By Beaufort B. Longest Jr.

The publication collects contemporary articles on significant future health coverage matters, in addition to an creation by way of Longest. issues addressed contain Medicare, nation healthiness reform, the connection among politics and coverage, shopper defense, genetic privateness, and antitrust. additionally, a bit on the finish of the ebook summarizes key matters linked to healthiness coverage: costs, insurance, Medicare, and Medicaid.

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Extra info for Contemporary Health Policy: A Book of Readings

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The shift from fragmentation to integration has been under way throughout this period, although movement was exclusively horizontal initially and only later did it include vertical links. Horizontal integration, which links similar components (hospital to hospital or physician to physician), was the first form of integration among healthrelated organizations, in part because it is easier to accomplish than vertical integration, which links different components. It also emerged first because the incentives for horizontal integration were present before those for vertical integration.

They provide additional avenues to improved health. HEALTH POLICIES AND HUMAN BEHAVIOR AND GENETICS As Rene Dubos observed decades ago, “To ward off disease or recover health, men [as well as women and children] as a rule find it easier to depend on the healers than to attempt the more difficult task of living wisely” (1959, 110). The price of this attitude is partially reflected in the causes of death in the United States. Ranked from highest to lowest, and with the order remaining stable for many years, the leading causes are heart disease, cancer, stroke, accidents, chronic obstructive pulmonary disease (COPD), diabetes, suicide, liver diseases, and acquired immunodeficiency syndrome (AIDS).

Hospitals, initially through the formation of investor-owned horizontally integrated hospital systems and later by the growth of not-for-profit horizontally integrated hospital systems, have shown a significant propensity for horizontal integration (Starkweather 1981). In 1995, about 300 horizontally integrated hospital systems owned, leased, or managed about half of the nation’s hospitals (Dowling 1995). There are predictions that by the turn of the century only about 5 percent of all hospitals will remain independent (Savage et al.

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