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Health Care for Some: Rights and Rationing in the United States since 1930
by Beatrix HoffmanIn Health Care for Some, Beatrix Hoffman offers an engaging and in-depth look at America’s long tradition of unequal access to health care. She argues that two main features have characterized the US health system: a refusal to adopt a right to care and a particularly American approach to the rationing of care. Health Care for Some shows that the haphazard way the US system allocates medical services—using income, race, region, insurance coverage, and many other factors—is a disorganized, illogical, and powerful form of rationing. And unlike rationing in most countries, which is intended to keep costs down, rationing in the United States has actually led to increased costs, resulting in the most expensive health care system in the world.While most histories of US health care emphasize failed policy reforms, Health Care for Some looks at the system from the ground up in order to examine how rationing is experienced by ordinary Americans and how experiences of rationing have led to claims for a right to health care. By taking this approach, Hoffman puts a much-needed human face on a topic that is too often dominated by talking heads.
Health Care in America: Separate and Unequal
by Mark E Rushefsky Kant PatelThe American health care system is a unique mix of public and private programs that critics argue has produced a two-tier system - one for the rich and the other for the poor - that delivers dramatically unequal care and leaves millions of Americans seriously underinsured or with no coverage at all. This book examines the root causes of the inequalities of the American health care system and discusses various policy alternatives. It systematically documents the demands on and the performance of our health care system for different population groups as defined on the basis of gender (women), age (children), race and ethnicity (African Americans, Hispanics, Native Americans), and residence in high poverty areas (rural and inner city locales).For each population, the book documents: historical and demographic profile, data on health status, aspects of inequality including access; quality of care; and endemic, cultural, and lifestyle issues affecting health; policies, laws, and programs relevant to health care; and, indicators of improvement or negative trends.
Health Care in Canada
by Katherine FierlbeckHealth Care in Canada examines the challenges faced by the Canadian health care system, a subject of much public debate. In this book Katherine Fierlbeck provides an in-depth discussion of how health care decisions are shaped by politics and why there is so much disagreement over how to fix the system.Many Canadians point to health care as a source of national pride; others are highly critical of the system's shortcomings and call for major reform. Yet meaningful debate cannot occur without an understanding of how the system actually operates. In this overview, Fierlbeck outlines the basic framework of the health care system with reference to specific areas such as administration and governance, public health, human resources, drugs and drug policy, and mental health. She also discusses alternative models in other countries such as Britain, the United States, and France. As health care becomes increasingly complex, it is crucial that Canadians have a solid grasp of the main issues within both the policy and political environments. With its balanced and accessible assessment of the main political and theoretical debates, Health Care in Canada is an essential guide for anyone with a stake in Canada's health system.
Health Care in Contexts of Risk, Uncertainty, and Hybridity (Military and Humanitarian Health Ethics)
by Daniel Messelken David WinklerThis book sheds light on various ethical challenges military and humanitarian health care personnel (HCP) face while working in adverse conditions. Contexts of armed conflict, hybrid wars or other forms of violence short of war, as well as natural disasters, all have in common that ordinary circumstances can no longer be taken for granted. Hence, the provision of health care has to adapt, for example, to a different level of risk, to scarce resources, or uncommon approaches due to external incentives or requirements. This affects the practice of health care as well as its ethics. This book offers a panoramic overview on various challenges healthcare faces in extraordinary situations and provides new insights from practitioners’ as well as from academic scholars’ perspectives.
Health Care in Malaysia: The Dynamics of Provision, Financing and Access (Routledge Malaysian Studies Series #Vol. 4)
by Chee Heng Leng Simon BarracloughThe health care system in Malaysia has undergone a fundamental transformation over the last two decades. This book examines this transformation and explores the pressing issues it faces today. It includes coverage of: the evolution of the system since independence, from the colonial legacy of national provision bequeathed from the British to the impact of the global ideological shift against statism in the 1980s considers the responses of the Malaysian state and government policy issues such as equity of provision, women's access to health care, HIV-AIDS health care, care for the elderly. The book offers a detailed examination of the changing face of health care in Malaysia, and its impact on Malaysian citizens, users and society.
