Mark Rushefsky confronts head-on the controversies surrounding federal cancer policy, within the context, however, of a balanced view of the politics and science involved. From 1976 to 1984, federal agencies such as the Consumer Product Safety Commission, the Environmental Protection Agency, the Food and Drug Administration, the Occupational Safety and Health Administration issued guidelines regulating public exposure to chemical carcinogens. These policies have engendered controversy and undergone numerous changes. Some of these are based on new scientific developments, others on new political developments. Making Cancer Policy analyzes the guidelines issued by these agencies in terms of their scientific and political environment. It addresses the issues of uncertainty in the scientific foundation of cancer policy, scientific controversies, the mixing of science and politics, and the political uses of science. This book shows just how "political" science can be.
Offering the widest breadth of policy issue coverage on the market, the sixth edition of this well-regarded text covers events through the 2016 elections and beyond. Though the content has been extensively and thoughtfully revised and updated, the sixth edition maintains its clear approach, without an overreliance on policy theory, and popular threefold structure: First, it introduces readers to the American approach to public policy making as it has been shaped by our political institutions, changing circumstances, and ideology. Second, it surveys all of the major policy areas from foreign policy to health care policy to environmental policy, and does so with well-selected illustrations, case studies, terms, and study questions. Third, it provides readers with analytical tools and frameworks to examine current problems and be able to understand and critique proposed public policy solutions. New to the sixth edition is an exploration of: The Affordable Care Act and its implementation, controversies, and impact The American economy since the end of the Great Recession, trade policy, and economic equality issues Foreign policy including relations with Russia, China, and Iran, as well as the civil war in Syria, the continuing conflicts in Iraq, and the challenge of ISIS The US Criminal Justice system and its incarceration challenges as well as issues of minorities, police, and crime. This new edition includes, for the first time, a test bank with multiple choice, short answer, and discussion/essay questions as well as an instructor’s manual. Public Policy in the United States, 6e is an ideal undergraduate text for introductory courses on American Public Policy and Politics, and can be used as supplementary reading in undergraduate courses on policy process, policy analysis, and American government.
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.
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.
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.
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.
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.
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.
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.
Covering the period up through the 2012 elections, this book accomplishes three important goals: First, it introduces readers to the American approach to public policy making; second, it surveys American public policy and policymaking in all the major policy areas from economic policy to health care policy to environmental policy; and finally the book challenges readers to come to terms with the widely shared but often competing values that must be balanced and rebalanced in the ongoing policy making process. The book is well-illustrated and includes case studies, terms, and study questions.
Offering the widest breadth of policy issue coverage on the market, the sixth edition of this well-regarded text covers events through the 2016 elections and beyond. Though the content has been extensively and thoughtfully revised and updated, the sixth edition maintains its clear approach, without an overreliance on policy theory, and popular threefold structure: First, it introduces readers to the American approach to public policy making as it has been shaped by our political institutions, changing circumstances, and ideology. Second, it surveys all of the major policy areas from foreign policy to health care policy to environmental policy, and does so with well-selected illustrations, case studies, terms, and study questions. Third, it provides readers with analytical tools and frameworks to examine current problems and be able to understand and critique proposed public policy solutions. New to the sixth edition is an exploration of: The Affordable Care Act and its implementation, controversies, and impact The American economy since the end of the Great Recession, trade policy, and economic equality issues Foreign policy including relations with Russia, China, and Iran, as well as the civil war in Syria, the continuing conflicts in Iraq, and the challenge of ISIS The US Criminal Justice system and its incarceration challenges as well as issues of minorities, police, and crime. This new edition includes, for the first time, a test bank with multiple choice, short answer, and discussion/essay questions as well as an instructor’s manual. Public Policy in the United States, 6e is an ideal undergraduate text for introductory courses on American Public Policy and Politics, and can be used as supplementary reading in undergraduate courses on policy process, policy analysis, and American government.
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.
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.
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.
Covering the period up through the 2012 elections, this book accomplishes three important goals: First, it introduces readers to the American approach to public policy making; second, it surveys American public policy and policymaking in all the major policy areas from economic policy to health care policy to environmental policy; and finally the book challenges readers to come to terms with the widely shared but often competing values that must be balanced and rebalanced in the ongoing policy making process. The book is well-illustrated and includes case studies, terms, and study questions.
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.
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.
Fully updated, this new edition 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.
Tracking the issue of healthcare reform through the tumultuous 1990s, Politics, Power, and Policy Making 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 elections. The book brings the legislative process to life by following a single controversial issue through the system, effectively linking public policy studies with the study of American political institutions. In the classroom, this book transcends the limitations of a bill becomes a law, affording students a more complex perspective on --the domestic policy-making process in action --power politics and the role of interest groups, the media, and public opinion --the impact of elections and the apparent shift of policy initiative from the executive to congress in November 1994 --the dynamics of federalism and the devolution revolution: how real is it? --the persistence of divided government and gridlock: is this what Americans really want?
Mark Rushefsky confronts head-on the controversies surrounding federal cancer policy, within the context, however, of a balanced view of the politics and science involved. From 1976 to 1984, federal agencies such as the Consumer Product Safety Commission, the Environmental Protection Agency, the Food and Drug Administration, the Occupational Safety and Health Administration issued guidelines regulating public exposure to chemical carcinogens. These policies have engendered controversy and undergone numerous changes. Some of these are based on new scientific developments, others on new political developments. Making Cancer Policy analyzes the guidelines issued by these agencies in terms of their scientific and political environment. It addresses the issues of uncertainty in the scientific foundation of cancer policy, scientific controversies, the mixing of science and politics, and the political uses of science. This book shows just how "political" science can be.
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