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"This book chronicles school desegregation in Rochester, NY. It examines in detail the Civil Rights era fight to desegregate Rochester schools and reviews the various attempts in the last fifty years at metropolitan-level solutions to Rochester's educational ills. Ultimately it brings the historical narrative to the present day, illustrating the flaws inherent in the school reform model that has dominated national education policy for nearly forty years."--

Segregation in education --- rochester integration lawsuit, racial equality in education, civil rights in rochester ny, frederick douglas rochester ny, rochester redlining, busing in rochester.

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During the 1992 presidential campaign, candidate William J. Clinton praised Rochester's hospital experimental payment (HEP) program for containing costs and providing access to high quality health care. "If Rochester, New York, can do it with two-thirds of the cost of the rest of us," Clinton asserted, "America can do it too." This book is a detailed case study of a community that devised and implemented a unique, successful, and celebrated hospital cost containment experiment in the 1980s. Author Sarah Liebschutz describes the economic and social culture of Rochester dating to the early part of the twentieth century that provided the fertile soil for regional health planning and the HEP program. This study also examines how the changing economy ultimately stimulated robust competition among health care insurers and providers.
What does Rochester's experience tell us about the role communities play in organizing and financing health care? The national government has long played --and will continue to play -- a central role in determining health policy, funding health insurance, and reimbursing health care providers. The responsibility for dealing with the interlocking issues of access, quality, and costs, however, is not exclusively national. State governments shape the health system as they legislate, regulate, and finance such key components of health care as insurance coverage, quality of care, hospitals, and other providers.
Communities matter because they organize and deliver health care at the ground level through private and employed health care professionals and public, private, and nonprofit hospitals. They matter because they ultimately determine whether health care in America is available, efficient, and effective.
The book draws heavily on files of the Rochester Area Hospitals Corporation, made available specifically to the author, and on extensive interviews with business leaders, hospital trustees, and administrators whose decisions fostered collaboration and then competition.

Sarah F. Liebschutz is Distinguished Service Professor Emerita at the State University of New York, College at Brockport.

Gesundheitsfürsorge --- Krankenhaus --- Gemeinschaft --- Medical care. --- Hospitals --- Community health services. --- History, 20th Century. --- Health Planning Organizations --- Hospital Planning --- Insurance, Hospitalization --- Reimbursement Mechanisms --- Prospective Payment System --- Community health services --- Medical care --- Neighborhood health centers --- Public health --- Regional medical programs --- 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 --- Benevolent institutions --- Infirmaries --- Health facilities --- Insurance --- Nursing homes --- Psychiatric hospitals --- Rural hospitals --- Planning. --- history. --- Planning --- History. --- Prospective payment --- Rochester, NY --- New York (State) --- New York. --- Nyu Yorḳ (State) --- NYS --- Niyū Yūrk (State) --- Nʹi︠u︡-Ĭork (State) --- Shtat Nʹi︠u︡ Ĭork --- State of New York --- State of N. York --- NY (State) --- N.Y. (State) --- N. York (State) --- نيويورك (State) --- ولاية نيويورك --- Wilāyat Niyū Yūrk --- Штат Нью-Ёрк --- Нью-Ёрк (State) --- Ню Йорк (State) --- Nova York (State) --- С̧ӗнӗ Йорк (State) --- Śĕnĕ Ĭork (State) --- Efrog Newydd (State) --- Kin Yótʼááh Deezʼá Hahoodzo --- Nííyóó Hahoodzo --- New Yorgi osariik --- Νέα Υόρκη (State) --- Nea Yorkē (State) --- Πολιτεία της Νέας Υόρκης --- Politeia tēs Neas Yorkēs --- Nueva York (State) --- Estado de Nueva York --- Nov-Jorkio --- Ŝtato de Nov-Jorkio --- État de New York --- Nua-Eabhrac (State) --- York Noa (State) --- Eabhraig Nuadh (State) --- Estado de Nova York --- Néu-Yok (State) --- Шин Йорк (State) --- Shin Ĭork (State) --- 뉴욕 주 --- Nyuyok-ju --- 뉴욕 (State) --- Nyuyok (State) --- Nuioka (State) --- Nú Yọk (State) --- Tchiaq York (State) --- New York Isifunda --- New York-fylki --- ניו יורק (State) --- מדינת ניו יורק --- Medinat Nyu Yorḳ --- Stat Evrek Nowydh --- Evrek Nowydh (State) --- Nou Yòk (State) --- Novum Eboracum (State) --- N̦ujorka (State) --- Niujorko valstija --- Niujorkas (State) --- Niorche (State) --- Њујорк (State) --- Njujork (State) --- Yancuīc York (State) --- ニューヨーク州 --- Nyū Yōku-shū --- ニューヨーク (State) --- Nyū Yōku (State) --- New York (Colony) --- City of Rochester (N.Y.)