An essential text for courses in public health, health policy, and sociology, this compelling book is a vital teaching tool and a comprehensive reference for social science and medical professionals.
The fourth edition of the essential guide to the contemporary US health care system. Winner of the CHOICE Outstanding Academic Title of the Choice ACRL Health care reform has been a dominant theme in public discourse for decades now. The passage of the Affordable Care Act was a major milestone, but rather than quell the rhetoric, it has sparked even more heated debate. In the latest edition of Introduction to US Health Policy, Donald A. 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. Barr’s comprehensive analysis explores the various organizations and institutions that make the US health care system work—or fail to work. He describes in detail the paradox of US health care—simultaneously the best in the world and one of the worst among developed countries—while introducing readers to broad cultural issues surrounding health care policy, such as access, affordability, and quality. Barr also discusses specific elements of US health care with depth and nuance, including insurance, especially Medicare and Medicaid. He scrutinizes the shift to for-profit managed care while analyzing the pharmaceutical industry, issues surrounding long-term care, the plight of the uninsured, the prevalence of medical errors, and the troublesome issue of nursing shortages. The thoroughly updated edition of this widely adopted text focuses on the Affordable Care Act. It explains the steps taken to carry out the Act, the changes to the Act based on recent Supreme Court decisions, the success of the Act in achieving the combined goals of improved access to care and constraining the costs of care, and the continuing political controversy regarding its future. Drawing on an extensive range of resources, including government reports, scholarly publications, and analyses from a range of private organizations, Introduction to US Health Policy provides scholars, policymakers, and health care providers with a comprehensive platform of ideas that is key to understanding and influencing the changes in the US health care system.
Why is there such a deep partisan division within the United States regarding how health care should be organized and financed—and how can we encourage politicians to band together again for the good of everyone? For decades, Democratic and Republican political leaders have disagreed about the fundamental goals of American health policy. The modern-day consequences of this disagreement—particularly in the Republicans' campaign to erode the coverage and equity gains of the Affordable Care Act—can be seen in the tragic and disparate impact of COVID-19 on the country. In Crossing the American Health Care Chasm, Donald A. Barr, MD, PhD, details the breakdown in political relations in the United States. Why, he asks, has health policy—which used to be a place where the two sides could find common ground—become the nexus of fiery political conflict? From Harry S. Truman's failed attempt to enact a plan for national health insurance to the recent efforts of President Donald J. Trump, Barr's historical analysis also touches on every presidential administration in between. Tracing the bipartisanship that developed over the four decades following the passage of Medicare and Medicaid in 1965, Barr explains why this spirit of cooperation has given way to such a seemingly unbridgeable ideological chasm. Exploring how political conflict affects health care organization, financing, and delivery, Barr also offers a detailed analysis of the multiple attempts on the part of congressional Republicans and the Trump administration either to weaken or to repeal the ACA. Crossing the American Health Care Chasm offers a series of steps that policy makers can take to improve the national health care situation and provide a basis for ongoing bipartisanship as we continue to confront the policy challenges facing our country. Ultimately, Barr argues, this divide is more dangerous than ever at a time when health care costs continue to skyrocket, the number of uninsured Americans is rising, many state governments are chipping away at Medicaid, and the GOP has not let up in its efforts to dismantle the ACA. This book will be of profound interest both to those responsible for carrying out national health care policy and to those who study health policy from an academic perspective.
What factors lead to health disparities: race, socioeconomic status, or both? Outstanding Academic Title, Choice magazine The health care system in the United States has been called the best in the world. Yet wide health disparities persist between different social groups, and many Americans suffer from poorer health than people in other developed countries. Donald A. Barr's Health Disparities in the United States explores how socioeconomic status, race, and ethnicity interact with socioeconomic inequality to create and perpetuate these health disparities. Examining the significance of this gulf for the medical community, cultural subsets, and society at large, Barr offers potential policy- and physician-based solutions for reducing health inequity in the long term. This popular course book, which has been fully updated, now incorporates significant new material, including a chapter on the profound effects of inequality on child development, behavioral choices, and adult health status. An essential text for courses in public health, health policy, and sociology, the second edition analyzes the complex web of social forces that influence health outcomes in the United States. This book is a vital teaching tool and a comprehensive reference for social science and medical professionals.
