A Comparative Approach to Policy Analysis: Health Care Policy in Four Nations
CUP Archive, 1979 M10 31 - 326 pages
This book provides a framework for explaining why governments adopt the policies they do. In addition, it establishes a basis for comparing political systems in terms of their public policies rather than their institutions or political processes. The book begins by placing in a historical perspective the worldwide role of the state as a major provider of goods and services. Following this general background is an 'accounting scheme' that brings some semblance of order to the seemingly infinite variety of policy-relevant variables and makes the comparative study of public policy more manageable. It is suggested that any nation's public policies can be explained in terms of situational, structural, environmental and cultural factors. The second part of the book applies the accounting scheme to an increasingly specific and narrow range of public policies. The author examines one crucial area of public policy - health care - and the evolution of that policy in four diverse nations: Germany, Great Britain, the Soviet Union and Japan. The book concludes with an assessment of the prospects for an American national health care programme in the light of the experiences of these other nations.
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The origins and evolution of the positive state
Accounting for public policy
Comparing policy priorities
Introduction to Part II
the pioneer in national health care
health care in modern welfare state
health care in a communist state
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activity addition administrative American analysis appear areas Association benefits Britain British century changes Chapter comparative concern contribution costs countries culture defense differences discussion doctors economic established examine example existing expect expenditures fact factors financed funds German groups health care policy health insurance Health Service hospital impact important improved income increased industrial influence insurance system interest involved issue Italy Japan Japanese less limited live major measure medical care medical profession medicine military mortality national health insurance nature noted organization particularly party patients percent performance period persons physicians political population position practice problems profession public policy Rank reform regimes relatively responsibility result role rural sickness insurance situational social socialist society Soviet spending structure tion United urban various welfare workers World