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This digital document is an article from State Legislatures, published by National Conference of State Legislatures on October 1, 1993. The length of the article is 1720 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.

From the supplier: The states will assume major influence on the Clinton administration's reforms of the health care system and public welfare assistance programs. States have already pioneered health reform, and they will retain the role of delivery system designers. The federal government will set policies such as cost control, malpractice reform, quality standards and benefit package contents. The federal policy for welfare reform will emphasize a shift to work-centered values, again listening to the states.

Citation Details
Title: States have a role in Clinton reforms. (of health care and welfare)
Author: Donna E. Shalala
Publication: State Legislatures (Magazine/Journal)
Date: October 1, 1993
Publisher: National Conference of State Legislatures
Volume: v19Issue: n10Page: p10(2)

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Title: Can State and Local Governments Afford to Implement Health Care and Welfare Reform? : Hearing Before the Human Resources and Intergovernmental Relations Subcommittee of the Committee on Government Operations, House of Representatives, One Hundred Third Congress, First Session, October 6, 1993Publisher: Washington : U.S. G.P.O. : For sale by the U.S. G.P.O., Supt. of Docs., Congressional Sales OfficePublication date: 1995Subjects: Insurance, Health -- United StatesMedically uninsured persons -- United StatesHealth care reform -- United StatesPublic welfare -- United StatesNotes: This is an OCR reprint. There may be numerous typos or missing text. There are no illustrations or indexes.When you buy the General Books edition of this book you get free trial access to Million-Books.com where you can select from more than a million books for free. You can also preview the book there. ... Read more

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This volume is produced from digital images created through the University of Michigan University Library's large-scale digitization efforts. The Library seeks to preserve the intellectual content of items in a manner that facilitates and promotes a variety of uses. The digital reformatting process results in an electronic version of the original text that can be both accessed online and used to create new print copies. The Library also understands and values the usefulness of print and makes reprints available to the public whenever possible. This book and hundreds of thousands of others can be found in the HathiTrust, an archive of the digitized collections of many great research libraries. For access to the University of Michigan Library's digital collections, please see http://www.lib.umich.edu and for information about the HathiTrust, please visit http://www.hathitrust.org ... Read more

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The ability to obtain health care is fundamental to the security, stability, and well-being of poor families. Government-sponsored programs provide temporary support, but as families leave welfare for work, they find themselves without access to coverage or care. The low-wage jobs that individuals in transition are typically able to secure provide few benefits yet often disqualify employees from receiving federal aid. Drawing upon statistical data and in-depth interviews with over five hundred families in Oregon, Karen Seccombe and Kim Hoffman assess the ways in which welfare reform affects the well-being of adults and children who leave the program for work. We hear of asthmatic children whose uninsured but working mothers cannot obtain the preventive medicines to keep them well, and stories of pregnant women receiving little or no prenatal care who end up in emergency rooms with life-threatening conditions.

Representative of poor communities nationwide, the vivid stories recounted here illuminate the critical relationship between health insurance coverage and the ability to transition from welfare to work. ... Read more

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Chapters: Corporate Welfare, Women's Suffrage, Affair, Health Care Reform Debate in the United States, Health Care Reforms Proposed During the Obama Administration, Politicization of Science, Hereditary Education Policy, Immigration Reduction, National Language, Denialism, Opposition to Immigration, Timeline of Women's Rights, Redistribution, Constitutional Crisis, Health Policy, Transparency, Political Crime, Land Rights, Science Policy, Single-Issue Politics, Office Politics, Power Vacuum, Women's Suffrage in South Carolina, Haldane Principle, Women's Suffrage in Utah, John Carver, Policy Studies, Concord Principles, Aboriginal Land Claim, Apolitical, Courtesy Resolution. Source: Wikipedia. Pages: 256. Not illustrated. Free updates online. Purchase includes a free trial membership in the publisher's book club where you can select from more than a million books without charge. Excerpt:Superseded Proposals The health care reform debate in the United States has been a political issue for many years, focusing upon increasing coverage, decreasing the cost and social burden of healthcare, insurance reform, and the philosophy of its provision, funding, and government involvement. Following the election of Barack Obama, whose election included a promise to accomplish reform, legislation passed both houses of the U.S. Congress in late 2009. The House passed the Senate bill and a package of fixes in a Reconciliation bill in March 2010. The U.S. has the highest healthcare costs relative to the size of the economy (GDP) in the world, with an estimated 30 million citizens (approximately 10% of the population) without insurance coverage. Further, an estimated 77 million Baby Boomers are reaching retirement age, which combined with significant annual increases in healthcare costs per person will place enormous budgetary strain on U.S. state and federal governments. The long-term fiscal health of the U.S. federal government is primari...More: http://booksllc.net/?id=23455596 ... Read more

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The Patient Protection and Affordable Care Act signed by President Obama in March 2010 is a landmark in U.S. social legislation.The new law extends health insurance to nearly all Americans, fulfilling a century-long quest and bringing the United States to parity with other industrial nations.Affordable Care aims to control rapidly rising health care costs and promises to make the United States more equal, reversing four decades of rising disparities between the very rich and everyone else. Millions of people of modest means will gain new benefits and protections from insurance company abuses - and the tab will be paid by privileged corporations and the very rich.