Health Care in the Soviet Union and Eastern Europe (Routledge Library Editions: Soviet Society)
by Michael KaserHealth Care in the Soviet Union and Eastern Europe (1976) examines the systems of health care in the Communist countries of the Eastern Bloc. Many enjoyed comprehensive free health care, established with the Communist takeovers and transition to planned economies, as they moved from an agrarian to an industrialised system. This book traces their beginnings and development, and offers comparisons between each of them as well as with the West.
Health Colonialism: Urban Wastelands and Hospital Frontiers (Forerunners: Ideas First)
by Shiloh KruparThe role of American hospital expansions in health disparities and medical apartheidHealth Colonialism considers how U.S. urban development policies contribute to the uneven and unjust distribution of health care in this country. Here, Shiloh Krupar investigates the racially inequitable effects of elite U.S. hospitals on their surrounding neighborhoods and their role in consolidating frontiers of land primed for redevelopment. Naming this frontier &“medical brownfields,&” Krupar shows how hospitals leverage their domestic real estate empires to underwrite international prospecting for patients and overseas services and specialty clinics. Her pointed analysis reveals that decolonizing health care efforts must scrutinize the land practices of nonprofit medical institutions and the liberal foundations of medical apartheid perpetuated by globalizing American health care.
Health Communication: Strategies for Developing Global Health Programs (Health Communication #5)
by Arvind Singhal Gary L. Kreps Do Kyun KimPromotion of healthy behaviors and prevention of disease are inextricably linked to cultural understandings of health and well-being. Health communication scholarship and practice can substantially and strategically contribute to people living safer, healthier, and happier lives. <p><p>This book represents a concrete step in that direction by establishing a strategic framework for guiding global and local health practices.
Health Communism: A Surplus Manifesto
by Beatrice Adler-Bolton Artie VierkantA searing analysis of health and illness under capitalism from hosts of the hit podcast &“Death Panel&” In this fiery, theoretical tour-de-force, Beatrice Adler-Bolton and Artie Vierkant offer an overview of life and death under capitalism and argue for a new global left politics aimed at severing the ties between capital and one of its primary tools: health. Written by co-hosts of the hit &“Death Panel&” podcast and longtime disability justice and healthcare activists Adler-Bolton and Vierkant, Health Communism first examines how capital has instrumentalized health, disability, madness, and illness to create a class seen as &“surplus,&” regarded as a fiscal and social burden. Demarcating the healthy from the surplus, the worker from the &“unfit&” to work, the authors argue, serves not only to undermine solidarity but to mark whole populations for extraction by the industries that have emerged to manage and contain this &“surplus&” population. Health Communism then looks to the grave threat capital poses to global public health, and at the rare movements around the world that have successfully challenged the extractive economy of health. Ultimately, Adler-Bolton and Vierkant argue, we will not succeed in defeating capitalism until we sever health from capital. To do this will require a radical new politics of solidarity that centers the surplus, built on an understanding that we must not base the value of human life on one&’s willingness or ability to be productive within the current political economy. Capital, it turns out, only fears health.
Health Diplomacy in Africa: Trends, Challenges, and Perspectives (Studies in Diplomacy and International Relations)
by Humphrey Ngala Ndi Henry Ngenyam Bang Zebulon Suifon Takwa Anna Tasha MburThe purpose of this book is to project diplomacy as an unavoidable instrument for monitoring, prevention and control of health and disaster risks among African countries. The book advocates health cooperation in Africa at a time when pandemics are recurrent. Outside of the WHO, many countries, even within regional groupings have not actively pursued health cooperation. We intend this book to provide the basis for advocating the inclusion of health diplomacy in the curricula of the training of the African diplomat with the hope to stimulate gradual policy shifts in foreign ministries, regional groupings, and the African Union.
