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  • Introduction / Deborah A. Stone and Theodore R. Marmor  1
    Health Care of the Disadvantaged: The Elderly / Judith Feder  6
    Child Health Policy in the U.S.: The Paradox of Consensus / Alice Sardell  17
    Health Care and the Homeless: A Political Parable for Our Time / Bruce C. Vladeck  54
    Domestic Food Policy in the United States / Michael Lipsky and Marc A. Thibodeau  67
    Chronic Disease and Disadvantage: The New Politics of HIV Infection / Daniel M. Fox  89
    Health Care Policy Issues in the Drug Abuser Treatment Field / William E. McAuliffe and Kathleen Ackerman  105
    Mental Health Policy for the 1990s: Tinkering in the Interstices / M. Gregg Bloche and Francine Cournos  143
    The Medically Uninsured: Problems, Policies, and Politics / Lawrence D. Brown  184
    Epilogue: Tales of Trouble / James A. Morone  192
    Index  197
      
  • Marc A. Thibobeau

    Deborah Stone

    Judith Feder

    Alice Sardell

    Bruce C. Vladeck

    Michael Lipsky

    Daniel M. Fox

    William E. McAuliffe

    M. Gregg Bloche

    Lawrence D. Brown

    James A. Morone

    Theodore R. Marmor

    Marc A. Thibodeau

    Kathleen Ackerman

    Francine Cournos

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  • Description

    This important collection of essays, originating in a 1989 conference on the disadvantaged in American health care, provides incisive commentary on U.S. health care policy and politics. Examining public responses to health crises and analyzing the political logic of the American community, this volume charts the immobility of U.S. health policy in recent years and points to its disastrous consequences for the 1990s.
    Focusing on the particular needs of disadvantaged groups—the elderly, children, people with AIDS, the mentally ill, the chemically dependent, the homeless, the hungry, the medically uninsured—these essays develop strong policy statements. The authors describe the growth in U.S. health care programs, from Kerr-Mills to Medicare, Medicaid, and subsequent revisions, and stress the serious omissions resulting from incremental policy expansion, both in identifying disadvantaged groups and in implementing programs. They report the weakness of the U.S. health care system compared to systems of other technologically developed countries.

    Contributors. Deborah A. Stone and Theodore R. Marmor, Judith Feder, Alice Sardell, Bruce C. Vladeck, Michael Lipsky and Marc A. Thibodeau, Daniel M. Fox, William E. McAuliffe, M. Gregg Bloche and Francine Cournos, Lawrence D. Brown, James A. Morrone

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