Health care in the United States at the end of the 20th century
occupies a completely different place in the economy, in the public
consciousness, and in its impact on government, than it did at the
beginning of the century, or even in the early years of the Clinton
Administration. Health care is now a multi-billion dollar industry;
one that consumes more than 15 percent of the nation's GNP.
Citizens now regard health care as essential to the quality of
their lives, and a steady stream of new medications and procedures
point to ways to extend the lives of our aging population and
restore those injured on or off the job. At the same time, the
changing patterns of health care have stirred a national debate
over the growth of managed care and the role that government can
play in providing solid health care standards--a medical safety
net--within tightening budgetary restraints. This book explores the
role of the federal government in health care policy development
from the years of the Founding Fathers to the present.
Kronenfeld reviews the key features of the American health care
system, its infrastructure, and federal legislative process and
outcomes in the health care arena. The current situation in health
care is examined, with particular attention given to the attempt at
major reform in the first Clinton administration, and to the modest
changes that were ultimately passed. She closes with an examination
of the future of health care and the role of government,
emphasizing how current health care issues and concerns may set the
stage for a changed federal role in funding and delivery of health
care services in the next century. This comprehensive examination
of the role of government in the health care system will be of
great interest to students and researchers of public policy and the
social aspects of American health care.
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