Discover the hidden forces that shaped one of the most significant health care reforms in US history. In A Government of Insiders, William Genieys traces the winding path from the failed health policy priorities of the Clinton administration to the passage of the Affordable Care Act (ACA). Genieys uncovers the pivotal role of a committed group of unelected governmental elites known as "long-term insiders" who meticulously developed policy ideas and political connections. During George W. Bush's presidency, these insiders reconceptualized the foundations of a far-reaching health coverage reform both within and outside the public sector. When President Obama took office, these insiders returned to positions of power and ensured that their reform vision took center stage. Genieys highlights how these people were instrumental in crafting and passing the ACA by integrating existing programs like Medicare and Medicaid, engaging market forces with an individual mandate and health care marketplaces, and addressing the crucial issue of cost containment. By shedding light on the action of these health coverage policy elites and their role as custodians of the public interest, Genieys challenges traditional assumptions about the influence of economic elites and reveals the positive role of unelected professionals in advancing the common good. A Government of Insiders is a groundbreaking exploration of the unseen forces behind major policy reform, providing a fresh perspective on the dynamics of power in American politics.
The New Custodians of the State uses contemporary France to reassess sociological theories of political and policymaking elites. Based on detailed case studies drawn from social policy and national defense sectors, it concludes that a new type of sectorally-based elite has risen to prominence in France since the 1980s. Genieys suggests that programmatic elites found in specific policy sectors, made up of individuals linked both by common career paths and the resulting skills and expertise, should be seen as new guardians of state power.Like their technocratic predecessors, programmatic elites maintain a high degree of independence with respect to electoral politics and to civil society; like them, they share an ideological commitment to protect and expand the role of the state in French society. Unlike them, however, these new guardians of the state are structured around specific policy programs and limited in scope to a given sector. Competition among programmatic elites at the highest levels of the state emerges as the chief driving force behind innovation for social change.The New Custodians of the State introduces programmatic elites both as real-world actors and as an analytic category and highlights the limits of elite power by analyzing the defeat of efforts by the French Ministry of Defense. This book presents a thought-provoking critical case study that suggests that models presenting either a single unified state elite or those that herald or decry the demise of the state require modification. The work will be of interest to students and scholars of France, and its society and government as well as anyone interested in the policymaking process in other countries with respect to domestic policy or national defense.
This book examines the history of the French welfare state from the mid-twentieth century to the present day. The French social security system has changed profoundly over the last few decades. The Bismarkian model of governance and social protection inherited from the Second World War has progressively faded away in favor of a reinforcement of the state’s capacity to intervene on policies and the implementation of national health insurance coverage. In order to understand this major transformation, this book draws on rich original sources to offer a historical and sociological perspective on elite policymakers and policy change. In doing so, it identifies correlations between the changing social backgrounds and career paths of elites in charge of social insurance policies since the 1940s, and the development of health policy programs. It will appeal to all those interested in public policy, health policy, social studies and French history and politics.
The New Custodians of the State uses contemporary France to reassess sociological theories of political and policymaking elites. Based on detailed case studies drawn from social policy and national defense sectors, it concludes that a new type of sectorally-based elite has risen to prominence in France since the 1980s. Genieys suggests that programmatic elites found in specific policy sectors, made up of individuals linked both by common career paths and the resulting skills and expertise, should be seen as new guardians of state power.Like their technocratic predecessors, programmatic elites maintain a high degree of independence with respect to electoral politics and to civil society; like them, they share an ideological commitment to protect and expand the role of the state in French society. Unlike them, however, these new guardians of the state are structured around specific policy programs and limited in scope to a given sector. Competition among programmatic elites at the highest levels of the state emerges as the chief driving force behind innovation for social change.The New Custodians of the State introduces programmatic elites both as real-world actors and as an analytic category and highlights the limits of elite power by analyzing the defeat of efforts by the French Ministry of Defense. This book presents a thought-provoking critical case study that suggests that models presenting either a single unified state elite or those that herald or decry the demise of the state require modification. The work will be of interest to students and scholars of France, and its society and government as well as anyone interested in the policymaking process in other countries with respect to domestic policy or national defense.
This book examines the history of the French welfare state from the mid-twentieth century to the present day. The French social security system has changed profoundly over the last few decades. The Bismarkian model of governance and social protection inherited from the Second World War has progressively faded away in favor of a reinforcement of the state’s capacity to intervene on policies and the implementation of national health insurance coverage. In order to understand this major transformation, this book draws on rich original sources to offer a historical and sociological perspective on elite policymakers and policy change. In doing so, it identifies correlations between the changing social backgrounds and career paths of elites in charge of social insurance policies since the 1940s, and the development of health policy programs. It will appeal to all those interested in public policy, health policy, social studies and French history and politics.
