectiveness, and culture change.Less
Since the introduction of Medicare and Medicaid in 1965, the American health care system has grown in size and complexity. Muriel R. Gillick takes readers on a narrative tour of American health care, incorporating the stories of older patients as they travel from the doctor’s office to the skilled nursing facility, and examining the influence of forces as diverse as pharmaceutical corporations, device manufacturers, and health insurance companies on their experience. A scholar who has practiced medicine for over thirty years, Gillick offers readers an informed and straightforward view of health care from the ground up, revealing that many crucial medical decisions are based not on what is best for the patient but rather on outside forces, sometimes to the detriment of patient health and quality of life. Gillick suggests a broadly imagined patient-centered reform of the health care system with Medicare as the engine of change, a transformation that would be mediated through accountability, cost-effectiveness, and culture change.
Purendra Prasad
- Published in print:
- 2018
- Published Online:
- July 2019
- ISBN:
- 9780199482160
- eISBN:
- 9780199097746
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/oso/9780199482160.003.0003
- Subject:
- Sociology, Health, Illness, and Medicine, Social Stratification, Inequality, and Mobility
How do 35 crore people in India survive on Rs 32 per person per day in urban areas and Rs 26 per person per day in rural areas? The data from National Commission for Enterprises in the Unorganised ...
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How do 35 crore people in India survive on Rs 32 per person per day in urban areas and Rs 26 per person per day in rural areas? The data from National Commission for Enterprises in the Unorganised Sector indicates that 79 per cent of workers in the unorganised sector live on an income of less than Rs 20 a day. The growing recognition of the devastating effect of illnesses on the capacity of the labouring poor to work, and the rising cost of medical treatment prompted the Indian state to propose a new set of reforms to provide social protection for the unorganized workers. This chapter critiques these reforms, focusing on the possible strategies of inclusion and greater access to the vulnerable groups.Less
How do 35 crore people in India survive on Rs 32 per person per day in urban areas and Rs 26 per person per day in rural areas? The data from National Commission for Enterprises in the Unorganised Sector indicates that 79 per cent of workers in the unorganised sector live on an income of less than Rs 20 a day. The growing recognition of the devastating effect of illnesses on the capacity of the labouring poor to work, and the rising cost of medical treatment prompted the Indian state to propose a new set of reforms to provide social protection for the unorganized workers. This chapter critiques these reforms, focusing on the possible strategies of inclusion and greater access to the vulnerable groups.
