This volume places the welfare debates of the 1980s in the context of past patterns of U.S. policy, such as the Social Security Act of 1935, the failure of efforts in the 1940s to extend national social benefits and economic planning, and the backlashes against "big government" that followed reforms of the 1960s and early 1970s. Historical analysis reveals that certain social policies have flourished in the United States: those that have appealed simultaneously to middle-class and lower-income people, while not involving direct bureaucratic interventions into local communities. The editors suggest how new family and employment policies, devised along these lines, might revitalize broad political coalitions and further basic national values. The contributors are Edwin Amenta, Robert Aponte, Mary Jo Bane, Kenneth Finegold, John Myles, Kathryn Neckerman, Gary Orfield, Ann Shola Orloff, Jill Quadagno, Theda Skocpol, Helene Slessarev, Beth Stevens, Margaret Weir, and William Julius Wilson.

A critical analysis of the political roles and impact of social services in the United States, assessing their influence on the values, structures, and human behaviors underlying the present social order.

Designated a Doody's Core Title! Winner of an AJN Book of the Year Award! Who Has a Right to Health Care? What Is the Government's Role in Providing Accessible Health Care? How Are Corporations, Insurance Companies, and Health Care Providers Affecting the Quality of Health Care? And, Most Importantly, Can We Reform the U.S. Health Care System? We often debate these issues in health care policy or public health courses, yet we do so without the proper knowledge of the underlying structure of the U.S. health care system--or a framework by which it can be judged. Many health care workers entering the system are ill-equipped to address the issues faced in direct health care practice, in part because they have no ability to evaluate it. In this innovative text, Gunnar Almgren provides all the tools necessary to understand and critique a health care policy in dire need of change. First, he describes the historical evolution of U.S. health care, explaining how the early roles of hospitals, doctors, and nurses still influence today's system. He explains the complex financial aspects of health care, including the concerns of all its major stakeholders. He looks at the government's role in regulating and funding health care, and how that role has expanded and contracted through various political administrations. An entire chapter describes the facilities and services available for the elderly--an issue that will continue to rise in importance as America ages. Finally, he examines the many causes of disparities in the U.S. health care system. In addition, Almgren offers a unique social justice analysis as a framework by which the current system--and proposed reforms--can be judged. By analyzing the health care system through various models of social justice, we can begin to understand and address the urgent issues of economic, racial, and geographic disparities that plague our current system. With its clear, thorough, and comprehensive coverage of U.S. health care, this unique text is accessible to all those in public health, nursing, social work, public policy, or public administration. No other book addresses the underlying issues of the U.S. health care system alongside a variety of social justice models that we can use to evaluate, and perhaps eventually, change it.

A thought-provoking and evocative account that considers both the policies we think of as "health policyand those that we don't, The Political Determinants of Health provides a novel, multidisciplinary framework for addressing the systemic barriers preventing the United States from becoming the healthiest nation in the world.

This new edition looks at the many recent changes in the arena of Human Sevices Organizations.

The book asserts that if reorganization is to improve state agency performance, rather than ending as it so often does in disappointment and frustration, the political context must be carefully analyzed and proposals designed accordingly.