Health Policy

by Rosenthal, Marilynn M.; Heirich, Max

• ISBN13: 9780813390239
• ISBN10: 0813390230
• Format: Hardcover
• Copyright: 1998-02-26
• Publisher: Westview Pr

Summary

Health Policyprovides a rare glimpse into the frank exchanges that occur between proponents of quite different solutions to the dilemma of health care reform.During a critical period in U.S. health policy formation, from 1994 to 1996, advisors to the White House and members of Congress, economists, and health policy experts of varying political outlooks met together under the auspices of the University of Michigan's FORUM on Health Policy. Their proposals were critiqued by leading scholars and health care experts from across the country. These discussions, which took place during the rewriting the Health Security Act proposed by the Clinton administration and the Republican takeover of Congress, shed new light on the nature of health care reform, the nature of the political process, and the realistic choices that now lie before us.

Author Biography

Marilynn M. Rosenthal is professor of sociology and coordinator of the FORUM on Health Policy at the University of Michigan at Ann Arbor, where Max Heirich is associate professor of sociology and director of the Worker Health Program. Marilynn M. Rosenthal is professor of sociology and coordinator of the FORUM on Health Policy at the University of Michigan at Ann Arbor, where Max Heirich is associate professor of sociology and director of the Worker Health Program.

Table of Contents

Introduction: Understanding Our Choices	1	(12)
Max Heirich
Section One: How Can We Solve the Problem of Getting Affordable Health Care to the Entire American Public?	13	(92)
Introduction	13	(4)
Max Heirich
Part One: The Alternate Positions and Their Critics	17	(42)
1. Next Steps Toward Health Policy Reform: A Conservative Approach	17	(6)
William A. Niskanen
2. The Case for a Single-Payer Approach: A Liberal Voice	23	(10)
Jim McDermott
3. Managed Competition as a Route to Markets That Serve Public Needs: A View from Near the White House	33	(12)
Len M. Nichols
4. Health Reform: What Will It Take To Pass? A Moderate Conservative Stance	45	(14)
Gail R. Wilensky
Part Two: Cost Containment: What's Working? What Isn't? Why?	59	(22)
5. Is Managed Care Working? The Payer Perspective	59	(4)
Howard Bailit
6. Is the Health Care Cost Problem Solved?	63	(6)
Karen Davis
7. Managed Competition: Helping Hand for the Invisible Hand--How the Clinton Plan Would Use This Strategy	69	(6)
Richard Kronick
8. Who's Afraid of Health Care Spending Growth?	75	(6)
Mark V. Pauly
Part Three: Projecting Likely Economic Consequences of Planned Changes in Health Care: Strategies and Problems	81	(24)
9. Health Care Reform Projections and the Line Between Fact and Fiction	81	(6)
Tami Mark
10. Paying for Health Care Reform: Alternative Financial Models Compared	87	(12)
John F. Sheils
11. Financial Access to Health Care	99	(6)
Katherine Swartz
Section Two: Constraints on Choice: The Deepest Concerns of Interest Groups and the Public at Large	105	(64)
Introduction	105	(4)
Richard Lichtenstein
Part One: The Public and Health Reform Public Opinion Polls	109	(18)
12. Public Opinion on the Clinton Health Care Plan	109	(6)
Karlyn H. Bowman
13. Health Care: The Limits of Polling	115	(6)
Kathleen A. Frankovic
14. First Impressions and Second Thoughts: Public Perceptions of Health Care Reform	121	(6)
John Immerwahr
Part Two: Interest Groups' Concerns with Health Care Reform	127	(42)
Professions	127	(6)
15. American Medical Association and Michigan State Medical Society	127	(2)
Louis Zako
16. American Public Health Association	129	(2)
Eugene Feingold
17. Health Care Reform: What Do We Do Now?	131	(2)
Carol Franck
Business	133	(10)
18. Health Industry Manufacturers Association Position on Health Care Reform	133	(2)
G. Gregory Raab
19. Health Care and the U.S. Auto Industry	135	(4)
Charles T. Pryde
20. Small Business Association of Michigan Position on Health Care	139	(4)
Gary Baker
Health Care Systems Providers	143	(16)
21. The Federation of Health Systems	143	(6)
Michael D. Bromberg
22. Suggested Standards for Insurers	149	(4)
Julie Goon
23. A Vision Renewed: Health Care Security	153	(6)
Health Insurance Association of America
Insurers	159	(4)
24. Getting Inside Health Care Interest Groups	159	(2)
Robert Asmussen
25. Blue Cross Blue Shield of Michigan Foundation	161	(2)
Ira Strumwasser
Labor	163	(6)
26. Health Care in America: A Time for Change	163	(6)
William Hoffman
Section Three: Constraints on Choice: The Legislative Process--Views from the Inside	169	(68)
Introduction	169	(2)
Marilynn M. Rosenthal
Part One: How the Executive Branch Positions Itself for Health Care Reform	171	(18)
27. President Clinton's Evolving Ideas on Health Care Reform: In His Own Words	171	(12)
Anand Parekh
28. The Politics of Health Policy Reform: An Inside View from the Clinton Administration	183	(6)
Judith Feder
Part Two: How Congress Works	189	(48)
103rd and 104th Congresses	189	(48)
29. Political Strategies in the Long Run: Decades of Efforts at Health Care Reform	189	(8)
An Interview with John Dingell
30. Inside the Senate Finance Committee	197	(8)
An Interview with Katherine Hayes
31. The Politics of Health Care Reform	205	(6)
Julie Kosterlitz
32. The Politics of Comprehensive Health Care Reform: Watching the 103rd and 104th Congresses at Work	211	(26)
Sallyanne Payton
Section Four: Change Without Legislation: The Managed Care Revolution	237	(78)
Introduction	237	(4)
John E. Billi
Part One: Managed Care: Its Permutations, Its Quality, Its Ethics, Its Costs, Its Politics	241	(74)
The Vision for the Future	241	(6)
33. Some Thoughts About Managed Care	241	(6)
An Interview with Gail L. Warden
Issues	247	(20)
34. The Politics of Managed Care: The Regulatory Issues from the American Medical Association Perspective	247	(4)
Thomas R. Reardon
35. Ford Motor Company's Perspective on Managed Care	251	(4)
Charles T. Pryde
36. Will Managed Care End the Need for Managed Competition?	255	(6)
Richard Kronick
Max Heirich
37. Managed Care: The Legal Viewpoint	261	(6)
Sallyanne Payton
Research	267	(22)
38. Managed Care: Reform without Legislation	267	(10)
Jon R. Gabel
39. How Well Does Managed Care Control Costs?	277	(6)
Marsha Gold
40. Managed Care: Stages of Development	283	(6)
John E. Billi
How Does This Affect the Patient?	289	(26)
41. The Ethics of Incentives in Managed Care	289	(12)
E. Haavi Morreim
42. Managed Care and Quality Assurance	301	(4)
Tom Simmer
43. Provider Perspectives in Managed Care	305	(10)
Macdonald Dick
Tom Carli
Duane Kirking
Section Five: The Realities of Health Care Reform: Positions, Publics, Processes and, Of Course, Power	315
Marilynn M. Rosenthal