Health care reform has been a dominant theme in public discourse for decades now. The passage of the Affordable Care Act was a major milestone, but rather than quell the rhetoric, it has sparked even more heated debate. In the latest edition of Introduction to US Health Policy, Donald A. Barr reviews the current structure of the American health care system, describing the historical and political contexts in which it developed and the core policy issues that continue to confront us today.
Barr's comprehensive analysis explores the various organizations and institutions that make the US health care system workor fail to work. He describes in detail the paradox of US health caresimultaneously the best in the world and one of the worst among developed countrieswhile introducing readers to broad cultural issues surrounding health care policy, such as access, affordability, and quality. Barr also discusses specific elements of US health care with depth and nuance, including insurance, especially Medicare and Medicaid. He scrutinizes the shift to for-profit managed care while analyzing the pharmaceutical industry, issues surrounding long-term care, the plight of the uninsured, the prevalence of medical errors, and the troublesome issue of nursing shortages.
The thoroughly updated edition of this widely adopted text focuses on the Affordable Care Act. It explains the steps taken to carry out the Act, the changes to the Act based on recent Supreme Court decisions, the success of the Act in achieving the combined goals of improved access to care and constraining the costs of care, and the continuing political controversy regarding its future. Drawing on an extensive range of resources, including government reports, scholarly publications, and analyses from a range of private organizations, Introduction to US Health Policy provides scholars, policymakers, and health care providers with a comprehensive platform of ideas that is key to understanding and influencing the changes in the US health care system.
Preface 1 The Affordable Care Act and the Politics of Health Care Reform 2 Health, Health Care, and the Market Economy 3 Health Care as a Reflection of Underlying Cultural Values and Institutions 4 The Health Professions and the Organization of Health Care 5 Health Insurance, HMOs, and the Managed Care Revolution 6 Medicare 7 Medicaid and the State Children's Health Insurance Program 8 The Uninsured 9 The Increasing Role of For-Profit Health Care 10 Pharmaceutical Policy and the Rising Cost of Prescription Drugs 11 Long-Term Care 12 Factors Other Than Health Insurance That Impede Access to Health Care 13 Key Policy Issues Impacting Direction of Health Care Reform 14 Epilogue/Prologue to Health Care Reform in America Appendix: Summary of the Changes Contained in the Affordable Care Act On-Line Data Sources References Index
