Designed for the sociology of medicine and public health, community medicine, and health care delivery courses, this vivid and accessible textbook explores the most important current debates about health care in American society. Budrys introduces novice readers to functionalist and conflict perspectives, offering integrated approaches to explain and analyze the structure of our rapidly changing system of health care delivery. Inequality, power, access, and the changing political and policy environment are given special attention.
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The aim of this book is to present the reader with a comprehensive overview of the U.S. health care delivery system. A central theme running through the book revolves around the fact that Americans have expressed a high level of dissatisfaction with the country's health care arrangements for many years, yet have been unable to come up with reforms that would address the main point of dissatisfaction: the steadily rising cost of care. One of the primary objectives of the book is to provide a clear explanation of the health insurance arrangements operating in this country; both public, such as Medicare, and private, which is generally employment-based. The workings of structures that combine payment and provision of health care services, namely H.M.O.s (Health Maintenance Organizations), are described in detail. The health care systems developed by other countries are examined to illustrate how this country's 'unsystematic system' differs from those in most other highly industrialized countries. Special attention is directed to hospital and health occupational trends. Statistics gathered by government agencies and researchers associated with various nonprofit organizations are used to illustrate points of discussion. The final chapters of the book address attempts to control costs and changes promoted by sponsors of the most recent reform plans.
Grace Budrys is professor of Sociology and Director of the School of Health and Public Service at DePaul University. She has written numerous books on the disparities in U.S. health care, including When Doctors Join Unions, and Unequal Health.
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