Since the passage in 1990 of the Americans with Disabilities
Act, society has made considerable strides in improving the quality
of life and the productivity of individuals with disabilities. At
the same time, however, the American health care system has
undergone considerable change, with some unforeseen consequences
for those with disabilities.
Birenbaum analyzes all of the disability and health policy
issues that have emerged from our reliance upon managed care.
First, he examines how disability has been defined and redefined in
social science and in government regulations. Then, he discusses
the major changes in health care over the last decade--in
particular, the financial and organizational principles behind
managed care. After reviewing the structural advantages and
disadvantages of managed care for people with disabilities, he
concludes with observations on the future of health care for people
with disabilities, particularly in the context of the quality of
life and the possible functional outcomes following medical
interventions.
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