The debate over health care policy in the U. S. did not end when President Obama signed the landmark Patient Protection and Affordable Care Act (PPACA) on March 23, 2010. Since then, half the states have sued and federal judges have issued conflicting rulings about the law's constitutionality. In addition, the new Republican-controlled House of Representatives voted to repeal it, and Republicans have pledged to bring it up again during negotiations over the 2012 federal budget. The continuing controversies over PPACA are only one reason that Still Broken: Understanding the U.S. Health Care System is a must-read for engaged citizens, policymakers, students, and scholars alike. The book takes a close look at our problems, proposes solutions to them, and explains how to navigate our political system to effect positive change. It will help readers: * Assess the arguments made by partisans on both sides of the continuing debate. * Understand why President Obama was able to get Congress to pass a comprehensive reform bill even though most of his predecessors tried and failed. * Understand why so many Americans are either confused about its value or actually oppose it. In the book's first part, Stephen M. Davidson paints a lucid picture of the way that the health system works and the forces that produced the monumental problems that we face today. Then, he makes a compelling case for overhauling our system, offering six elements for inclusion in any plan for change. Davidson devotes the last three chapters to a detailed examination of the politics of reform. This assessment will help readers to appreciate both the political achievement represented by passage of the new law and the reasons that opposition to the law remains so widespread, despite all the good it does for the public. Whatever compromises, if any, are accepted by negotiators in the end, the book makes clear why, to fully solve the system's problems, the underlying goal must be to change incentives for all players who participate in the system and, finally, why this goal cannot be achieved by relying solely on market-based solutions. Davidson's captivating and persuasive book demonstrates that only a solution with a large public-sector role can lead us to real reform.
Through the ingenious use of science fiction combined with industry expertise, Stephen K. Klasko and Gregory P. Shea discuss medical issues seriously while using the unique framework of a science-fiction novella to illustrate the complexities of the million-dollar medical industry. The authors denote concerns in the field of health care through this fictional frame by including concise, well-documented, and thought-provoking discussions on essential clinical and business topics and issues -- vital information providing an optimistic future for today's physicians. Fictional hero Mila undergoes a phenomenal experience, and her life changes forever as she discovers an exciting and improved future in medicine.
Stephen Shortell, one of the country's leading health care management authorities, and his team of experts use the most current data available to update their classic book Remaking Health Care in America. This expanded second edition includes a clear conceptual framework for health care leaders who must develop more integrative systems of care to meet the challenge of the evolving health care industry. The book also provides practical suggestions and myriad recommAndations for developing cost-effective delivery systems across the United States.
Strategic Choices presents the results of a comprehensive three-year study of eight leading hospital systems (comprising over 500 hospitals) to reveal how they have adapted to significant changes in the health care industry. Using numerous case studies, interviews, and examples, the authors examine which strategies for adaptation were chosen, what worked, what did not, and why. Winner of the Academy of Management's George R. Terry Book of the Year Award for outstanding contribution to advancing management knowledge. "Points to the crucial factors in implementing complex health services which may make the difference between success and failure in the 1990s".--Healthcare Forum Journal.
A historian of medieval art and architecture with a rich appreciation of literary studies, Stephen Murray brings all those fields to bear on a new approach to understanding the great Gothic churches of the twelfth and thirteenth centuries. Plotting Gothic positions the rhetoric of the Gothic as a series of three interlocking plots: a spatial plot tied to the material construction of the churches, a social plot stemming from the collaborative efforts that made Gothic output possible, and a rhetorical plot involving narratives that treat the churches as objects of desire. Drawing on the testimony of three witnesses involved in church building—Abbot Suger of Saint-Denis, Gervase of Canterbury, and the image maker Villard de Honnecourt—and a range of secondary sources, Murray traces common patterns in the way medieval buildings were represented in words and images. Our witnesses provide vital information about the way the great churches of Gothic were built and the complexity of their meanings. Taking a fresh approach to Gothic architecture, Plotting Gothic offers an invigorating new way to understand some of the most lasting achievements of the medieval era.
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