About This Text

A concise, authoritative tour of how U.S. health care is organized, financed, and regulated—connecting history and policy to today’s delivery, quality, access, and reform landscape.

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What’s New in the 10th Edition

Expanded coverage of telehealth, consumer devices, apps, and remote patient monitoring
Updated treatment of social and political determinants of health
Financing issues, including value-based care and alternative payment models, and the impact of private equity funding, consolidation, and consumerism
Updated sections across the care continuum: self-care, adult day services, hospice, and long-term care
Analysis of the COVID-19 era and system resiliency
Updated content on the diverse health care workforce and functions

Why Students Love This Text

The most concise and balanced introduction to the U.S. health care system
Engaging visual content, including graphs, and tables that consolidate key information on system performance, workforce trends, financing, and policy changes
Clear explanations of structures, stakeholders, and trends
Policy and reform developments/discussions in plain language
Frameworks for equity, quality, cost, and value

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Contents

Preface

Acknowledgements

List of Abbreviations

PART I. U.S. HEALTH CARE SYSTEM: PRESENT STATE

Chapter 1. Introduction

Chapter 2. The Settings for Health Care Delivery

Chapter 3. The People who Provide Health Care

Chapter 4. Medicines, Devices, and Technology

Chapter 5. Government and the Health Care System

Chapter 6. Financing the Health Care System

Chapter 7. Health Care System Performance

PART II. THE CHANGING U.S. HEALTH CARE SYSTEM: HOW WE GOT HERE AND WHERE WE ARE GOING

Chapter 8. Debates That Have Structured Health Care System Change

Chapter 9. History of Change From 1900 to 2010: Incrementalism

Chapter 10. History of Change From 1900 to 2010: Comprehensive Reform

Chapter 11. The Affordable Care Act and Health Care Reform After its Passage

Chapter 12. Prospects for the U.S. Health Care System

Index

Authors

Raymond L. Goldsteen, DrPH, is professor emeritus of Family, Population & Preventive Medicine, at the Health Sciences Center, Stony Brook University, where he was founding director of the Master of Public Health (MPH) program.

Karen Goldsteen, PhD, MPH, is affiliated research associate professor of Family, Population & Preventive Medicine at the Health Sciences Center, Stony Brook University.

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