A Comparative Approach to Policy Analysis: Health Care Policy in Four Nations
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 a modern welfare state
health care in a communist state
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activity addition administrative American analysis Association benefits bill Britain British century changes Chapter communist comparative policy concern contribution costs countries defense differences doctors examine example expenditures fees feldsher financed German German health Ghana health care policy health care system health insurance system health policy hospital ideology impact important income increased industrial influence Insurance Law issue Japan Japanese health laissez faire limited major Malawi medical profession medicine ment military regimes modern national health insurance National Health Service Nazi organization party patients percent performance personnel persons physicians policy areas policy makers population practice practitioners problems public health public policy Rank reform Republic responsibility result role Russia scheme sickness funds sickness insurance system situational factors social insurance socialist society South Vietnam Soviet Union structure Sweden tion United United Kingdom urban USSR welfare West Germany workers World zemstvo