Research Catalog

Title

Government and health services : government's role in the development of U.S. health services, 1930-1980 / by William Shonick.

Author

Shonick, William.

Publication

New York : Oxford University Press, 1995.

Items in the Library & Off-site

Holdings

Details

Description

xiii, 516 pages : illustrations; 27 cm

Subject

• Government
• Health Policy
• Health Services
• Medical policy > United States > History > 20th century
• United States

Bibliography (note)

• Includes bibliographical references (p. 488-504) and index.

Contents

• I. Community-Wide Preventive and Control Aspects of Governmental Public Health Activities. 1. Society and Health: The Historical Background of Public Health Services Development. Early Capitalism: The Mercantile Stage. Intermediate Capitalism: The First Industrial Revolution Stage. Late Capitalism: The Second Industrial Revolution Stage. The British Background of Early Public Health Organization in the United States. 2. The Local Health Department. The Period Before 1935. The Period 1935 and After. 3. The State Health Department. The Period Before 1935. The Period 1935 and After. 4. The Public Health Role of the Federal Government. The National Government's Role in State and Local Public Health Services: The Federal System through 1935. Grants-in-aid and Tax Sharing. The National Government's Role in State and Local Public Health Services: The Federal System after 1935. Direct Federal Governmental Public Health Activities: National Consumer, Environmental and Workplace Protection.
• II. Direct Provision of Personal Health Care by Government in the United States. 5. Federally Operated Medical Care Services. Medical Care for Veterans. Direct Medical Care Services of the U.S. Public Health Service. Medical Care Activities of the Armed Forces. 6. State Operated Medical Care Services. Nonfederal Government Services: Introduction. The State Hospital. The States and Inpatient Mental Health Services. The States and Community Mental Health Services. Summary and Comments. 7. Local Government-Operated, Direct Health Care Programs. Early Developments. The Urban Public Hospital after World War II -- III. Government as Payer for Medical Care Provided by Others. 8. Government-Reimbursed Medical Programs for the Indigent and Medically Indigent: The Period Before 1965. Overview and Background. Methods Used in the United States to Provide for Medical Care for the Indigent Sick. 9. Government-Sponsored Health Insurance: The Period Before 1965 Workers' Compensation and General Disability Insurance.
• Controversy Over Schemes of Government-Sponsored Health Insurance for General Medical Care. The Rise and Role of Private Health Insurance. Recapitulation: Third-Party Coverage of Medical Care Costs on the Eve of Passage of Medicare and Medicaid in 1965. 10. Medicare and Medicaid: Passage in 1965 and Aftermath. The Original 1965 Legislation (as Amended in 1967). Effects of Program Operation on the Health System, 1966-1972. The 1972 Amendments to the Social Security Act: A Watershed. Continuing National Debate over Government-Sponsored Health Insurance. The Accelerating Emphasis on Cost Containment after 1972. 11. The Government-Supported Community Health Center. Inadequate Access to Primary Ambulatory Care: A Persisting Problem. Antecedents of the Neighborhood Health Centers -- IV. Government Roles in Health Services Resources Promoting Developing Research, and Fostering Coordination and Planning of the Health Delivery System. 12. Government Support for Expanding the Supply of Health Facilities.
• The Hill-Burton Legislation. 13. Government Support for Expanding the Supply of Health Personnel. State and Federal Roles Before 1965. State and Federal Roles During and After 1965. Notes on the Reagan Administration. 14. Government Support for Research Related to Personal Health Care. Biomedical Research. Health Services Research. Some Summary Remarks. 15. Health Planning: Governmental Efforts to Promote Coordination and Rationalization of the Health Services System. Concepts of Health Planning. National Global Health Planning. Voluntary Local Community-wide Health Planning. Planning Aspects of the Hill-Burton Program. The Federal Program of Local Comprehensive Health Planning. State Government Legislation and Its Effect on Health Planning Agencies. Some Later Developments and Review of Issues in the Federal Planning Program. Summary Comments and a Look at Some Possible Futures for a Federally Sponsored, State-Coordinated and Locally Oriented Health Planning Program -- V. Reflections and Comments.
• 16. Recapitulation and Reflections. What Has It All Meant? What Might the Future Look Like?

ISBN

0195069684

LCCN

94011500

Owning Institutions

Columbia University Libraries