Health Governance in Europe: Issues, Challenges, and Theories (Routledge/ECPR Studies in European Political Science)
by Monika SteffenHealth constitutes a core element of welfare states and a vital nerve in the trust relation between citizen and their governments. Focusing on the health sector, this book analyzes the closely interwoven relationship between the European Union and Member States.The authors explore the dynamic and multi-fold process of de-nationalizing health policies and illustrate how European policies develop in a sector that still appears to be under exclusively national competence. They describe the multiple forms and ways the Europeanization process takes, driven by market integration, public health crises and politics of consumer protection. The authors also provide a detailed analysis of key topics: the pharmaceutical sector, market regulation of medical goods and devices, food safety, the blood provision and plasma industry, European politics on bioethics, and risk reduction in the field of drug abuse.Providing a comprehensive and informed assessment of the Europeanization process in the field of health policies, this book will be of interest to students and scholars of health, European integration and policy-making.
Health Inequity Experienced by Australian Paediatric Patients: Empirical Analyses of Case Reports
by Vicki Xafis Amireh Fakhouri Kathryn Currow Stephen Brancatisano Wendy Bryan-ClothierThis book provides rare insight into how real children/adolescents’ lives unfold as a result of health inequity. The authors present the findings of empirical research into the health and social circumstances of 61 Australian children/adolescents, as reported by healthcare professionals who attended to their medical needs, revealing how healthcare professionals deal with health inequity on the ground. Profound inequities in the health and wellbeing of children/adolescents worldwide have been the focus of intense research for decades. The extent to which children/adolescents’ health and wellbeing is impacted by violence, poverty, their inability to access integrated healthcare services, parental and adolescent substance abuse, unemployment, poor living conditions, poor nutrition, a fractured social support network, disrupted education, and lack of transportation, is widely recognized. While essential, statistical analyses alone cannot reveal the faces of those experiencing health inequity. This work highlights the need for urgent coordinated action to address health inequity so that children and young people have a chance to lead a full life in good health. It is relevant to researchers and practitioners whose work relates to improving children and young people’s lives.“This book should be required reading for those who influence policies developed by all the sectors mentioned above and their funding and administrative bodies – and politicians in particular” (Anonymous Reviewer).
Health Innovation and Social Justice in Brazil
by Maurice Cassier Marilena CorreaThis book examines the construction of an innovation system in Brazil’s health industries over the past twenty years. The authors argue that the system has remained active despite the crisis that began in 2014. However, while this crisis has led to cuts in public spending on research and health, it has simultaneously tended to stimulate local production and invention aimed at reducing deficits in the trade in medicines and medical technologies. The contributors highlight a model combining the acquisition of new technologies with social justice and the right to health, and introduce new concepts of the “nationalization” of technologies, innovation through copying and civil society regulation of industrial property and of the medicinal drug market.
Health Insurance and Canadian Public Policy
by Allan Maslove Malcolm G. TaylorIn 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.
Health Insurance and Canadian Public Policy: The Seven Decisions That Created the Health Insurance System and Their Outcomes (Carleton Library Series #213)
by Allan Maslove Malcolm G. TaylorIn 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.
Health Justice Now: Single Payer and What Comes Next
by Timothy FaustSingle payer is the tool—health justice is the goal! Single payer healthcare is not complicated: the government pays for all care for all people. It’s cheaper than our current model, and most Americans (and their doctors) already want it. So what’s the deal with our current healthcare system, and why don’t we have something better? <P><P>In Health Justice Now, Timothy Faust explains what single payer is, why we don’t yet have it, and how it can be won. He identifies the actors that have misled us for profit and political gain, dispels the myth that healthcare needs to be personally expensive, shows how we can smoothly transition to a new model, and reveals the slate of humane and progressive reforms that we can only achieve with single payer as the springboard. <P><P>In this impassioned playbook, Faust inspires us to believe in a world where we could leave our job without losing healthcare for ourselves and our kids; where affordable housing is healthcare; and where social justice links arm-in-arm with health justice for us all.