This book traces the deepening divide over national health care policy that the United States has experienced since the enactment of the Affordable Care Act in 2010. Using examples from previous eras of major national health care reform, the author describes steps that policy makers can take to reestablish the bipartisan collaboration that enables meaningful reform"--
The fourth edition of the essential guide to the contemporary US health care system. Winner of the CHOICE Outstanding Academic Title of the Choice ACRL Health care reform has been a dominant theme in public discourse for decades now. The passage of the Affordable Care Act was a major milestone, but rather than quell the rhetoric, it has sparked even more heated debate. In the latest edition of Introduction to US Health Policy, Donald A. 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. Barr’s comprehensive analysis explores the various organizations and institutions that make the US health care system work—or fail to work. He describes in detail the paradox of US health care—simultaneously the best in the world and one of the worst among developed countries—while introducing readers to broad cultural issues surrounding health care policy, such as access, affordability, and quality. Barr also discusses specific elements of US health care with depth and nuance, including insurance, especially Medicare and Medicaid. He scrutinizes the shift to for-profit managed care while analyzing the pharmaceutical industry, issues surrounding long-term care, the plight of the uninsured, the prevalence of medical errors, and the troublesome issue of nursing shortages. The thoroughly updated edition of this widely adopted text focuses on the Affordable Care Act. It explains the steps taken to carry out the Act, the changes to the Act based on recent Supreme Court decisions, the success of the Act in achieving the combined goals of improved access to care and constraining the costs of care, and the continuing political controversy regarding its future. Drawing on an extensive range of resources, including government reports, scholarly publications, and analyses from a range of private organizations, Introduction to US Health Policy provides scholars, policymakers, and health care providers with a comprehensive platform of ideas that is key to understanding and influencing the changes in the US health care system.
One hundred years ago, Abraham Flexners report on Medical Education in the United States and Canada helped establish the modern paradigm of premedical and medical education. Barr's research finds the system of premedical education that evolved to be a poor predictor of subsequent clinical competency and professional excellence, while simultaneously discouraging many students from under represented minority groups or economically disadvantaged backgrounds from pursuing a career as a physician. Analyzing more than fiftyyears of research, Barr shows that many of the best prospects are not being admitted to medical schools. with long-term adverse consequences for the U.S. medical profession." --Book Jacket.
Understanding human behavior is essential if medical students and doctors are to provide more effective health care. While 40 percent of premature deaths in the United States can be attributed to such dangerous behaviors as smoking, overeating, inactivity, and drug or alcohol use, medical education has generally failed to address how these behaviors are influenced by social forces. This new textbook from Dr. Donald A. Barr was designed in response to the growing recognition that physicians need to understand the biosocial sciences behind human behavior in order to be effective practitioners. Introduction to Biosocial Medicine explains the determinants of human behavior and the overwhelming impact of behavior on health. Drawing on both recent and historical research, the book combines the study of the biology of humans with the social and psychological aspects of human behavior. Dr. Barr, a sociologist as well as physician, illustrates how the biology of neurons, the intricacies of the human mind, and the power of broad social forces all influence individual perceptions and responses. Addressing the enormous potential of interventions from medical and public health professionals to alter these patterns of human behavior over time, Introduction to Biosocial Medicine brings necessary depth and perspective to medical training and education.
