Lecture Health and Welfare

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Chapter 15

Chapter 15

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  • 1. Chapter 15Health and Welfare
  • 2. Public health• Federalism and public health – AFDC – TANF – Patient Protection and Affordable Care Act• Issues in public health
  • 3. Political culture• Public health across states• Public opinion and public health
  • 4. Government and healthcare• History of health and welfare policy• Differences across parties
  • 5. Healthcare history• Local government leadership• Almshouses and hospitals• 19th century reforms
  • 6. Social safety net• Historical basis• The Great Depression – Social Security – AFDC
  • 7. Medicare and Medicaid• Policy priorities• Expenditures
  • 8. Costs of providing public health• Changing economic conditions• Shift in political culture• “Welfare queens”
  • 9. Devolution revolution• Ronald Reagan, Tommy Thompson, and Bill Clinton• States and localities as primary actors
  • 10. Welfare reform• Policy experimentation• AFDC and TANF
  • 11. Healthcare reform• Managed care and HMOs• CHIP – Number of uninsured children dropped by 20 percent – Not reaching all children who need it – Expanded to reach some adults
  • 12. Failure of healthcare reform• Prescription drugs• Decline of managed care and HMOs• Long-term care• Faltering economies
  • 13. Reform• Mandated insurance – Based on income – Too costly for states• Patient Protection and Affordable Care Act• Shift in federalism?
  • 14. Issues to watch• Health information technology• Long-term care• The return of public health• Local initiatives
  • 15. Conclusion• Shared responsibility among levels of government• Federal healthcare reform• State and local challenges