Health Justice in India: Citizenship, Power and Health Care Jurisprudence
by Edward Premdas PintoThis book presents important fields of research in public healthcare in India from an interdisciplinary and health systems perspectives. Discussing how the exchange of power between the health justice triad, viz., the State (judiciary as the arm of the State), legal and medical professions, and civil society, cumulatively shapes the outcomes of health justice for citizens, it provides insights into India’s juridico-legal processes and of seeking justice in healthcare. It critically assesses civil society’s counter-hegemonic role in bolstering justice in health care and examines the potential of transforming health care jurisprudence into health justice. Repositioning the social right to healthcare as integral to social citizenship and social justice, and opening avenues for inter-professional and interdisciplinary power discourse in public health policy research, the book is of interest to academics, practitioners, students, researchers, and the wide academic community working in public health care issues broadly.
Health Norms and the Governance of Global Development: The Invention of Global Health
by Pieter Fourie Anders GranmoThis book maps the emergence of health in global development discourse and governance since 1990. It argues that health norms have emerged, diffused, and subsequently become internalised through the various direct and indirect negotiation processes that created the global development goals. Covid-19, Ebola, and HIV/AIDS are prime illustrations of the fact that health is supremely political. Governments – whether they are local, national, international, or multilateral – make decisions about their policy responses, coordinate their response, and channel the necessary resources. Such decisions are informed by local and global conditions as well as sets of values, norms, and standards that determine policy and interventions. As states and regions become more interconnected, the politics of health are increasingly relevant to the sustainable future envisioned by global governance. This book explains how considerations of global health have come to inform and infuse the United Nations development agenda. It identifies processes, actors, institutions, and interactions in global health by analysing two related case studies: the Millennium Development Goals and the Sustainable Development Goals. Providing an overview of, and insights about, the context of global development thinking and practice, the subtleties of global health, and global health governance, this book is an innovative contribution to the literature. It is suitable for students and scholars of global health, development studies, and international relations.
Health Policy and the Disadvantaged
by Lawrence D. BrownThis important collection of essays, originating in a 1989 conference on the disadvantaged in American health care, provides incisive commentary on U.S. health care policy and politics. Examining public responses to health crises and analyzing the political logic of the American community, this volume charts the immobility of U.S. health policy in recent years and points to its disastrous consequences for the 1990s.Focusing on the particular needs of disadvantaged groups--the elderly, children, people with AIDS, the mentally ill, the chemically dependent, the homeless, the hungry, the medically uninsured--these essays develop strong policy statements. The authors describe the growth in U.S. health care programs, from Kerr-Mills to Medicare, Medicaid, and subsequent revisions, and stress the serious omissions resulting from incremental policy expansion, both in identifying disadvantaged groups and in implementing programs. They report the weakness of the U.S. health care system compared to systems of other technologically developed countries.Contributors. Deborah A. Stone and Theodore R. Marmor, Judith Feder, Alice Sardell, Bruce C. Vladeck, Michael Lipsky and Marc A. Thibodeau, Daniel M. Fox, William E. McAuliffe, M. Gregg Bloche and Francine Cournos, Lawrence D. Brown, James A. Morrone
Health Policy in Asia: A Policy Design Approach (Cambridge Studies in Comparative Public Policy)
by M. Ramesh Azad S. BaliThe book assesses the policy actions of select Asian governments (China, India, Hong Kong, South Korea, Singapore and Thailand) to address critical health system functions from a policy design perspective. The findings show that all governments in the region have made tremendous strides in focussing their attention on the core issues and, especially, the interactions among them. However, there is still insufficient appreciation of the usefulness of public hospitals and their efficient management. Similarly, some governments have not made sufficient efforts to establish an effective regulatory framework which is especially vital in systems with a large share of private providers and payers. A well-run public hospital system and an effective framework for regulating private providers are essential tools to support the governance, financing, and payment reforms underway in the six health systems studied in this book.
