The current opioid epidemic in the United States began in the mid-1990s with the introduction of a new drug, OxyContin, viewed as a safer and more effective opiate for chronic pain management. By 2017, the opioid epidemic had become a full-blown crisis as over two million Americans had become dependent on and abused prescription pain pills and street drugs. This book examines the origins, development, and rise of the opioid epidemic in the United States from the perspective of the public policy process. The authors, political scientists Kant Patel and Mark Rushefsky, discuss institutional features of the American political system that impact the making of public policy, arguing that the fragmentation of that system hinders the ability to coherently address policy problems, taking the opioid epidemic as an example. The book begins with a brief historical examination of the history of the problem of opioid addiction and crises in the United States and public policy responses to past crises, but the main focus is on the current national public health emergency. The book analyzes the following: The origins of the current crisis Indicators and warning signs pointing to the emergence of a significant public problem Factors that contributed to the opioid crisis Why the crisis emerged in the United States and not in other Western countries The nature and scope of the opioid crisis, including socioeconomic and demographic characteristics and the human, social, and economic costs Presidential administrations’ public response, and nonresponse, to the opioid crisis Parallels between the role played by opioid manufacturers and tobacco/cigarette manufacturers in creating the problem of addiction, resulting in high mortality rates, and the public policy response to both This book explores the national policy response to the opioid crisis, as well as state and local government responses and separation of powers, including how the three branches of government deal with the opioid problem. The authors conclude with a discussion of how accurate problem definition, problem diagnosis, and appropriate and timely responses could have produced a more appropriate and robust policy response—policy process tools that will be essential in fighting both the current crisis and the next one. The Opioid Epidemic in the United States is essential reading for policy analysis courses in political science, health, and social work programs, as well as for United States policymakers at the local, state, and national levels.
Revolutionary advances in biomedical research and information systems technology pose new and difficult issues for American health care policy, especially in the context of managed care. Health Care Policy in a New Millennium takes on this challenging array of issues where the dignity of individual life meets the imperatives of national-level health-care systems - patients' rights, rationing of care, organ transplants, genetic research, confidentiality of medical records, the right to die, and other ethical dilemmas. The book places these critical questions about the quality of life in our society in their political, legal, social, economic, and ethical contexts.
Health policy in the United States has been shaped by the political, socioeconomic, and ideological environment, with important roles played by public and private actors, as well as institutional and individual entities, in designing the contemporary American healthcare system. Now in a fully updated fifth edition, this book gives expanded attention to pressing issues for our policymakers, including the aging American population, physician shortages, gene therapy, specialty drugs, and the opioid crisis. A new chapter has been added on the Trump administration's failed attempts at repealing and replacing the Affordable Care Act and subsequent attempts at undermining it via executive orders. Authors Kant Patel and Mark Rushefsky address the key problems of healthcare cost, access, and quality through analyses of Medicare, Medicaid, the Veterans Health Administration, and other programs, and the ethical and cost implications of advances in healthcare technology. Each chapter concludes with discussion questions and a comprehensive reference list. This textbook will be required reading for courses on health and healthcare policy, as well as all those interested in the ways in which American healthcare has evolved over time.
Our public health system is primarily concerned with the promotion of health and the prevention of disease. But while everyone may agree with these goals in principle, in practice public health is a highly contentious policy arena. that is inevitably entangled with sensitive issues ranging from occupational safety and environmental hazards to health education, immunization, and treatment of addiction and sexually transmitted disease. Today however, concern for protecting the population against bio-terrorism and new epidemics such as SARS is tipping the balance back toward increased support for public health. This book focuses on the politics, policies, and methodologies of public health and the twenty-first century challenges to the public health system of the United States. It explores the system's relatively weak position in the American political culture, medical establishment, and legal system; scientific and privacy issues in public health; and the challenges posed by ecological risk and the looming threat of bio-terrorist attack. Each chapter includes study questions. The volume also includes a chronology of major laws and events in public health policy along with an extensive bibliography.
