Medicare Politics

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The Politics of Medicare

Author : Theodore R. R. Marmor
Publisher : Routledge
Page : 267 pages
File Size : 50,7 Mb
Release : 2017-07-05
Category : Medical
ISBN : 9781351476928

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The Politics of Medicare by Theodore R. R. Marmor Pdf

On July 30, 1965, President Johnson flew to Independence, Missouri to sign the Medicare bill. The new statute included two related insurance programs to finance substantial portions of the hospital and physician expenses incurred by Americans over the age of sixty-five. Public attempts to improve American health standards have typically precipitated bitter debate, even as the issue has shifted from the professional and legal status of physicians to the availability of hospital care and public health programs. In The Politics of Medicare, Marmor helps the reader understand Medicare's origins, and he interprets the history of the program and explores what happened to Medicare politically as it turned from a legislative act in the mid-1960s to a major program of American government in the three decades since. This is a vibrant study of an important piece of legislation that asks and answers several questions: How could the American political system yield a policy that simultaneously appeased anti-governmental biases and used the federal government to provide a major entitlement? How was the American Medical Association legally overcome yet placated enough to participate in the program? And how did the Medicare law emerge so enlarged from earlier proposals that themselves had caused so much controversy?

The Political Life of Medicare

Author : Jonathan Oberlander
Publisher : University of Chicago Press
Page : 275 pages
File Size : 49,8 Mb
Release : 2003-06
Category : Business & Economics
ISBN : 9780226615967

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The Political Life of Medicare by Jonathan Oberlander Pdf

In recent years, bitter partisan disputes have erupted over Medicare reform. Democrats and Republicans have fiercely contested issues such as prescription drug coverage and how to finance Medicare to absorb the baby boomers. As Jonathan Oberlander demonstrates in The Political Life of Medicare, these developments herald the reopening of a historic debate over Medicare's fundamental purpose and structure. Revealing how Medicare politics and policies have developed since Medicare's enactment in 1965 and what the program's future holds, Oberlander's timely and accessible analysis will interest anyone concerned with American politics and public policy, health care politics, aging, and the welfare state.

When Politics Comes Before Patients

Author : Shawn Whatley, MD
Publisher : ECW Press
Page : 372 pages
File Size : 41,5 Mb
Release : 2020-11-18
Category : Health & Fitness
ISBN : 9780888903129

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When Politics Comes Before Patients by Shawn Whatley, MD Pdf

How Successive Governments Have Weakened the Foundation of All Canadian's Social and Economic Security At some point you will find yourself lying in a hospital bed. There is a good chance that your bed will be a firm, rubber pad held secure between two rails and parked along a corridor in a busy emergency department. Moans of “Nurse!” will echo from the beds ahead of you in line. Those pleas will fall largely on deaf ears. Your hospital is underfunded and understaffed. Welcome to the current reality of Medicare in the 21st century. Using searing analogies and first-hand accounts, Dr. Whatley makes the argument that the current Medicare system is unsustainable and unless critical choices and changes are made soon, the publicly funded, single-payer system in Canada will implode. Successive governments, regardless of political stripe, know all too well that Canada's system of health care is one of the defining characteristics of “being a Canadian”, and any changes deemed harmful will have them thrown out of power. Thus, decades of cuts around the margins, centralized control, federal/provincial infighting, and government oversight has left doctors and hospitals with little input on how your health dollars are allocated and spent. Citizens are being left to languish in pain for months, sometimes years, because the current cost and delivery system is programmed for the benefit of governments staying in power. That was not what was intended. Medicare should be about delivering high-quality and timely healthcare value for Canadians. This is not an easy fix. Treatment starts with a serious look at the disease, and Dr. Whatley pulls no punches. But what sounds like a radical new approach is neither new nor radical. He is not arguing for the end of Medicare per se but is making the case to let medical professionals — those providing the services — become equal partners in its design, implementation and delivery.

