Prologue | p. vii |
Series Page | p. ix |
Preface | p. xi |
Acknowledgments | p. xv |
About the Authors | p. xvii |
Overview of Policy and Law in the United States | |
Introduction: Understanding the Role of and Conceptualizing Health Policy and Law | p. 3 |
Introduction | p. 3 |
The Role of Policy and Law in Health Care and Public Health | p. 3 |
Conceptualizing Health Policy and Law | p. 5 |
Conclusion | p. 7 |
Policy and the Policymaking Process | p. 11 |
Introduction | p. 11 |
Defining Policy | p. 11 |
Public Policymaking Structure and Process | p. 13 |
The Health Bureaucracy | p. 23 |
Interest Groups | p. 28 |
Conclusion | p. 29 |
Law and the Legal System | p. 31 |
Introduction | p. 31 |
The Role of Law | p. 32 |
The Definition and Sources of Law | p. 32 |
Key Features of the Legal System | p. 35 |
Conclusion | p. 41 |
Essential Issues in Health Policy and Law | |
Understanding Health Insurance | p. 47 |
Introduction | p. 47 |
Health Insurance Coverage | p. 48 |
A Brief History of the Rise of Health Insurance in the United States | p. 48 |
How Health Insurance Operates | p. 50 |
Managed Care | p. 55 |
Conclusion | p. 61 |
Health Economics in a Health Policy Context | p. 63 |
Introduction | p. 63 |
Health Economics Defined | p. 64 |
Economic Basics: Demand | p. 67 |
Economic Basics: Supply | p. 71 |
Economic Basics: Markets | p. 73 |
Conclusion | p. 77 |
Government Health Insurance Programs: Medicaid, SCHIP, and Medicare | p. 79 |
Introduction | p. 79 |
Medicaid | p. 80 |
State Children's Health Insurance Program (SCHIP) | p. 92 |
Medicare | p. 94 |
Conclusion | p. 99 |
The Uninsured and Health Reform | p. 103 |
Introduction | p. 103 |
Characteristics of the Uninsured | p. 104 |
The Importance of Health Insurance Coverage to Health Status | p. 106 |
Ways to Count the Costs of Uninsurance | p. 107 |
Safety Net Providers | p. 108 |
The Difficulty of Reform in the United States | p. 109 |
Unsuccessful Attempts to Pass National Health Insurance Reform | p. 112 |
State Health Reform | p. 115 |
Conclusion | p. 116 |
Individual Rights in Health Care and Public Health | p. 131 |
Introduction | p. 131 |
Background | p. 132 |
Individual Rights and Health Care: A Global Perspective | p. 134 |
Individual Rights and the Health Care System | p. 134 |
Individual Rights in a Public Health Context | p. 144 |
Conclusion | p. 148 |
Health Care Quality Policy and Law | p. 151 |
Introduction | p. 151 |
Medical Errors as a Public Health Concern | p. 152 |
Promoting Health Care Quality Through the Standard of Care | p. 153 |
Tort Liability of Hospitals, Insurers, and Managed Care Organizations | p. 156 |
Federal Preemption of State Liability Laws Under the Employee Retirement Income Security Act (ERISA) | p. 159 |
Conclusion | p. 162 |
Basic Skills in Health Policy Analysis | |
The Art of Structuring and Writing a Health Policy Analysis | p. 167 |
Introduction | p. 167 |
Policy Analysis Overview | p. 167 |
Structuring a Policy Analysis | p. 169 |
Conclusion | p. 178 |
Index | p. 179 |
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