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One of the most urgent issues facing the United States today is how to establish a comprehensive health insurance program at a time when nearly one in seven Americans lack insurance and costs for health care and medical fees are increasing at about 20 percent annually. An interdisciplinary team of experts provides a unique overview of the most important current problems and speaks to the key questions of risk, allocation, and equity. This text is designed for college, university, and professional courses in health and medical policy, public policy, public administration, law and society, bioethics, nursing, science and technology, and hospital administration.
This public policy study offers a general framework for assessing health insurance from many vantage points, in terms of health policy impacts, the care of the needy, health insurance implementation, and prevention and risk. Chapters assess various national health insurance proposals, current congressional action and Medicare decisions, the social impacts of health insurance policy, coverage for displaced workers, the uninsured and hospital care in the inner city, charity care and community benefits, insuring high-risk persons, preventive health care screening for older women, and medical malpractice insurance, among other subjects. These analyses with real-life examples provide a solid introduction to all who want to understand health insurance and public policy issues today.
List of contents
Introduction by Miriam K. Mills
Overview of Health Policy ImpactsNational Health Insurance: A Qualitative Assessment of Several Proposals by Robert W. Broyles, Bernard J. Reilly, and Walter J. Jones
Biting the Bullet? Post-1980 Congressional Processes and Medicare Decisions by Katherine A. Hinckley and Bette S. Hill
Evaluating the Social Impacts of Health Insurance Policy by Anona F. Armstrong
Provision of Care for Those in NeedFinancing Health Care Coverage for Displaced Workers by Roger S. Vaughan and Terry F. Buss
The Uninsured and Hospital Care in the Inner City: Patient Dumping, Emergency Care, and Public Policy by Mitchell F. Rice and Woodrow Jones
Does Mission Really Matter? Measuring and Examining Charity Care and Community Benefit in Nonprofit Hospitals by Susan M. Sanders
Health Insurance ImplementationFulfilling the Promise of Medicare by William Brandon
Health Policy Goals and Firm Performance: A Transaction Cost Analysis of The Arizona Medicaid Experiment by Carol K. Jacobson
Insuring Persons in High-Risk Categories by James Larson
The Codification of Compassion: Impact of DRGs on Hospital Performance by Miriam K. Mills
Prevention and RiskPreventive Health Care for Older Women: The Case of Breast Cancer Screening by Michelle A. Saint-Germain and Alice J. Longman
Who's Afraid of Being Sued: The Medical Malpractice Insurance Controversy by Edward J. Miller
Selected Bibliography
Indexes
About the author
MIRIAM K. MILLS is Professor of Organizational Science at The School of Industrial Management of the New Jersey Institute of Technology. Previously, she was the Director of Manpower and Labor Relations of Jersey City Medical Center, New Jersey. A frequent contributor to various journals, she has coauthored Evaluation Analysis with Microcomputers and coedited Biomedical Technology and Public Policy. Dr. Mills is also an arbitrator-mediator with the Federal Mediation and Conciliation Service and other labor panels.
Robert H. Blank is an Adjunct Professor at University of Canterbury, New Zealand, and Visiting Professor in Public Health at the National Taiwan University.
ROBERT H. BLANK is Professor of Political Science and Associate Director of the Program for Biosocial Research at Northern Illinois University. He is the author of many books, including, most recently, Biomedical Technology and Public Policy (Greenwood Press, 1989) and Regulating Reproduction (1990).
