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Are advanced industrialized countries converging on a market response to reform their systems of social protection? By comparing the health care reform experiences of Britain, Germany, and the United States in the 1990s, Susan Giaimo explores how countries pursue diverse policy responses and how such variations reflect distinctive institutions, actors, and reform politics in each country. In Britain, the Thatcher government's plan to inject a market into the state-administered national health service resulted in a circumscribed experiment orchestrated from above. In Germany, the Kohl government sought to repair defects in the corporatist arrangement with doctors and insurers, thus limiting the market experiment and designing it to enhance the solidarity of the national health insurance system. In the United States, private market actors foiled Clinton's bid to expand the federal government's role in the private health care system through managed competition and national insurance. But market reform continued, albeit led by private employers and with government officials playing a reactive role. Actors and institutions surrounding the existing health care settlement in each country created particular reform politics that either militated against or fostered the deployment of competition. The finding that major transformations are occurring in private as well as public systems of social protection suggests that studies of social policy change expand their focus beyond statutory welfare state programs. The book will interest political scientists and policymakers concerned with welfare state reform in advanced industrial societies, social scientists interested in the changing balance among state, market, and societal interests in governance, and health policy researchers, health policymakers, and health care professionals.

Health care reform --- Medical policy --- Duitsland --- gezondheidseconomie (gezondheidszorgeconomie) --- gezondheidszorgbeleid (gezondheidszorghervorming, gezondheidszorgsysteem) --- Groot-Brittannië --- Verenigde Staten --- verzorgingsstaat --- ziektekostenverzekering (sociale zekerheid, mutualiteit, ziekenfonds, zorgverzekeraar) --- Allemagne --- économie de la santé (économie des soins de santé) --- politique des soins de santé (réforme des soins de santé, système des soins de santé) --- Grande Bretagne --- Etats Unis --- État-providence --- assurance maladie (sécurité sociale, mutualité)

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For much of the developed world, health care for a surging elderly population looms as one of the most daunting problems of the coming decade. In this book, contributors from diverse disciplinary backgrounds and countries discuss resource allocation for the elderly and debate plans for the years ahead. Essays focus on five general issues: the meaning of old age, the goals of medicine and health care for the elderly, the balance between the needs of the young and old, the pressures of other social priorities, and the role of families, especially the burden on women, in long-term care. In consideration of the difficult moral and practical issues involved, the editors conclude the volume with a special report containing policy recommendations from representatives of eight countries (the United States, Belgium, the Czech Republic, Germany, Hungary, the Netherlands, Sweden, and the United Kingdom). This important volume will be of interest to policymakers and a broad spectrum of health care professionals, as well as to anyone interested in the fate of the elderly or in coming health care challenges.

Older people --- bejaardenzorg (ouderenzorg) --- gezondheidszorgbeleid (gezondheidszorghervorming, gezondheidszorgsysteem) --- gezondheidszorg --- ouderdom --- vergrijzing (veroudering van de bevolking) --- Aged --- Aging people --- Elderly people --- Old people --- Older adults --- Older persons --- Senior citizens --- Seniors (Older people) --- Age groups --- Persons --- Gerontocracy --- Gerontology --- Old age --- Medical care&delete& --- Government policy --- Moral and ethical aspects --- Social aspects --- assistance aux personnes âgées --- politique des soins de santé (réforme des soins de santé, système des soins de santé) --- soins de santé --- vieillesse --- viellissement de la population (viellissement démographique) --- Medical care --- Medical Care --- Medical

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Can the ethical mission of health care survive among organizations competing for survival in the marketplace? This book presents both an analytic framework and a menu of pragmatic answers.

Managed care plans (Medical care) --- Health facilities --- Medical ethics. --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Facilities, Health --- Health care facilities --- Health care institutions --- Health institutions --- Institutions, Health --- Medical care facilities --- Medical care institutions --- Medical facilities --- Public health --- Managed care programs (Medical care) --- Managed care systems (Medical care) --- Managed health care --- Plans, Managed care (Medical care) --- Programs, Managed care (Medical care) --- Systems, Managed care (Medical care) --- Health insurance --- Moral and ethical aspects --- Moral and ethical aspects. --- Medical ethics --- ethiek (ethische aspecten) --- gezondheidseconomie (gezondheidszorgeconomie) --- gezondheidszorgbeleid (gezondheidszorghervorming, gezondheidszorgsysteem) --- gezondheidszorg --- Verenigde Staten --- ziektekostenverzekering (sociale zekerheid, mutualiteit, ziekenfonds, zorgverzekeraar) --- zorgmanagement --- ethique (aspects ethiques) --- économie de la santé (économie des soins de santé) --- politique des soins de santé (réforme des soins de santé, système des soins de santé) --- soins de santé --- Etats Unis --- assurance maladie (sécurité sociale, mutualité) --- management des soins

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"Luck egalitarianism"--the idea that justice requires correcting disadvantages resulting from brute luck--has gained ground in recent years and is now the main rival to John Rawls's theory of distributive justice. Health, Luck, and Justice is the first attempt to systematically apply luck egalitarianism to the just distribution of health and health care. Challenging Rawlsian approaches to health policy, Shlomi Segall develops an account of just health that is sensitive to considerations of luck and personal responsibility, arguing that people's health and the health care they receive are just only when society works to neutralize the effects of bad luck. Combining philosophical analysis with a discussion of real-life public health issues, Health, Luck, and Justice addresses key questions: What is owed to patients who are in some way responsible for their own medical conditions? Could inequalities in health and life expectancy be just even when they are solely determined by the "natural lottery" of genes and other such factors? And is it just to allow political borders to affect the quality of health care and the distribution of health? Is it right, on the one hand, to break up national health care systems in multicultural societies? And, on the other hand, should our obligation to curb disparities in health extend beyond the nation-state? By focusing on the ways health is affected by the moral arbitrariness of luck, Health, Luck, and Justice provides an important new perspective on the ethics of national and international health policy.

Social medicine. --- Health services accessibility. --- Equality --- Medical policy --- Social justice. --- Health aspects. --- Social aspects. --- toegang tot de gezondheidszorg --- gelijkheid (gelijkheidsbeginsel) --- accès aux soins de santé --- égalité (principe d'égalité) --- Health services accessibility --- Social justice --- Social medicine --- ethiek (ethische aspecten) --- filosofie (filosofische aspecten) --- gezondheidszorgbeleid (gezondheidszorghervorming, gezondheidszorgsysteem) --- rechtvaardigheid (rechtvaardigheidsprincipe, distributieve rechtvaardigheid) --- Medical care --- Medical sociology --- Medicine --- Medicine, Social --- Public health --- Public welfare --- Sociology --- Medical ethics --- Medical sociologists --- Justice --- Health care policy --- Health policy --- Medicine and state --- Policy, Medical --- Public health policy --- State and medicine --- Science and state --- Social policy --- Access to health care --- Accessibility of health services --- Availability of health services --- Health aspects --- Social aspects --- ethique (aspects ethiques) --- philosophie (aspects philosophiques) --- politique des soins de santé (réforme des soins de santé, système des soins de santé) --- justice (principe de justice, justice distributive, justice sociale) --- Government policy --- Access --- Equality - Health aspects. --- Medical policy - Social aspects.

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Quality Improvement --- Quality Assurance, Health Care --- Human Experimentation --- Clinical Trials as Topic --- standards --- methods --- Études cliniques. --- Expérimentation humaine en médecine --- Assurance qualité --- Assurance de la qualité des soins de santé --- Clinical Trials as Topic.