Get the most from your study time...and experience a realistic USMLE simulation! These new additions to the Rapid Review Series—highly rated in the First Aid rankings—make it easy for you to master all of the basic science material covered on the USMLE Step 1 Exam. Each title focuses on a particular basic science subject, providing an at-a-glance, outline-format review of all the information you need to know. A user-friendly 2-color layout, Hi-Yield Margin Notes, and Key Points make studying easy. 100 high-quality USMLE-style review questions inside each book allow you to practice for the USMLE, and include a full rationale that lets you know why every possible answer is right or wrong. Another 250 USMLE-style questions for each title are available at www.studentconsult.com—mirroring the look and feel of the actual exam, and providing detailed feedback on which areas you may need to study more.
The Fields of Honor series continues with the adventures of Navy SEAL Lieutenant Alex-Paul Goldsmith, expert demolition man. His missions is to blow up a NVA bridge and rescue GIs from sadistic captors. A double dose of danger in a Laotian jungle hell.
As a 12-year old boy, Sandy Preston loves reading books about the great knights of the Middle Ages. One day in the public library, a kindly librarian shows him a book about the famous knight, Don Quixote, written by Miguel Cervantes more than 400 years ago. While reading this book, Sandy is sent through a time warp to 17th century Spain, where he meets the very same Don Quixote who is in the book. Sandy gets to accompany Quixote on a series of adventures. Quixote explains to Sandy that it is the duty of a true knight errant to hold to his own beliefs and values, no matter what other people think or say. As they go through many of the adventures originally described by Cervantes, Sandy begins to see Quixote’s nobility. Sandy adopts the principles of knight errantry as his own. Quixote shares with his friends the story of how “Sir Sandy” has now come to represent a new generation of knight errantry. Thus ennobled, Sandy finds the time warp has re-opened, allowing him to get home just before his Mom returns from work. Over dinner, Sandy explains to his Mom what it is about knights that is so important to believe in. It’s about setting a moral standard to live by, even if others can’t see its value. Sandy’s Mom offers Sandy the opportunity to demonstrate this new standard through his schoolwork, and through helping those in need.
The lure of California captivates visitors Z99 the low deserts of Death Valley to lush national parks the dream town of Los Angeles and the lands of the gold rush
Completely updated, the new Eighth Edition of Generic and Innovator Drugs: A Guide to FDA Approval Requirements provides indispensable and practical insights into the FDA approval process. Youand’ll find comprehensive coverage of: Abbreviated new drug applications 505(b)(2) new drug applications Delaying approval of competing products FDA approval of biologic drugs No other book can cover the drug approval process as thoroughly, answering important questions like these: What is required to extend the patent of an FDA-approved product? When must a generic manufacturer notify the innovator manufacturer when submitting an ANDA or 505(b)(2) application? When does the FDA delay approvals because of patent claims, and when does it ignore patents? How can one challenge an FDA exclusivity decision? When can a manufacturer safely sell a drug without prior FDA approval? In what circumstances can a generic manufacturer obtain FDA permission to file an ANDA for a variant of an existing drug? When will the FDA waive or reduce prescription drug user fees? How can a company or an individual avoid debarment? What steps are necessary to comply with the FDAand’s Fraud Policy? When and how can a drug company take advantage of FDA accelerated approval procedures? What are the labeling requirements for exporting approved drugs? How have the changes made by the FDA Safety and Innovation Act, including the Prescription Drug User Fee Act, the Generic Drug User Fee Amendments and the Biosimilars User Fee Act, and the Generating Antibiotic Incentives Now Act affected the overall statutory scheme? Generic and Innovator Drugs: A Guide to FDA Approval Requirements, Eighth Edition provides step-by-step guidance of the approval process and expert interpretation of: The Hatch-Waxman Act (Drug Price Competition and Patent Restoration Act) The Medicare Prescription Drug, Improvement, and Modernization Act The Food and Drug Administration Modernization Act The FDA Export Reform and Enhancement Act The Biologics Price Competition and Innovation Act And more! AUTHOR NOTE Donald O. Beersand’ contributions to this publication were completed before he rejoined the Food and Drug Administration. He has had no part in writing and revising this Eighth Edition.
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