Political Aspects of Health Care

CONTENTS

1. Chapter 1 Pre-Medicare

1.1 State Licensing of Physicians

1.2 The Dawn of Health Insurance

1.3 A Condition of Employment

1.4 The Retired, Elderly, and Poor

1.5 Getting Buy-In from Congress and the Medical Community

1.6 The Federal Government Gets Involved

1.7 Following the Winds of Change 1.8 Chapter Summary

2. Chapter 2 The Federal Government Enters the Healthcare Field 2.1 A Bygone Era of Bi-Partisanship

2.2 Public Reaction to Medicare and Medicaid

2.3 Figuring Out Funding

2.4 Chapter Summary

3. Chapter 3 The Action Period of Healthcare Legislation

3.1 Staffing the Healthcare Industry

3.2 Incentivizing Education

3.3 Geographic Disparities and the Rise of Specialists

3.4 The Hill-Burton Act Construction Boom

3.5 Chapter Summary

4. Chapter 4 The Cost Realities and Political Events' Impact on National Healthcare Action

4.1 Lack of Data, Skyrocketing Costs

4.2 Programs in Need of Direction

4.3 Reaction and Retraction

4.4 Chapter Summary

5. Chapter 5 The Era of Budget Politics

5.1 Carter's Effort at Cost Containment

5.2 A House Divided Makes Little Progress 5.3 Technology Throws Another Wrench in the Works

5.4 Chapter Summary

6. Chapter 6 The Reagan Era of Politics and Healthcare

6.1 The Budget Reconciliation Process

6.2 Good Intentions Meet Catastrophe

6.3 Women's Voices Amplified

6.4 Making Fees and Reimbursements Meaningful

6.5 Bipartisanship Upended by a Newt

6.6 Chapter Summary

7. Chapter 7 Medicare Meets the Marketplace

7.1 The Move to Managed Care

7.2 Stumbling Toward the Clinton Health Access Initiative

7.3 Clinton Loses his Grip on Congress

7.4 The Health Insurance Portability and Accountability

Donald F. Lavanty is Professor of Health Care Management and Legal Administration at the School of Business Administration at Marymount University, USA.