Medicare Politics

Author : Felicia E. Mebane
Publisher : Routledge
Page : 204 pages
File Size : 51,9 Mb
Release : 2021-12-24
Category : Social Science
ISBN : 9781136771682

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Medicare Politics by Felicia E. Mebane Pdf

Medicare Politics examines how media coverage, political information, and political participation affect Medicare policy choices. This book is an excellent reference for political science literature concerning the impact of media, the roles of political information with respect to public opinion, and political participation. Each chapter provides analysis that expands political science and health services research by testing political science questions in a way that further our understanding of a significant health policy program affected by the political process: Medicare. The introduction ties the chapters together and discusses the importance of understanding Medicare politics as the impending retirement of the baby boom generation forces policymakers to grapple with how Medicare will support future generations. The first chapter shows how Medicare coverage varied throughout the 1995 debates concerning Medicare reform and links coverage with public opinion about policymakers. The second chapter demonstrates how knowledge of the Medicare program affected the public's support for Medicare reform options in 1995. The final chapter examines the impact of the political participation and mobilization of Medicare beneficiaries in recent presidential elections. Medicare Politics ends with a discussion of implications for future Medicare reform debates.

The Politics of Medicare

Author : Theodore R. Marmor,Jan S. Marmor
Publisher : Aldine
Page : 176 pages
File Size : 52,7 Mb
Release : 1973
Category : Medical
ISBN : UOM:39015010165911

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The Politics of Medicare by Theodore R. Marmor,Jan S. Marmor Pdf

The new edition of a 1973 work analyzing the political forces, interactions, and ideas that created welfare. Leaving the original work basically unchanged, the author has also added a second section that explores the political evolution of Medicare since its inception into the 1990s. Copyright © Libri GmbH. All rights reserved.

The Politics of Medicare

Author : Theodore R. Marmor
Publisher : Aldine De Gruyter
Page : 228 pages
File Size : 49,7 Mb
Release : 2000
Category : Medical
ISBN : 0202303993

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The Politics of Medicare by Theodore R. Marmor Pdf

Discusses Medicare's emergence as a political issue and the responses it elicited within the federal government and American society

The Politics of Policy Change

Author : Daniel Béland,Alex Waddan
Publisher : Georgetown University Press
Page : 237 pages
File Size : 43,9 Mb
Release : 2012-03-06
Category : Political Science
ISBN : 9781589018846

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The Politics of Policy Change by Daniel Béland,Alex Waddan Pdf

For generations, debating the expansion or contraction of the American welfare state has produced some of the nation's most heated legislative battles. Attempting social policy reform is both risky and complicated, especially when it involves dealing with powerful vested interests, sharp ideological disagreements, and a nervous public. The Politics of Policy Change compares and contrasts recent developments in three major federal policy areas in the United States: welfare, Medicare, and Social Security. Daniel Béland and Alex Waddan argue that we should pay close attention to the role of ideas when explaining the motivations for, and obstacles to, policy change. This insightful book concentrates on three cases of social policy reform (or attempted reform) that took place during the presidencies of Bill Clinton and George W. Bush. Béland and Waddan further employ their framework to help explain the meaning of the 2010 health insurance reform and other developments that have taken place during the Obama presidency. The result is a book that will improve our understanding of the politics of policy change in contemporary federal politics.

Power, Politics, and Universal Health Care

Author : Stuart Altman
Publisher : Prometheus Books
Page : 337 pages
File Size : 52,7 Mb
Release : 2011-09-27
Category : Political Science
ISBN : 9781616144579

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Power, Politics, and Universal Health Care by Stuart Altman Pdf

Essential reading for every American who must navigate the US health care system. Why was the Obama health plan so controversial and difficult to understand? In this readable, entertaining, and substantive book, Stuart Altman—internationally recognized expert in health policy and adviser to five US presidents—and fellow health care specialist David Shactman explain not only the Obama health plan but also many of the intriguing stories in the hundred-year saga leading up to the landmark 2010 legislation. Blending political intrigue, policy substance, and good old-fashioned storytelling, this is the first book to place the Obama health plan within a historical perspective. The authors describe the sometimes haphazard, piece-by-piece construction of the nation’s health care system, from the early efforts of Franklin Roosevelt and Harry Truman to the later additions of Ronald Reagan and George W. Bush. In each case, they examine the factors that led to success or failure, often by illuminating little-known political maneuvers that brought about immense shifts in policy or thwarted herculean efforts at reform. The authors look at key moments in health care history: the Hill–Burton Act in 1946, in which one determined poverty lawyer secured the rights of the uninsured poor to get hospital care; the "three-layer cake" strategy of powerful House Ways and Means Committee Chairman Wilbur Mills to enact Medicare and Medicaid under Lyndon Johnson in 1965; the odd story of how Medicare catastrophic insurance was passed by Ronald Reagan in 1988 and then repealed because of public anger in 1989; and the fact that the largest and most expensive expansion of Medicare was enacted by George W. Bush in 2003. President Barack Obama is the protagonist in the climactic chapter, learning from the successes and failures chronicled throughout the narrative. The authors relate how, in the midst of a worldwide financial meltdown, Obama overcame seemingly impossible obstacles to accomplish what other presidents had tried and failed to achieve for nearly one hundred years.