Fully updated in this new edition, Health Care Politics and Policy in America combines a historical overview of U.S. health policy and programs with analysis of current trends and reform efforts. The book -- shows how health policy fits into the larger social, economic, political, and ideological environment of the United States; -- identifies the roles played by both public and private, institutional and individual actors in shaping the health care system at all levels; -- considers the trade-offs inherent in various policy choices and their impacts on different social groups; -- takes account of the dynamic impact of technological change on health care capacities, costs, and ethics. This edition includes expanded discussion of equity issues and whether there is a "right" to health care, and a new chapter on the issue of medical liability. The concluding chapter brings the story of health care policy up to the end of the millennium, with particular attention to the managed care revolution and reaction to it. The book equips readers with the basic tools for drawing more informed judgments in the ongoing debate about health care policy in the United States.
The American health care system is a unique mix of public and private programs that critics argue has produced a two-tier system - one for the rich and the other for the poor - that delivers dramatically unequal care and leaves millions of Americans seriously underinsured or with no coverage at all. This book examines the root causes of the inequalities of the American health care system and discusses various policy alternatives. It systematically documents the demands on and the performance of our health care system for different population groups as defined on the basis of gender (women), age (children), race and ethnicity (African Americans, Hispanics, Native Americans), and residence in high poverty areas (rural and inner city locales).For each population, the book documents: historical and demographic profile, data on health status, aspects of inequality including access; quality of care; and endemic, cultural, and lifestyle issues affecting health; policies, laws, and programs relevant to health care; and, indicators of improvement or negative trends.
This book provides a comprehensive examination of the ways that health policy has been shaped by the political, socioeconomic, and ideological environment of the United States. The roles played by public and private, institutional and individual actors in designing the healthcare system are identified at all levels. The book addresses the key problems of healthcare cost, access, and quality through analyses of Medicare, Medicaid, the Veterans Health Administration, and other programs, and the ethical and cost implications of advances in healthcare technology. This fully updated fourth edition gives expanded attention to the fiscal and financial impact of high healthcare costs and the struggle for healthcare reform, culminating in the passage of the Affordable Care Act, with preliminary discussion of implementation issues associated with the Affordable Care Act as well as attempts to defund and repeal it. Each chapter concludes with discussion questions and a comprehensive reference list. Helpful appendices provide a guide to websites and a chronology. PowerPoint slides and other instructional materials are available to instructors who adopt the book.
Tracking the issues of healthcare reform through the tumultous 1990s, this work opens a window on the changing dynamics of American politics from the Clinton inauguration in January 1993 through the Republican revolution of 1995 and the 1996 presidential race.
The Metaphysics of Morals is Kant's final major work in moral philosophy. In it, he presents the basic concepts and principles of right and virtue and the system of duties of human beings as such. The work comprises two parts: the Doctrine of Right concerns outer freedom and the rights of human beings against one another; the Doctrine of Virtue concerns inner freedom and the ethical duties of human beings to themselves and others. Mary Gregor's translation, lightly revised for this edition, is the only complete translation of the entire text, and includes extensive annotation on Kant's difficult and sometimes unfamiliar vocabulary. This edition includes numerous new footnotes, some of which address controversial aspects of Gregor's translation or offer alternatives. Lara Denis's introduction sets the work in context, explains its structure and themes, and introduces important interpretive debates. The volume also provides thorough guidance on further reading including online resources.
Kant’s landmark essay “On Perpetual Peace” is as timely, relevant, and inspiring today as when it was first written over 200 years ago. In it we find a forward-looking vision of a world respectful of human rights, dominated by liberal democracies, and united in a cosmopolitan federation of diverse peoples. The essay is an expression of global idealism that remains an enduring antidote to the violence and cynicism that are all too often on display in international relations and foreign affairs. This book features a fresh and vigorous translation of Kant’s essay by Ian Johnston, and it includes an extended introduction by philosopher Brian Orend. The introduction situates Kant’s essay in its historical context and offers a substantial analysis, section by section, of the essay itself. In doing so, Orend not only discusses Kant’s personal life and the history of the perpetual peace tradition, he also shows how Kant’s provocative ideas have inspired and infused our own time, especially the concept of a global alliance of free societies committed to respecting human rights.