Health Policy/spec Sale/avail Hard Only
by Antonio FurinoExploring the many dimensions of Hispanic health issues, this book updates interested readers with recent information and offers a view of the depth, scope, and complementarity of the challenges of providing adequate health care. Accordingly, the book is organized in four sections addressing, first, the conceptual, institutional, and policy element
Health Policy: Critical and Comparative Perspectives
by Iain CrinsonThis important new textbook provides comparative and critical analysis of health care policy from high-income countries in Europe to low-income developing countries in the Global South.It integrates conceptual themes drawn from the fields of sociology, policy analysis, and political science to offer a unique combination of theory, historical background, and wider social commentary. The book is divided into three sections: Section I establishes the conceptual basis for the analysis of the health policymaking process, including implementation. Section II provides an introduction to the key elements of conducting a comparative health system’s analysis, including chapters that provide examples of performance analysis in both high- and low-income developing countries. Section III examines key challenges now facing health policy-makers that include long-term social care provision, widening the scope of public health to address social inequalities in health outcome, the integration of genomic medicine within a health care system, and the establishment of an effective national pharmaceutical policy. Each chapter includes case studies, historical-institutional contexts, and summaries of key health policies. Detailed and clearly written, it is the ideal text for health and social science students in this expanding area of analysis.
Health Reform without Side Effects: Making Markets Work for Individual Health Insurance
by Mark V. PaulyMark V. Pauly offers a detailed look at the individual insurance market in the United States. He explains how it works, suggests approaches to improvement that build on what currently works well, and provides a realistic assessment of how much improvement we can demand and expect. He concludes that, although there are some serious deficiencies in today's individual insurance market, there are also some important advantages in this market that should be preserved.
Health Reforms in Post-Communist Eastern Europe: The Politics of Policy Learning
by Tamara PopicThis book provides the first in-depth study of healthcare reforms in post-communist Eastern Europe. Combining insights from comparative politics and public policy analysis, it examines health reforms in Slovenia, the Czech Republic, and Poland between 1989 and 2019. The book argues that the post-communist transformation of healthcare policy has entailed a process of policy learning, and that the countries' reform pathways were shaped by a series of initiatives aimed at applying market-oriented policy ideas in healthcare. The success of these initiatives has been influenced by three factors: policy legacies, political competition, and institutional configurations. The book offers a novel comparison of health reform in the region and policy changes more generally. It will appeal to scholars and students of public policy, health policy, and European politics.
Health Research Governance in Africa: Law, Ethics, and Regulation (Biomedical Law and Ethics Library)
by Cheluchi Onyemelukwe-OnuobiaThe globalisation of research has resulted in the increased location of research involving humans in developing countries. Countries in Africa, along with China and India, have seen research grow significantly. With emerging infectious diseases, such as Ebola and Zika, emphasising the risk of public health crises throughout the world, a further increase in health research, including clinical research in developing countries, which are often the sites of these diseases, becomes inevitable. This growth raises questions about domestic regulation and the governance of health research. This book presents a comprehensive and systemic view of the regulation of research involving humans in African countries. It employs case studies from four countries in which research activities continue to rise, and which have taken steps to regulate health research activity: South Africa, Nigeria, Kenya, and Egypt. The book examines the historical and political contexts of these governance efforts. It describes the research context, some of the research taking place, and the current challenges. It also looks at the governance mechanisms, ranging from domestic ethical guidelines to legal frameworks, the strengthening of existing regulatory agencies to the role of professional regulatory bodies. The book analyses the adequacy of current governance arrangements within African countries, and puts forward recommendations to improve the emerging governance systems for health research in African and other developing countries. It book will be a valuable resource for academics, researchers, practitioners and policy-makers working in the areas of health research, biomedical ethics, health law and regulation in developing countries.