21 October
Public Policy
Health Policy, Policy Makers and Ted Lowi
Administrative Items for Class
Oral Presentation
Announcements?
POLICY ANALYSIS DUE THURSDAY! - Outline, Questions?
What is "New & Groovy in Public Policy?"
THE PUBLIC POLICY TOOLKIT
Definitions - What is public policy?
Contexts - What information is needed when making policy?
Models - What are specific ways to analyze policy making?
Federalism - Recognizing Levels of Gov't & Tools Used
Variables - Cause and Effect
Process - Stages of Public Policy (Public Opinion, Non-Decisions, Actors)
Data Conclusions "Filling In Gaps" and Policy Consistency
Actors - Official, Unofficial (Supplementary and Primary) (Core,Gate,Users, Rest)
Issues - Subsystems and Political Systems
LOWI POLICY TYPES - Regulatory, Self Regulatory, Redistributive, Distributive
TODAY...
Applying these to Health and Welfare Policy
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POLICY ACTORS Official Primary and Supplementary Unofficial
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LOWI's
Policy Types:
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Elite
and Rational Actor Modeling in Action
ARE
GOOD HEALTH AND A REASONABLE QUALITY OF LIFE A RIGHT or a PRIVILEGE IN AMERICA?
Health Data-Healthlinks
WELFARE
Poverty in America
Who
are the Poor?
Feminization of Poverty and Child Poverty
Complexities in Data
Medicaid
Medicare
SSI
Social Security
Elderly Politics - AARP
Unemployment
What do the poor need - Resources or Opporunities?
Reform
1996 – FEDERALISM
WRIT LARGE!
HEALTH CARE
History
Private
Public-Hybrid
PRIV-BRID Health Care system in America
Actors
Old v. New
Elites and Masses
New players - Women's Health
"Equality
of Rights under the law shall not be denied or abridged by the United States or
by any state on account of sex.”
Rights,
Health and Economics
Work Force
and the Earnings Gap ($0.76 v.
$1.00) not direct but cultural
“White”
“Pink” and “Blue” collar jobs…REALLY?
THE
GLASS CEILING and COMPARABLE WORTH
ABORTION
1965 - Griswold
v. CT
1971 - Roe
v. Wade
1989 - Webster
v. Reproductive Health Services
1992 - Planned
Parenthood of PA v. Casey
Sexual Harassment - Acts or a "hostile work environment"
Evaluating
Health Care
HOW DOES A NATION
EVALUATE GOOD HEALTH CARE?
FIND A HEALTH POLICY ACTOR'S WEB SITE...
HMO
Who are some Health Policy Subsystem (PRIV-BRID) Actors?
Rational and
Irrational Behavior
IS IT BY THE SAME
MEASURES OR BY HOW A PATIENT/PERSON DEFINES IT
Strong Private Sector Orientation in Health Care = PRIVATE
Public/Gov't Involvement = hyBRID
PRIV-BRID