Immanuel’s Kant’s groundbreaking work, considered to be among the most influential philosophical texts in the Western canon Familiar to philosophy students through the centuries, The Critique of Pure Reason is in many ways Kant’s magnum opus. First published in 1781, it seeks to define what can be known by reason alone without evidence from experience. Kant begins by defining a posteriori knowledge, which is gained through the senses, versus a priori knowledge, or self-evident truths understood without the benefit of experience. He then examines these two types of knowledge in the context of analytic and synthetic judgments, using the relationship between them to conclude that through reason alone, humans are capable of reaching deep universal truths. Kant then demonstrates how—even as much of the world around us can never be truly known—the laws of the universe are in fact made possible by the human capacity for reason itself. Sparking intense and lasting discussion, The Critique of Pure Reason remains essential reading for anyone seeking a deeper understanding of the ideas that, since their initial publication, have gone on to shape much of Western philosophy. This ebook has been professionally proofread to ensure accuracy and readability on all devices.
A new 2024 translation of Kant's first published work Thoughts on the True Estimation of Living Forces (original German "Gedanken von der wahren Schätzung der lebendigen Kräfte"). This new edition contains an afterword by the translator, a timeline of Kant's life and works, and a helpful index of Kant's key concepts and intellectual rivals. This translation is designed for readability, rendering Kant's enigmatic German into the simplest equivalent possible, and removing the academic footnotes to make this critically important historical text as accessible as possible to the modern reader. This work is Kant's first published book. It is a proposal for a new understanding of living forces, distinct from the traditional Cartesian and Leibnizian views. Kant levies a critique of the undue reverence for historical scientific figures and an advocacy for independent reasoning. Newton and Leibniz at this time were revered as nearly Saints, and Kant criticizes this tendency to revere personalities when we should be thinking completely independent of individuals. Vis viva, Vis activa and Vis motrix are all variations of the Living Force, a Leibnizian version of momentum, or "energy in movement". The critical difference between Leibniz and Newton's conception is that Leibniz squared his formula as mv^{2} instead of vectoring this formula. René Descartes kept this fundamental conserved quantity as scalar, but Isaac Newton correctly kept momentum vectored. In other words, Newton brilliantly deducted that it was the concept of force, not the concept of energy, that governs momentum. "Living Force" was synonymous for energy up until the 19th century. Here in the 19th century, Kant tried to assert himself into the debate over these "true" fundamental mechanical forces, writing letters to leading scientists Euler and Maupertuis, and writing Thoughts on the True Appreciation of Living Forces. Kant argues that the nature of the essential forces can be proven by Metaphysical arguments, criticizing the Rationalist and the Empiricist schools of thoughts. He criticized the Leibniz school for not thinking beyond Sense-Perception, and the Rationalists in the Wolff school for denying the very existence of an essential force.
This thoughtful abridgment makes an ideal introduction to Kant's Critique of Pure Reason. Key selections include: the Preface in B, the Introduction, the Transcendental Aesthetic, the Second Analogy, the Refutation of Idealism, the first three Antinomies, the Transcendental Deduction in B, and the Canon of Pure Reason. A brief introduction provides biographical information, descriptions of the nature of Kant's project and of how each major section of the Critique contributes to that project. A select bibliography and index are also included.
Introduction by Allen W. Wood With translations by F. Max Müller and Thomas K. Abbott The writings of Immanuel Kant became the cornerstone of all subsequent philosophical inquiry. They articulate the relationship between the human mind and all that it encounters and remain the most important influence on our concept of knowledge. As renowned Kant scholar Allen W. Wood writes in his Introduction, Kant “virtually laid the foundation for the way people in the last two centuries have confronted such widely differing subjects as the experience of beauty and the meaning of human history.” Edited and compiled by Dr. Wood, Basic Writings of Kant stands as a comprehensive summary of Kant’s contributions to modern thought, and gathers together the most respected translations of Kant’s key moral and political writings.
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