This text fills a void in social work literature by offering a comprehensive, in-depth overview of health and health policy. Health and Health Care Policy provides an overview of the development of health policy in the United States, with a particular focus on the failure to achieve universal coverage. It also discusses the role of private and public insurance and examines the uninsured populations. Finally, the book examines managed care in health and mental health and its impact on social work. Practitioners and policy advocates in the public health and health policy arena, social workers and health care providers.
Chapters conclude with “Highlights” and “References;” most also contain “Websites.”
I. NATIONAL HEALTH AND MENTAL HEALTH POLICY IN THE U.S.
1. Efforts to Establish National Health Insurance: 1865-1946.
The Welfare State in the U.S.
Early Efforts to Establish National Health and Mental Health Care Policy and Services: 1865-1912.
Efforts to Enact Compulsory Health Insurance: 1912-1920.
Federal-State Reforms and Private Insurance: 1920-1932.
The New Deal Reforms: 1932-1940.
Federal Health and Mental Health Policy and Services: 1941-1946.
2. The Emergence of Employment-Based Insurance and Managed Care: 1943-Present.
Political Opposition to National Health Insurance: 1943-1950.
The Defeat of National Health Care Legislation: 1943-1949.
The Political Battle to Enact Medicare: 1950-1965.
Health Care Inflation and Strategies for Reform:1970-1988.
The Creation and Role of Community Mental Health Centers: 1963-1992.
The Decline of Community Mental Health: 1980-1992.
The Rise and Fall of the Health Security Act: 1988-1996.
Aftermath of the Health Security Act.
II. THE U.S. HEALTH CARE SYSTEM TODAY.
3. Access to Care.
Health Insurance Coverage in the U.S.
The Uninsured Population in the U.S.
Health Insurance and Utilization of Services.
4. The Growth and Development of Managed Care.
The Health Maintenance Act (HMO) of 1973.
From HMOs to Managed Care.
From Managed Care to Managed Competition.
Managed Care Backlash.
Managed Care and Medicare.
Managed Care and Medicaid.
Managed Behavioral Health Care.
The Future of Managed Care.
5. Medicare and Medicaid.
Managed Care and Medicare.
Benefits and Financing.
III. AT-RISK AND UNDERSERVED POPULATIONS.
6. Disparities in Health: People of Color.
Measuring Health Disparities.
Asian Americans and Pacific Islanders.
Environmental Health Risks.
Racial Differences in the Delivery of Medical Care.
7. Disparities in Health: Gender and Age-Based Differences.
Women and Infants.
Children and Adolescents.
IV. FUTURE DIRECTIONS.
8. Inequality Is Bad for Your Health: A Framework for Health Policy.
What Is Health?
Determinants of Health.
The Biopsychosocial Perspective.
The Social Determinants of Health.
Implications for Health Policy and Social Work.
Glossary of Terms.