Health Insurance and Canadian Public Policy

Author : Malcolm G. Taylor,Allan Maslove
Publisher : McGill-Queen's Press - MQUP
Page : 539 pages
File Size : 47,8 Mb
Release : 2009-04-01
Category : Political Science
ISBN : 9780773584976

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Health Insurance and Canadian Public Policy by Malcolm G. Taylor,Allan Maslove Pdf

In Health Insurance and Canadian Public Policy, Malcolm Taylor describes the emergence of Medicare, providing an interesting window into current health care debates. He discusses the seemingly endless series of federal-provincial exchanges and negotiations involving issues of jurisdiction, cost allocations, revenue transfers, and taxing authorities as well as efforts to accommodate opposition from various special interests that would eventually evolve into a system that provided access to adequate health care for all Canadians on the basis of need, irrespective of financial circumstances.

Medicare

Author : Ronald J. Vogel
Publisher : University of Michigan Press
Page : 282 pages
File Size : 40,6 Mb
Release : 1999
Category : Business & Economics
ISBN : 0472110608

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Medicare by Ronald J. Vogel Pdf

Examines political and economic strategy and offers a blueprint for the structural reform of Medicare

Medicaid Politics and Policy

Author : David G. Smith,Judith D. Moore
Publisher : Transaction Publishers
Page : 459 pages
File Size : 53,9 Mb
Release : 2011-12-31
Category : Medical
ISBN : 9781412809405

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Medicaid Politics and Policy by David G. Smith,Judith D. Moore Pdf

Medicaid is a story worth telling, one rooted in American history and shaped by its culture and institutions. It has dramatic interest, heroes and heroines, triumphs and tragedies. The authors make this story come alive for the reader by providing a strong connected narrative, detailed accounts of important policy changes, and extensive use of interviews with individuals close to events. They emphasize politics and policy along with history. History is important because Medicaid has developed incrementally, layer by layer, so that almost any provision or activity needs a historical gloss to understand it. The Medicaid program has been especially subject to outside political and policy influences: the state of the economy, trends in federalism, developments in health or welfare programs, and the electoral cycle. Politics helps us understand policy outcomes. But the two go together: a knowledge of policy helps understand what is at stake, and a knowledge of politics what is possible. A central theme of the book is that Medicaid is a "weak entitlement," one less established or effectively defended than Medicare or Social Security, but more secure than welfare or food stamps. Medicaid has the flexibility to adapt (or be adapted) as well as a capacity to defend incremental and opportunistic gains. At the same time, the program lacks an effective mechanism for overall reform. It has grown enormously since its inception to become the largest health insurance system in the country, a source of perennial complaint and, most recently, of continuing crisis. The dual emphasis upon politics and policy is important to make the arcane Medicaid program accessible to the reader, and to distinguish policy grounded in facts and analysis from partisan bombast and ideology. The result is an authoritative account and reference for those seeking to refresh a perspective or to look further.

The Politics of Medicaid

Author : Laura Katz Olson
Publisher : Columbia University Press
Page : 609 pages
File Size : 47,7 Mb
Release : 2010-05-31
Category : Political Science
ISBN : 9780231521598

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The Politics of Medicaid by Laura Katz Olson Pdf

In 1965, the United States government enacted legislation to provide low-income individuals with quality health care and related services. Initially viewed as the friendless stepchild of Medicare, Medicaid has grown exponentially since its inception, becoming a formidable force of its own. Funded jointly by the national government and each of the fifty states, the program is now the fourth most expensive item in the federal budget and the second largest category of spending for almost every state. Now, under the new, historic health care reform legislation, Medicaid is scheduled to include sixteen million more people. Laura Katz Olson, an expert on health, aging, and long-term care policy, unravels the multifaceted and perplexing puzzle of Medicaid with respect to those who invest in and benefit from the program. Assessing the social, political, and economic dynamics that have shaped Medicaid for almost half a century, she helps readers of all backgrounds understand the entrenched and powerful interests woven into the system that have been instrumental in swelling costs and holding elected officials hostage. Addressing such fundamental questions as whether patients receive good care and whether Medicaid meets the needs of the low-income population it is supposed to serve, Olson evaluates the extent to which the program is an appropriate foundation for health care reform.

