... for geriatrics. (page 271) An interesting thought-and more evidence that there is worthwhile read- ing here for those who have not yet been “gerontologized.” Harvard University Thomas R. Willemain Elizabeth Anne Kutza, The Benefits of Old Age: Social Welfare Policy...

.... Lexington, MA: D. C. Heath. Is Medical Care Different? Old Questions, New Answers Mark V. Pauly, University qf Pennsylvania Abstract. This paper examines whether changes in medical markets may be mak- ing them more like other markets. The emergence of HMOs and other managed...

...Frank J. Thompson The New Federalism that evolved under the Reagan administration tends to grant states more discretion in the implementation of health care programs. It thereby rekindles old concerns about the commitment, capacity, and progressivity of the states. This paper reviews recent policy...

... are poised to assume new roles during the 1990s. Copyright © 1993 by Duke University Press 1993 Commentary New Wine in Old Bottles: Certificate of Need Enters the 1990s Robert B...

... or financial constraints. Muriel R. Gillick . Old and Sick in America: The Journey through the Health Care System . Chapel Hill, NC : University of North Carolina Press , 2017 . 300 pp. $90.00 cloth, $29.95 paper. Copyright © 2019 by Duke University Press 2019 It is well documented...

...: New Evidence in an Old Bottle Randall R. Bovbjerg Lisa C. Dubay Genevieve M. Kenney Stephen...

... as those found in Canada. If Uncle Sam retired north of the border, being old and sick would also mean being wealthier and happier. On Being Old and Sick: The Burden of Health Care for the Elderly in Canada and the United States...

... and institutional care to more home-based, social care is highly unlikely. Home Care in Old Age: A Lost Cause? Anne Jamieson University of London Abstract I consider policy trends and the provision of home care...

... who were less than eighteen years old, for patterns which might suggest or rule out particular options. Adults are seldom in the vehicle when drivers under eighteen crash, but requiring the presence of an adult might increase adult deaths rather than reduce teenage crashes. Identification of risk...

... context: the rise of white nationalism. White nationalism erodes the social capital that fosters social welfare policies; it challenges the basic idea of a right to health care. White nationalism is an old urge that rises with a new twist in the Trump era: the political parties, which historically...

... the patient has suffered from this change, too, often feeling profoundly alienated from the entire medical apparatus. For terminally ill patients, the problem is especially severe; but the hospice approach (patient-centered like the old medieval hospital, and yet owing much to modern specialization...

... factors suggest a volatile political climate immediately following passage, Lawrence R. Jacobs's essay encourages us to think about the longer-term implications of how the ACA will foster a new politics. Jacobs reminds us of the old adage, “policy effects politics,” and gives us a glimpse into the ACA's...

...Robert Gajarski; Diana M. Bowman Abstract In an unprecedented legal ruling in June 2013, a US federal district court judge decided that the existing policy for donor lung allocation be vacated to save the life of a ten-year-old girl dying from cystic fibrosis. This case has fueled much controversy...

... scrutiny. The third section describes some of the effects of bureaucratic rigidities in peer review on the practice of medicine: the preservation of old technologies, the development of fixed patterns of practice, and the strengthening of the technical and interventionist biases in medical care. The final...

.... For the initiator has the enmity of all who would profit by the preservation of the old institutions and merely lukewarm defenders in those who would gain by new ones. Machiavelli, The Prince Implementing Change: Lessons for Medicaid Reformers Sara S. Bachman, Dennis F. Beatrice, and Stuart H. Altman...

...Alicia H. Munnell Although the hospital insurance (HI) trust fund acted as a source of strength for the old-age, survivors, and disability insurance program during its recent financial crises, projections by HCFA and CBO reveal that the Medicare program will experience financing problems of its own...

... of the market that are believed to be lead indicators of future activity. It includes analyses of “new” versus “old” PPOs, the ten largest PPOs, and the entrance of hospital chains into the insurance market. We conclude that the dramatic growth of PPO enrollment in 1985 is likely to continue in the future...

.... In particular, those without private or public supplementary insurance, those with low incomes, African Americans, and the oldest old had lower utilization before the MFS. The impact after implementation of the MFS on vulnerable populations was similar, for the most part, to that for other beneficiaries...