Lecture Health and Welfare

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Chapter 15

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Lecture Health and Welfare

  1. 1. Chapter 15Health and Welfare
  2. 2. Public health• Federalism and public health – AFDC – TANF – Patient Protection and Affordable Care Act• Issues in public health
  3. 3. Political culture• Public health across states• Public opinion and public health
  4. 4. Government and healthcare• History of health and welfare policy• Differences across parties
  5. 5. Healthcare history• Local government leadership• Almshouses and hospitals• 19th century reforms
  6. 6. Social safety net• Historical basis• The Great Depression – Social Security – AFDC
  7. 7. Medicare and Medicaid• Policy priorities• Expenditures
  8. 8. Costs of providing public health• Changing economic conditions• Shift in political culture• “Welfare queens”
  9. 9. Devolution revolution• Ronald Reagan, Tommy Thompson, and Bill Clinton• States and localities as primary actors
  10. 10. Welfare reform• Policy experimentation• AFDC and TANF
  11. 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. 12. Failure of healthcare reform• Prescription drugs• Decline of managed care and HMOs• Long-term care• Faltering economies
  13. 13. Reform• Mandated insurance – Based on income – Too costly for states• Patient Protection and Affordable Care Act• Shift in federalism?
  14. 14. Issues to watch• Health information technology• Long-term care• The return of public health• Local initiatives
  15. 15. Conclusion• Shared responsibility among levels of government• Federal healthcare reform• State and local challenges

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