Nearly everyone agrees that the nation's health care system needs to be reformed. By mid-1994 over a half-dozen major reform plans were under consideration in Congress. But beyond the political challenge of passing a reform package lies an even bigger challenge--how to make health reform work! Critics of the Clinton plan have charged that it's too complex and doomed to administrative failure. Are they right? The nation's health care finance and delivery systems are already immensely complex and problem-ridden. Is it possible to achieve meaningful reforms without adopting new administrative strategies and structures that are equally complex? What role do the states now play in administering the nation's health care system? Is it possible to design administrative success into national health reform plans from the start? Produced in close consultation with state health care officials from all around the country, this important volume offers practical and timely recommendations for how to make health reform work. It addresses the central implementation, management, and federalism dimensions of reform. Chapters by some of the country's leading health policy and public management experts explore the administrative challenges of reform as they relate to health alliances, cost containment, quality of care, medical education and training, and other key issues. They discuss various working principles for developing an administratively sound health reform policy. The contributors are Lawrence D. Brown and Michael Sparer, Columbia University; Gerald Garvey, Princeton University; Donald F. Kettl, University of Wisconsin-Madison; James R. Tallon, United Hospital Fund; James W. Fossett and Frank J.Thompson, State University of New York, Albany.

Here is the most thorough study to date on the impact of Ronald Reagan's policies on the states, especially the outcomes of his well-known budget cuts. A treasure trove of information that will be essential for interpretations of the Reagan presidency. Originally published in 1987. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

Here is the most thorough study to date on the impact of Ronald Reagan's policies on the states, especially the outcomes of his well-known budget cuts. A treasure trove of information that will be essential for interpretations of the Reagan presidency.

Originally published in 1987.

The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These paperback editions preserve the original texts of these important books while presenting them in durable paperback editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

This is the f1rst report on a two-year study of the political and social impacts of the Community Development Block Grant program, which was established by Title I of the Housing and Community Development Act of 1974. It was prepared by Richard P. Nathan, Sarah F. Liebschutz and Milton D. Morris of the Brookings Institution and Paul R. Dommel of the College of the Holy Cross, based on research conducted by them and by thirty-four field research associates across the country, who served as observers of local community development programs.

Drawing on the history of state and local government in the New York Tri-State metropolitan region, the authors present a pathbreaking new theory about the values reformers must understand and balance in order to tackle the hard challenges of reforming and regionalizing local governance in the complex, dynamic world of American politics and public policy. Their examination of the way 2,179 local governments in the Tri-State region have evolved over more than a century pays special attention to New York City, but is applicable to other metropolitan areas. It brings to life ideas that are crucial to a subject that in the academic literature is often treated in a way that is abstract and hard to grasp. This is a valuable book for scholars, political leaders, and students interested in regionalism in metropolitan America and in the fascinating history and governance of the nations largest city and its vast metropolitan region.