Cover image for Health care politics and policy in America
Health care politics and policy in America
Patel, Kant, 1946-
Personal Author:
Second edition.
Publication Information:
Armonk, N.Y. : M.E. Sharpe, [1999]

Physical Description:
xxv, 452 pages : illustrations ; 24 cm
Health care politics -- Health care policy in the United States -- Medicaid: health care for the poor -- Medicare: health care for the elderly and disabled -- Health care and the disadvantaged: falling through the cracks -- Health care cost containment -- Medical malpractice and medical liability -- Health care technology -- Reforming the system -- The triumph of incrementalism: revolution, rationing, and reaction -- Conclusion: health care policy at the end of the twentieth century.
Reading Level:
1490 Lexile.

Format :


Call Number
Material Type
Home Location
Item Holds
RA395.A3 P285 1999 Adult Non-Fiction Central Closed Stacks

On Order



An updated edition of this text which combines an historical overview of U.S. health policy and the origins of the Medicare and Medicaid programmes with analysis of current trends and reform efforts, including medical liability and tort reform and the backlash against managed care.

Table of Contents

List of Tables, and Figures
List of Abbreviations
Chronology of Significant Events and Legislation in U.S. Health Care
1 Health Care Politics
The Health Policy Environment
Key Health Policy Actors
2 Health Care Policy in the United States
Health Care in the Nineteenth Century
The Transformation of American Medicine: 1900-1935
The Role of the Federal Government
Expansion of Health Facilities and Services: 1930-1960
Increasing Access to Health Care: The 1960s
Efforts at Health Care Cost Containment: The 1970s to the 1980s
The Reagan Administration
George H.W. Bush Administration
The Clinton Administration and Health Care Reforms
George W. Bush Administration
Presidential Election of 2004
The Role of State and Local Governments in Health Care
Plan of the Book
3 Medicaid: Health Care for the Poor
Program Objective and Structure
Medicaid: Eligibility and Coverage, Services, and Benefits
Major Trends in the Medicaid Program
The Medicaid Program during the Reagan and Bush Years: 1980-1992
Further Devolution of the Medicaid Program during the Clinton Administration: 1992-1998
The Medicaid Program and the State Governments: Innovations and Experimentation, from the 1980s to the 1990s
Medicaid Managed Care in the 1990s
State Governments, Medicaid, and Children's Insurance Program
Medicaid: Middle-Class Entitlement?
Current Fiscal Crisis of Medicaid
Medicaid Reform
4 Medicare: Health Care for the Elderly and Disabled
The Origins of Medicare
Program Objectives and Structure
Financing Medicare
Supplementing Medicare
Medicare, Balanced Budgets, and Managed Care
The Disaster of the Medicare Catastrophic Coverage Act
Controlling Costs
The Problem of Long-Term Care
Prescriptions and Change
What Is in the Law
Tenuous Future of Medicare
5 Health Care and the Disadvantaged: Falling through the Cracks
Equality and Equity
Uninsured and Underinsured
Profiling the Uninsured
Consequences of Uninsurance or Underinsurance
Insurance and the Idea of Community
A Closer Look: The Poor, Minorities, and Women
Solutions to the Problem of Uninsurance and Underinsurance
6 Health Care Cost Containment
Theoretical Framework: Government Regulation and Market Competition
The Role of the Federal Government in Cost Containment
State Governments and Cost Containment
The Private Sector and Cost Containment
A Strategy for Controlling Costs
7 Medical Malpractice and Medical Liability
Medical Errors, Medical Injury, and Patient Safety
The Origins of Medical Malpractice
Development of the Common Law in England
Medical Malpractice and Liability in the United States
The Current Tort System
Criticisms of the Current Tort System
Reforms and Alternatives
Medical Liability: Federal Government Policy and Reforms
Medical Liability Reforms at the State Level
Effectiveness of Tort Reforms
Medical Liability, Managed Care, Enterprise Liability, and ERISA
Federal Patients' Bill of Rights
8 Health Care Technology
The Growth and Diffusion of Medical Technology
Factors Responsible for the Growth of Medical Technologies
Health Care Technology and Costs
Medical Technology Assessment
Current Status of Health Care Technology Assessment
Managed Care and Health Care Technology
Medical Technologies: Law, Politics, Religion, and Ethics to-Die
Public Opinion and the Right to Die
The Legacy of Terri Schiavo
The Right-to-Die Movement
Oregon's Death with Dignity Act
Living Wills and Durable Power of Attorney
Health Care Rationing
Conclusion: Medical Technology, Ethics, and Public Policy
9 Reforming the System
Systemic Problems
The Economic Critique
Moving toward Reform
Health Care Reform on the Front Burner
The States and Comprehensive Health Care Reform
10 The Triumph of Incrementalism: From Managed Care to Consumer-Driven Health Care
Covering Children
Managed Care
Managed Care Backlash
The Public-Sector Response to Managed Care
Back to the Market
Consumer-Driven Health Care
11 Conclusion: Health Care Policy at the Dawn of the Twenty-First Century
Concluding Thoughts
Appendix: State Medical Liability Laws