Health Care for Some Rights and Rationing in the United States Since 1930

ISBN-10: 022610219X
ISBN-13: 9780226102191
Edition: 2013
Authors: Beatrix Hoffman
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Description: The 2010 Affordable Care Act is a sweeping reform to the US health care system. Despite the fact that nearly every other developed country in the world considers health care a right, the passage of the act in the United States was hard fought  More...

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Book details

List price: $17.50
Copyright year: 2013
Publisher: University of Chicago Press
Publication date: 8/22/2013
Binding: Paperback
Pages: 360
Size: 6.00" wide x 9.00" long x 1.00" tall
Weight: 1.034
Language: English

The 2010 Affordable Care Act is a sweeping reform to the US health care system. Despite the fact that nearly every other developed country in the world considers health care a right, the passage of the act in the United States was hard fought because of a staunch and vocal opposition to universal health care among many American lawmakers. Why has the United States been so continually divided on this issue? In Health Care for Some, Beatrix Hoffman offers an explanation in the form of an engaging and in-depth look at America’s long tradition of unequal access to health care.Hoffman argues that two main features have characterized the US health system: a refusal to adopt a right to care and a particularly American type of rationing. Health Care for Some shows that the haphazard way the US system allocates medical services—using income, race, region, insurance coverage, and many other factors—is a disorganized, illogical, and powerful form of rationing. And unlike rationing in most countries, which is intended to keep costs down, rationing in the United States has actually led to increased costs, resulting in the most expensive health care system in the world. While most histories of US health care emphasize failed policy reforms, Health Care for Some looks at the system from the ground up in order to examine how rationing is experienced by ordinary Americans—from soldiers’ pregnant wives to survivors of Hurricane Katrina—and consequently reveals how experiences of rationing have led to claims for a right to health care. By taking this approach, Hoffman puts a much-needed human face on a topic that is too often dominated by talking heads.The ultimate success or failure of health care reform has yet to be determined. To understand how we got here and what might be ahead, you could have no better primer than Health Care for Some.

Introduction
Rationing and Rights History and Definitions
Prologue Rights and Rationing Before 1930
The Struggle for Health Care in the Great Depression
A Crisis of Access
Social Security without Health Security
Prosperity and Exclusion, 1941-64
Health Care at War
Rights to Refuse: The Triumph of the Hospital
Rationing by Coverage: The Rise of Private Health Insurance
New Entitlements and New Movements, 1965-80
Entitlements but Not Rights: Medicare and Medicaid
The Rise of Health Care Activism
Rights vs. Markets, 1981-2008
Emergency Rooms and Epidemics
At the Breaking Point
Epilogue: Rights, Rationing, and Reform
Acknowledgments
Notes
Glossary
Bibliography
Index

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