Expanded and updated, this is a new edition of an essential look at the history, structure, successes, and problems of the US health care system. The United States spends more on health care than any other country in the world. Yet the health of our society and our access to care are worse than in nearly all our peer countries. In the latest edition of Introduction to US Health Policy, Donald A. Barr reviews the structure of the American health care system and explores the various organizations and institutions that make the US health care system work-or fail to work. The book introduces readers to cultural issues surrounding health care policy-such as access, affordability, and quality-and specific elements of US health care, such as insurance programs like Medicare and Medicaid. It scrutinizes the shift to for-profit care while analyzing the pharmaceutical industry, issues surrounding long-term care, the plight of the uninsured, and nursing shortages. This new edition features expanded and updated information on: * The 2010 passage of the Affordable Care Act (ACA), its role in insuring millions of Americans, and Republican efforts to weaken or repeal it * COVID-19's widespread impacts on the US health care system, including the expansion of telehealth services * Differences between Medicaid and Medicare plans and changes to these services in the twenty-first century * Laws affecting US health care, including the Coronavirus Aid, Relief, and Economic Securities Act, the No Surprises Act, the Tax Cuts and Jobs Act, and the Inflation Reduction Act
Donald A. Barr, MD, PhD, is professor emeritus at Stanford University in the Department of Pediatrics. He is the author of Health Disparities in the United States: Social Class, Race, Ethnicity, and the Social Determinants of Health; Introduction to Biosocial Medicine: The Social, Psychological, and Biological Determinants of Human Behavior and Well-Being; and Crossing the American Health Care Chasm: Finding the Path to Bipartisan Collaboration in National Health Care Policy.
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 Affecting the Direction of Health Care Reform 14. Epilogue/Prologue to Health Care Reform in America References Index
Expanded and updated, this is a new edition of an essential look at the history, structure, successes, and problems of the US health care system.
A lucid and informative overview of the US health system and the dilemmas policy makers currently face . . . Even those knowledgeable about the US health care system are likely to find much to stimulate their thinking. --Philosophy, Ethics, and Humanities in Medicine An excellent analysis and comprehensive study of the US health-care system. --Choice An important part of the literature examining health care delivery systems. Now in its fourth edition, it continues to be one of the most comprehensive and insightful works focusing on achieving equitable health care for all. --Journal of Health Care for the Poor and Underserved Excellent starting point for exploring the complexities of US healthcare. --Future Survey This book stands out for its emphasis on the historical roots of modern health care institutions . . . Barr's new book has much to recommend it. --JAMA
