POSC 343�Women - POSC 343Women Healthcare and...

Info icon This preview shows pages 1–5. Sign up to view the full content.

View Full Document Right Arrow Icon
POSC 343—Women, Healthcare, and Politics M. Palley http://www.udel.edu/poscir/faculty/mPalley/mpalley.html February 11, 2009 *At the present time, according to Commerce Dept, 15% of nations GDP is associated with health care *The largest spender of healthcare is Government! *In 2007 47% of total bill was healthcare—35% was private—12% out of pocket-7.1% other private *In 2007 est. cost of healthcare $2.246 Trillion *Children largest part of welfare system—African American unwed Mothers —largest part The Policy Process(I) 1) The Nature of decision making in the US a. Incrementalism i. Hard to change that is quick ii. Prevent radical change b. Complexity of System i. Multiple access points ii. Need 60 votes to block a filibuster iii. Cant filibuster in the house iv. Then conference v. Then back to houses to decide vi. Then President vii.Then regulations within bureaucracy 2) Frame Issues a. Uses of symbols—choice vs life b. Use Data 3) Role of normative Values February 13, 2009
Image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
The Policy Process(continued) Policy Initiation Problem definition Agenda Setting Policy Formulation-exec and judiciary Implementation— Federal’ State and Local Non-government Most law makers are non-elected Evaluation—complaince review—dauthorization—gov’t accountable II The actors Governmental— Non-governmenal: Insurance Doctors Clients Media Interest Groups Most research done at grassroots yet implementation takes place at top. February 16, 2009 History of Health Care system I. Historical Evolution —several perspectives—private institutions a. Doctors as independent businessmen b. Evolution of hospital system c. Evolution of government role in traditional non- governmental II. Some early developments a. Med training b. Private practice: ideology; lassaiz-faire, f
Image of page 2
II I. By 1920 health care services organized around IV. By 1945—Insurance a. Health ca February 20, 2009 History of Healthcare I. Medicare/Medicaid a. History b. Political Configuration—many AMA was opposed to Medicare—butunderstood the benefits and ran with it i. 1965 First government involvement with Health Care with medicare/Medicaid ii. 1947 Truman—supported some health insurance iii. 2/3 rd of American people supported national health insurance iv. Medicare= incremental step v. Hill Burton Act—support Building/hospitals vi. Kerr Mills Act-support the poor vii.Americans the strongest stakeholders viii. In 1950’s split ix. ANURSESA, AHA—in favor of medicare x. AMA-opposed to MEdicare xi. By 1960—population getting older—aging population begins to organize—more college graduates and education —living longer xii.Had an interesting Base of support xiii. Experts who were supporting healthcare for elderly xiv. By 1960’s—older=players xv.Became a campaign issue xvi. First televised debates 1. Nixon—social security
Image of page 3

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
2. Nixon Won-established Medicaid—took out kerr mills act 3. President responsible for was LB JOHNSON c. Health Conditions in US i. Prior to 1965—compared to industrialized world—horrific —infant mortality rates higher—death expectancy young ii.
Image of page 4
Image of page 5
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern