The chapter on financing is strong, with an excellent second chapter that reviews the history and evolution of health-care delivery in the United States. Electronic versions of the books were found automatically and may be incorrect wrong. Health care reform has dominated public discourse over the past several years, and the recent passage of the Affordable Care Act, rather than quell the rhetoric, has sparked even more debate. Perhaps the third edition of the book will cover this issue in greater depth or, even better, be able to provide an analysis of successful future health care reforms. He discusses specific elements of U. Pressure on Member States is expected to increase to contain costs and promote market-based health care provision.
Barr, who is trained both as a physician and a sociologist and holds an appointment as an Associate Professor of Sociology and Human Biology at Stanford University, has provided a balanced and inclusive introduction to the way health care is organized, financed, and delivered in the United States. This chapter documents the unusually dominant role physicians and the American Medical Association have played in shaping the character of the medical system. Although other developed countries also face the pressure of rising health care costs, primarily from covering the cost of new and more expensive technologies and pharmaceuticals and meeting the health care needs of aging populations, the U. The chapter provides data about the costs of healthcare, and the burdens that these increases impose on both the public and the private sectors. Disturbingly, the absence of health care insurance falls disproportionately on vulnerable groups, specifically low-income Americans and ethnic minorities, particularly blacks, Hispanics, and native Americans.
Chapter 8 focuses on pharmaceutical policy and the rising cost of prescription drugs examining the way the U. The thoroughly updated edition of this widely adopted text focuses on the Affordable Care Act. Notably, even organizations like the American Medical Association and major corporations, which once ardently opposed comprehensive health care reform, are advocating for major structural changes in the U. With the introduction of Medicare and Medicaid in 1965, a meteoric growth of the health-care delivery system called the medical industrial complex occurred by improving access to care for the elderly and poor. Medicaid is a state-operated program that is financed through cost sharing by the federal and state government. He discusses specific elements of U.
Long-term care is the subject of chapter 9. In addition, Barr points out that the U. 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. How long will the file be downloaded? This comprehensive analysis introduces the various organizations and institutions that make the U. It emphasizes the impact of costs on individuals, families, and employers. Barr has provided a balanced introduction to the way health care is organized, financed, and delivered in the United States. Health care reform has been a dominant theme in public discourse for decades now.
The book can also appropriately serve as a basic text for a health policy course or in the medical or nursing school curriculum. Barr introduces readers to broad cultural issues surrounding health care policy, such as access, affordability, and quality. Additionally, the article identifies factors and policies that can mitigate or exacerbate the impact of private health services on the realization of the right to health. In addition, the so-called open method of coordination, representing a new mode of regulation within the European multi-level system, is applied increasingly to the health policy area. The thirteen chapters of the book are quite comprehensive in the topics they cover. In addition, Canadian political culture recognizes the need for limits in health care expenditures and accepts the appropriateness of the system allocating scarce health care resources to those in greatest need, measured in terms of the risk to their life or health. His analysis clearly underscores that the current U.
A principal message of the book is the seeming paradox of the quality of health care in this country—on the one hand it is the best medical care system in the world, on the other it is one of the worst among developed countries because of how it is organized. The two most important reasons for higher U. Health care reform has once again emerged as a priority domestic policy issues at the national level, and it is likely to play an important role in the forthcoming U. Nevertheless, he offers a superficial discussion of the options. Even those knowledgeable about the U. Background and Objectives: Informal payment in the health settings is a significant challenge facing the health system with consequences such as inequity in access to healthcare services, distrust to health care system, and dissatisfied customers. Health care reform has dominated public discourse over the past several years, and the recent passage of the Affordable Care Act, rather than quell the rhetoric, has sparked even more debate.
One particularly insightful section of this chapter examines how fundamental cultural and value differences and between the U. A principal message of the book is the seeming paradox of the quality of health care in this country-on the one hand it is the best medical care system in the world, on the other it is one of the worst among developed countries because of how it is organized. The passage of the Affordable Care Act was a major milestone, but rather than quell the rhetoric, it has sparked even more heated debate. Even those knowledgeable about the U. Several trends account for much of the current momentum toward health care reform.
Introductory Works Familiarity with the structure of the health-care delivery system, health policy, health economics, and financing mechanisms is essential to effective participation in shaping health policy. He discusses specific elements of U. Accordingly, this study aimed at providing information on the frequency of informal payment in teaching hospitals and exploring the factors influencing this phenomenon. It provides a balanced assessment both of market-based ideologies as well as more-universal approaches that emphasize equal access to care. This is an important issue, especially in light of the multiple past attempts to reform the U. Health Policy: The Organization, Financing, and Delivery of Health Care in America second edition, 2007 offers a lucid and informative overview of the U. Barr shows that there are simply too many areas of potential crisis and financial instability for the system to survive without substantial reform.