This book explores and assesses the problems and transformations underway in the financing of U.S. health care and in the delivery of services on the eve of an era of major health care reform. It can be viewed as a follow-up to The Medical Triangle: Physicians, Politicians and the Public.
Introduction Part One: The Changing Health Care Scene: The Longest View 1. Everything I Know About Health Care I Learned in the Pentagon in World War II 2. The Impact of World War II on U.S. Medicine 3. The Veterans Administration in a Vise 4. Health Reform: Lessons from Employment, Housing, and Education 5. The Reform of Medical Education Part Two: Health Care and the Market 6. The Limits of Health Reform Revisited 7. Health Policy: The Old Era Passes 8. Health Personnel: The Challenges Ahead 9. Philanthropy and Nonprofit Organizations 10. High-Tech Medicine 11. Competition and Health Reform 12. Hospitals, Doctors, and Global Budgets Part Three: The Poor and the Uninsured 13. Financing Health Care for the Poor: Second-Best Solutions 14. Restructuring Health Services in New York City 15. Access to Health Care for Hispanics 16. Beyond Universal Health Insurance Part Four: Toward Health Reform 17. Health Care Reform: Why So Slow? 18. Interest Groups and Health Reform 19. Physicians and Health Care Reform 20. Where Are We and Where Should We Be Going? 21. President Clinton's Design for Reform