Discover the hidden forces that shaped one of the most significant health care reforms in US history. In A Government of Insiders, William Genieys traces the winding path from the failed health policy priorities of the Clinton administration to the passage of the Affordable Care Act (ACA). Genieys uncovers the pivotal role of a committed group of unelected governmental elites known as "long-term insiders" who meticulously developed policy ideas and political connections. During George W. Bush's presidency, these insiders reconceptualized the foundations of a far-reaching health coverage reform both within and outside the public sector. When President Obama took office, these insiders returned to positions of power and ensured that their reform vision took center stage. Genieys highlights how these people were instrumental in crafting and passing the ACA by integrating existing programs like Medicare and Medicaid, engaging market forces with an individual mandate and health care marketplaces, and addressing the crucial issue of cost containment. By shedding light on the action of these health coverage policy elites and their role as custodians of the public interest, Genieys challenges traditional assumptions about the influence of economic elites and reveals the positive role of unelected professionals in advancing the common good. A Government of Insiders is a groundbreaking exploration of the unseen forces behind major policy reform, providing a fresh perspective on the dynamics of power in American politics.
Atherosclerosis is a pathological condition of the arteries in which plaque buildup and stiffening (hardening) can lead to stroke, myocardial infarction (heart attacks), and even death. Cholesterol in the blood is a key marker for atherosclerosis, with two forms: (1) LDL - low density lipoproteins and (2) HDL - high density lipoproteins. Low LDL and high HDL concentrations are generally considered essential for limited atherosclerosis and good health. This book pertains to a mathematical model for the spatiotemporal distribution of LDL and HDL in the arterial endothelial inner layer (EIL, intima). The model consists of a system of six partial differential equations (PDEs) with the dependent variables 1. (,): concentration of modified LDL 2. h(,): concentration of HDL 3. (,): concentration of chemoattractants 4. (,): concentration of ES cytokines 5. (,): density of monocytes/macrophages 6. (,): density of foam cells and independent variables 1. : distance from the inner arterial wall 2. : time The focus of this book is a discussion of the methodology for placing the model on modest computers for study of the numerical solutions. The foam cell density (,) as a function of the bloodstream LDL and HDL concentrations is of particular interest as a precursor for arterial plaque formation and stiffening. The numerical algorithm for the solution of the model PDEs is the method of lines (MOL), a general procedure for the computer-based numerical solution of PDEs. The MOL coding (programming) is in R, a quality, open-source scientific computing system that is readily available from the Internet. The R routines for the PDE model are discussed in detail, and are available from a download link so that the reader/analyst/researcher can execute the model to duplicate the solutions reported in the book, then experiment with the model, for example, by changing the parameters (constants) and extending the model with additional equations. /div
Politics in Europe, Seventh Edition introduces students to the power of the European Union as well as seven political systems—the UK, France, Germany, Italy, Sweden, Russia, Poland—within a common analytical framework that enables students to conduct both single-case and cross-national analysis. Each case addresses the most relevant questions of comparative political analysis: who governs, on behalf of what values, with the collaboration of what groups, in the face of what kind of opposition, and with what socioeconomic and political consequences? Packed with captivating photos and robust country descriptions from regional specialists, the Seventh Edition enables students to think critically about these questions and make meaningful cross-national comparisons.
Originally published in 1928, this volume, by a world authority on the subject, sums up our knowledge of the social insects. It inquires what are the social insects and what it is that makes us call them ‘social’. Terebrantia, aculeata, wasps, bees, ants, and termites are discussed in a succession of chapters, showing how they have evolved, to how great an extent they have developed, and what are the peculiarities of their evolution. Polymorphism, the Social Medium, Guests and Parasites of the Social Insects, are other subjects discussed in this fascinating book.
Mathematical models stated as systems of partial differential equations (PDEs) are broadly used in biology, chemistry, physics and medicine (physiology). These models describe the spatial and temporial variations of the problem system dependent variables, such as temperature, chemical and biochemical concentrations and cell densities, as a function of space and time (spatiotemporal distributions). For a complete PDE model, initial conditions (ICs) specifying how the problem system starts and boundary conditions (BCs) specifying how the system is defined at its spatial boundaries, must also be included for a well-posed PDE model. In this book, PDE models are considered for which the physical boundaries move with time. For example, as a tumor grows, its boundary moves outward. In atherosclerosis, the plaque formation on the arterial wall moves inward, thereby restricting blood flow with serious consequences such as stroke and myocardial infarction (heart attack). These two examples are considered as applications of the reported moving boundary PDE (MBPDE) numerical method (algorithm). The method is programmed in a set of documented routines coded in R, a quality, open-source scientific programming system. The routines are provided as a download so that the reader/analyst/researcher can use MFPDE models without having to first study numerical methods and computer programming.
The world's most comprehensive, well documented, and well illustrated book on this subject. With extensive index. 145 photographs and illustrations. Free of charge in digital format on Google Books.
The world's most comprehensive, well documented, and well illustrated book on this subject, with 445 photographs and illustrations. Plus an extensive index.
The world's most comprehensive, well documented and well illustrated book on this subject. With extensive subject and geographical index. 363 photographs and illustrations - many in color. Free of charge in digital PDF format.
The world's most comprehensive, well documented. and well illustrated book on this subject. With extensive subject and geographical index. 345 photographs and illustrations - mostly color. Free of charge in digital format on Google Books.
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