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As countries confront new health care challenges in the 21st century, their health care systems reflect the problems and political settlements of an earlier age. Meeting these new challenges requires reform of existing health care system arrangements while reconciling the goals of equitable access to quality care at an affordable price. This book compares health care reforms in industrialized nations and the Global South to uncover the similarities and differences in their problems and solutions. It examines the struggle over the Affordable Care Act and its alternatives in the United States, major health care reforms in Germany in the new century, and South Africa's efforts to combat AIDS and construct a comprehensive health care system for all. These particular reforms reflect the underlying configuration of politics in each country.

Germany --- Health Care Reform --- Delivery of Health Care --- South Africa --- United States --- Health Planning --- Europe --- Health Policy --- Africa, Southern --- North America --- Patient Care Management --- Health Care Quality, Access, and Evaluation --- Health Care --- Public Policy --- Americas --- Health Care Economics and Organizations --- Africa South of the Sahara --- Geographic Locations --- Health Services Administration --- Social Control Policies --- Africa --- Geographicals --- Social Control, Formal --- Policy --- Sociology --- Social Sciences --- Anthropology, Education, Sociology and Social Phenomena --- Health care reform --- Medical care --- Delivery of health care --- Delivery of medical care --- Health care --- Health care delivery --- Health services --- Healthcare --- Medical and health care industry --- Medical services --- Personal health services --- Health reform --- Health system reform --- Healthcare reform --- Medical care reform --- Reform of health care delivery --- Reform of medical care delivery --- Public health --- Medical policy --- Health insurance --- Social service. --- Comparative politics. --- Public policy. --- Democracy. --- Social policy. --- International relations. --- Social Work and Community Development. --- Comparative Politics. --- Public Policy. --- Social Policy. --- International Relations. --- Coexistence --- Foreign affairs --- Foreign policy --- Foreign relations --- Global governance --- Interdependence of nations --- International affairs --- Peaceful coexistence --- World order --- National security --- Sovereignty --- World politics --- National planning --- State planning --- Economic policy --- Family policy --- Social history --- Self-government --- Political science --- Equality --- Representative government and representation --- Republics --- Comparative political systems --- Comparative politics --- Government, Comparative --- Political systems, Comparative --- Benevolent institutions --- Philanthropy --- Relief stations (for the poor) --- Social service agencies --- Social welfare --- Social work --- Human services

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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)