Governing For Health

Governing Health examines health care policy making from a long-term, political perspective, describing how Congress, the president, special interest groups, bureaucracy, and state governments help define health policy problems and find politically feasible solutions. The third edition of this pathbreaking book is updated to cover recent legislative efforts, including the Medicare prescription drug benefit.Praise for previous editions of Governing Health

"Chelsea Clinton and Devi Sridhar [believe that global health public-private partnerships] are not only important for combating infectious diseases; they also provide models for developing solutions to a host of other serious global health challenges and questions beyond health. But what do we actually know about the accountability and effectiveness of PPPs in relation to the traditional multilaterals? According to Clinton and Sridhar, we have known very little because scholars have not accumulated enough data or developed effective ways to assess them--until now"--Amazon.com.

Some aspects of public health vary by locality or jurisdiction. Political challenges are not one of them. As governments on every scale become motivated by short-term economic gains, the essential causes of public health and equity are regularly subject to political questioning and financial shortcutting. Governing for Health is a counterpoint to this myopic approach -- a passionate, rigorous case for why the health of a society is both its greatest measure and its most untapped source of prosperity. Drawing on evidence from economic policy, urban planning, education, environmental policy, and civil action, Fran Baum offers more than a pie-in-sky vision of an equitable society. Governing for Health is an actionable (and inspiring) roadmap to a society that draws prosperity from advancing the health of its people. It utilizes methods of progress-measuring, city planning, and progressive policy foci to advance goals that are unreachable in traditional, economics-driven government practice. Whether for students in health equity, more seasoned public health professionals, or citizens interested in their community's and their own health this book offers a trenchant, richly rewarding and accessible look at the field's ultimate end game -- and with it, hope that it's closer than we think.

Some aspects of public health vary by locality or jurisdiction. Political challenges are not one of them. As governments on every scale become motivated by short-term economic gains, the essential causes of public health and equity are regularly subject to political questioning and financial shortcutting. 'Governing for Health' is a counterpoint to this myopic approach - a passionate, rigorous case for why the health of a society is both its greatest measure and its most untapped source of prosperity.

Drawing on various disciplinary perspectives, this book re-focuses the debate on what makes a good health system, with a view to clarifying the uses of social science research in thinking about health care issues in Africa. The explosion of the HIV/AIDS pandemic, the persistence of malaria as a major killer, and the resurgence of diseases like tuberculosis which were previously under control, have brought about changes in the health system, with implications for its governance, especially in view of the diminished capacity of the public health facilities to cope with a complex range of expanded needs. Government responsibilities and objectives in the health sector have been redefined, with private sector entities (both for profit and not-for profit) playing an increasingly visible role in health care provisions. The reasons for collaborative patterns vary, but chronic under-funding of publicly financed health services is often an important factor. Processes of decentralisation and health sector reforms have had mixed effects on health care system performance; while private health insurance markets and private clinics are pointers to a growing stratification of the health market, in line with the intensified income and social differentiation that has occurred over the last two decades.These developments call for health sector reforms.

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In an era of rapid and extensive globalisation, the world faces a wide range of transboundary problems that require effective collective action. Key among these are threats to human health that do not recognise national borders, and include emerging and re-emerging infections, rising rates of chronic diseases, inadequate access to affordable and safe medicines, spreading anti-microbial resistance and the health effects of climate change. These threats require a transnational response and thus pose significant challenges to global health governance, as well as to long established notions of national sovereignty. This book investigates the neglected question of the impact of a rising Asia on the management of transboundary health problems. The chapters examine the role played by Asia in the governance of a range of global health issues, from development assistance in health, to global health instruments dealing with tobacco control and disease outbreaks, to health research and knowledge products, and the book concludes by examining the broad themes of a rising Asia’s role in the complexity of global health governance. The various analyses are tied together by a common focus on Asian countries’ use of the sovereignty principle, and seek to understand how traditional notions of national sovereignty can both clash with, and enhance, governance objectives in global health. In addition, the contributors examine the interaction between global, regional and domestic institutions, and present current ideas in Asia on the challenge of governing global health. With an inter-disciplinary approach that combines international relations, public policy and public health, this book will be invaluable to both scholars and policy makers working in these fields, as well as Asian politics, social policy and governance more generally.

This book represents the first comparative study of how health policy is made in leading industrial nations. Using detailed case histories of the UK, the US and Germany, it shows that health care systems and modern states are indissolubly bound together. The author explains how the health care state originated before the rise of democracy, and demonstrates that it has had to confront the twin pressures of democratic politics and competitive capitalism. It focuses on three important arenas of health care politics--the government of consumption, the government of doctors, and the government of medical technology--and illustrates how these three arenas intersect.