National Health Insurance in the United States and Canada

Author : Gerard W. Boychuk
Publisher : Georgetown University Press
Page : 257 pages
File Size : 41,8 Mb
Release : 2008-07-02
Category : Medical
ISBN : 9781589013773

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National Health Insurance in the United States and Canada by Gerard W. Boychuk Pdf

After World War II, the United States and Canada, two countries that were very similar in many ways, struck out on radically divergent paths to public health insurance. Canada developed a universal single-payer system of national health care, while the United States opted for a dual system that combines public health insurance for low-income and senior residents with private, primarily employer-provided health insurance—or no insurance—for everyone else. In National Health Insurance in the United States and Canada, Gerard W. Boychuk probes the historical development of health care in each country, honing in on the most distinctive social and political aspects of each country—the politics of race in the U.S. and territorial politics in Canada, especially the tensions between the national government and the province of Quebec. In addition to the politics of race and territory, Boychuk sifts through the numerous factors shaping health policy, including national values, political culture and institutions, the power of special interests, and the impact of strategic choices made at critical junctures. Drawing on historical archives, oral histories, and public opinion data, he presents a nuanced and thoughtful analysis of the evolution of the two systems, compares them as they exist today, and reflects on how each is poised to meet the challenges of the future.

Medicare's Histories

Author : Esyllt W. Jones,James Hanley,Delia Gavrus
Publisher : Univ. of Manitoba Press
Page : 319 pages
File Size : 40,9 Mb
Release : 2022-05-27
Category : History
ISBN : 9780887552847

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Medicare's Histories by Esyllt W. Jones,James Hanley,Delia Gavrus Pdf

Medicare is arguably Canada’s most valued social program. As federally-supported medicare enters its second half-century, Medicare’s Histories brings together leading social and health historians to reflect on the origins and evolution of medicare and the missed opportunities characterizing its past and present. Embedding medicare in the diverse constituencies that have given it existence and meaning, contributors inquire into the strengths and weaknesses of publicly insured health care and critically examine medicare’s unfinished role in achieving greater health equity for all people in Canada regardless of race, status, gender, class, age, and ability. Fundamental to the stories told in Medicare’s Histories is the essential role played by communities ¬– of activists, critics, health professionals, First Nations, patients, families, and survivors – in driving demands for health reform, in identifying particular omissions and inequities exacerbated or even created by medicare, and in responding to the realities of medicare for those who work in and rely on it. Contributors to this volume show how medicare has been shaped by politics (in the broadest sense of that word), identities, professional organizations, and social movements in Canada and abroad. As COVID lays bare social inequities and the inadequacies of health care delivery and public health, this book shows what was excluded and what was – and is – possible in health care.

The Delegated Welfare State

Author : Kimberly J. Morgan,Andrea Louise Campbell
Publisher : Oxford University Press
Page : 328 pages
File Size : 42,7 Mb
Release : 2011-10-01
Category : Political Science
ISBN : 9780199875634

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The Delegated Welfare State by Kimberly J. Morgan,Andrea Louise Campbell Pdf

Why are so many American social programs delegated to private actors? And what are the consequences for efficiency, accountability, and the well-being of beneficiaries? The Delegated Welfare State examines the development of the American welfare state through the lens of delegation: how policymakers have avoided direct governmental provision of benefits and services, turning to non-state actors for the governance of social programs. Utilizing case studies of Medicare and the 2009-10 health care reform, Morgan and Campbell argue that the prevalence of delegated governance reflects the powerful role of interest groups in American politics, the dominance of Congress in social policymaking, and deep contradictions in American public opinion. Americans want both social programs and small government, leaving policy makers in a bind. Contracting out public programs to non-state actors masks the role of the state and enlists private allies who push for passage. Although delegated governance has been politically expedient, enabling the growth of government programs in an anti-government political climate, it raises questions about fraud, abuse, administrative effectiveness, and accountability. In probing both the causes and consequences of delegated governance, The Delegated Welfare State offers a novel interpretation of both American social welfare politics and the nature of the American state.