How did such a bold reform effort pass in a polity wracked by partisan divisions and intense lobbying by special interests?What does Affordable Care mean- and what comes next? In Health Care Reform and American Politics: What Everyone Needs to Know, Lawrence R. Jacobs and Theda Skocpol--two of the nation's leading experts on politics and health care policy--provide a concise and accessible overview.They explain the political battles of 2009 and 2010, highlighting White House strategies, the deals Democrats cut with interest groups, and the impact of agitation by Tea Partiers and progressives. Jacobs and Skocpol spell out what the new law can do for everyday Americans, what it will cost, and who will pay. Above all, they explain what comes next, as critical yet often behind-the-scenes battles rage over implementing reform nationally and in the fifty states. Affordable Care might end up being weakened. But, like Social Security and Medicare, it could also gain strength and popularity as the majority of Americans learn what it can do for them. ... Read more

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This study analyzes the health care delivery systems in the United States, Canada, Germany, Japan, the Netherlands and the United Kingdom - comparing and contrasting them. This edition is updated to feature new information on developments in US policy, as well as changes to the Medicare system. ... Read more

Customer Reviews (1)

Health of Nations: An International Perspectives on US Health Care Reform
Book in excellent condition - I will use this vendor again - given as a gift ... Read more

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Is our present health care system biased against people with limited education and income?Does every American have a moral right to health care?If so, what kinds of care and how much?In a provocative look at American health care delivery, Charles J. Dougherty considers these and many other questions.His book fills an important niche in contemporary medical ethics and public health literature by combining a description and analysis of the American health care system--as it actually operates today--with an assessment of recent philosophical writings on justice. In the first section, Dougherty describes inequalities in health care delivery to blacks, the poor, and the less educated.He then reviews the philosophical theories of utilitarianism, egalitarianism, contractarianism, and libertarianism; applies them to health care issues; and argues for a moral right to health care.He considers available policy alternatives, concluding that the empirical data and our understanding of justice and human rights should commit us to a national health care plan supported by national health insurance. ... Read more

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How did the debate on health reform turn into the most concerted attack on government in recent American history? In this incisive account, a prize-winning social scientist offers deep insights into the changing terrain of U.S. politics and public policy. Because of far-reaching changes in the Reagan era, Theda Skocpol shows, the Clinton Health Security bill became a perfect foil for antigovernment mobilization. Thus its defeat provides a unique window into the new political landscape. ... Read more

Customer Reviews (3)

Skocpol does it again
Theda Skocpol's "Boomerang" is nearly as interesting and sharp as her opinions. It's another winner.

Boomerang falls short.
Boomerang by Theda Skocpol, a professor of government and sociology at Harvard University is subtitled, "Clinton's Health Security Effort and the Turn Against Government in U.S. Politics." And indeed, this bookis about politics, not about the reality of what went on in those crucialyears. One comes out with the impression that the book was written to bringthe author to the attention of the Clinton administration.

For example,she writes that Hillary and President Clinton had found an ideal"middle way" for health care reform, but that unfortunately,their plan was sabotaged by the conservatives in 1994 following the lead of Bill Kristol, former chief aide to Vice President Dan Quayle. She lamentsthat the Democrats were not able to marshall their forces at a criticaltime to pass what she obviously considers the "good" legislationof the Health Security Act.

While she gives Bill Kristol considerable,unflattering credit, she fails to even mention the Association of AmericanPhysicians and Surgeons (AAPS), whose landmark lawsuit, AAPS v. Clinton,against the secretHealth Care Task Force, derailed to a significantextent the Health Security Act of 1993. Neither AAPS nor the lawsuitappears in the text or index. The book is therefore quite incomplete. Injust one chapter of his book, The Seduction of Hillary Rodham, author DavidBrock gives by far a more accurate portrayal.

The book is an apologia forthe ill-fated Health Security Act which carried with it a significanttransfer of control of health care delivery from the private sector to thegovernment bureaucrats and an assortment of central planners in the variouslevels of the bureaucracy, such as the Purchasing Cooperatives, theNational Health Board, HHS, and numerous other alphabet soup government orquasi-government agencies that were to be established. The American peoplewere correct in rejecting socialized medicine and the Clinton plan.

A fine, scholarly work on an important event
This book promises to explain to the reader why the Clinton health care plan failed.The author does this rather well, pointing out how flaws in Clinton's "selling" of the program along with the disunity ofsympathetic interest groups could not match the unity and purpose ofRepublican opponents.It is important to remember that Ms. Skocpol is ascholar, which can be good and bad.Her work is scholarly so it iswell-proven (like a scholar) but also very narrow in scope (also, sadly,like a scholar).If you want an analysis of what went on behind closeddoors in the 1993-94 fight or want a real discussion on the merits ofhealth care reform, go elsewhere.But if you want an analysis solely on"why Clinton failed," this book does a very good job. ... Read more