.... Power Rather Than Path Dependency? The Dynamics of Institutional Change under Health Care Federalism Ana Rico iBMG, Erasmus University Rotterdam...

...James C. Robinson The doctrine of managed competition in health care sought to achieve the social goals of access and efficiency using market incentives and consumer choice rather than governmental regulation and public administration. In retrospect, it demanded too much from both the public...

...Julianne Mahler State and federal health services regulatory programs have proliferated over the past ten years, but little attention has been paid to their coordination to ensure that they reinforce rather than obstruct each other. Four approaches taken by states to coordinate certificate-of-need...

...Iris Geva-May; Allan Maslove This article attempts to shed light on the complexity inherent in health care reform policies in the context of political power contests that trigger the changes imposed on the health care system. Rather than being solely a response to financial circumstances...

...Eduardo J. Gómez Using a temporal approach dividing the reform process into two periods, this article explains how both Brazil and the United States were slow to respond to AIDS. However, Brazil eventually outpaced the United States in its response due to international rather than democratic...

... neglect of child health in state legislation; nor have they greatly expanded the volume of direct services for child care. They have been sufficiently ambiguous and diffuse to leave the providers dominant, treating diseases and existing conditions rather than focusing energy on preventive measures...

... CHPs lacked specific health plans and powers, the two California agencies examined have had both regional plans and roles in CON programs comparable to the present HSAs'. Our focus is on the decisionmaking process rather than the effectiveness of CON programs. A simple descriptive model is developed...

...) Is a differential payment justified for Medicare, Medicaid, and/or Blue Cross on the basis of differential costs? (2) Have the cost-containment efforts of the dominant payers reduced total payments to hospitals? and (3) What part of the overall savings in payments to hospitals is in the form of reduced costs rather...

... the likely scope of such acquisitions and their impact on the education, research, and indigent care that teaching hospitals provide. Our assessment concludes that relatively few teaching hospitals are likely to satisfy the financial criteria chains apply to acquisitions; that hospitals with modest rather...

..., the administration's policy choices intensified, rather than mitigated, racial health inequality. Its choices had a disproportionate adverse impact on minority populations and patients who are more likely to depend on public programs, be poor, experience pandemic-related job loss, lack insurance, rely on health care...

...Ronald Bayer; Daniel Callahan Despite Medicare's success as a social program, its future is in question because of the program's enormous costs. Because the issue of Medicare reform has been forced upon us at this juncture by a crisis of finance rather than by the longstanding inequities...

... and growing autonomy for certain nonstate and parastate actors, it does not follow that the mechanism at work is a “neoliberal convergence.” Rather, the translation into diverse national settings of quasi-market mechanisms is accompanied by a reassertion of regulatory authority and strengthening of statist...

... of contamination continues to be a concern despite federal and state efforts to ease liability fears but also that site and project features can overcome this hurdle. In particular, jurisdictions appear more likely to convert distressed properties into greenspace if recreational parks, rather than open space...

... with obesity, express relatively low support for obesity-targeted policies, and still view obesity as resulting from individual failure rather than environmental or genetic sources. Given the absence of elite discourse on this problem, we also find that typical determinants of policy preferences...

... they perceive that they will not need it and would rather spend their money elsewhere. As uninsurance rates climbed, policy makers tried to figure out who the uninsured were and why they lacked coverage. Young adults rightly assumed importance in these conversations because they were disproportionately...

... or sectors of the health care system. The economic and equity rationale for carrying out budget impact analyses is opportunity cost, or benefits forgone, measured in terms of utility or equitable distribution, by using resources in one way rather than another. In other words, by choosing to draw down...

...Lois O'Brien Friss If the decline in full-time labor force participation by registered nurses in hospitals is to be reversed, the issue of equal pay for comparable work must be addressed. Under pressure for cost containment, policies tend to focus on labor force economics rather than on limitations...

... 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...

... of this inflation–and nearly as many recommended policy approaches–the outlines of an effective cost containment program still elude us. Previous approaches to cost containment have tended to emphasize the mechanics of how hospital costs are incurred rather than seeking to explain the underlying causal factors...

... to restrict rather than expand the range of effective choice in the health insurance market. Regulation and Competition: An Examination of “The Consumer Choice Health Plan’’ William J. Lynk, Lexecon Inc. Abstract. Legislation to enact the “Consumer Choice Health...