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With the collapse of national health care reform efforts in the early 1990s, states emerged as a focal point for new policy and administrative developments in U.S. health care. This book provides a timely overview of the key issues facing states as they have responded to this challenge. It tells how states are making decisions about health policies and then putting them into action -- and how legislatures, executives, courts, and bureaucracies all participate in this process. The New Politics of State Health Policy describes many of the major trends in states' responses to health care problems of the 1990s, and it identifies the forces that will influence state policy actions in the new century. It examines reforms now under way, from Medicaid to tobacco control to mental health, and addresses today's most pressing issues surrounding managed care, health insurance, and public health administration. Editors Hackey and Rochefort have brought together a distinguished group of scholars and practitioners in the field of health policy analysis. Frank Thompson, Theodore Marmor, Michael Dukakis, and others map out the different institutional frames shaping how each state approaches the health care domain. While some states deliberate over universal coverage, others have shifted to the county level decisions once made in Washington, D.C. But all face the difficulty of taking on unprecedented responsibilities with limited resources amid the often-conflicting concerns of public management and "moral politics". Each contribution in the volume explores the interplay between state governance and health care policy by addressing four themes: the capacity of states to fulfill their new healthcare roles, the significance of recent policy changes, patterns in the politics of state health policy making, and the relationship of state-level changes to failed national health care reform.

"Scarf knows the intricacies of the family structure and, even better, knows how to write well about them. In Intimate Worlds, as in most of our lives, family is riveting, white-knuckle stuff." --The Washington Post Book World In Intimate Worlds, bestselling author Maggie Scarf takes on the most important, and most universal, subject of her distinguished career: the family. As the first social organization that we each encounter, the family is where we learn the most fundamental and enduring lessons of our lives. Yet for too many, those lessons turn out to be painful, perplexing, and emotionally crippling. In this luminous, beautifully written book, Scarf brilliantly examines the complex ways in which families create their own intimate rules and patterns of interaction, and how by understanding these dynamics we can each improve the quality of our own family life. At the book's core are the stories of four fascinating families and the very different ways they enact the central issues of family life: power and intimacy; conflict and love; individuality and group identification. Spanning the spectrum of family health from dysfunctional through optimal, these families grapple with serious substance abuse, sexual problems, difficulties with attachment and nurturance, eating disorders, and buried resentments that surface generation after generation. As Maggie Scarf probes the motives and meanings of these compelling dramas, she reveals the essential truths of how families shape human identity. Combining lucid analysis with warm human understanding, Intimate Worlds is a major work that both clarifies and deepens our knowledge of family relationships. "Wrought withcare and commitment, it is meticulously researched and will, I think, serve as a valuable resource for families struggling to understand themselves.

Group Health Cooperative - Group Health Cooperative, based in Seattle, Washington, is a consumer-governed nonprofit healthcare system. Established in 1947, it today provides coverage and care for about 540,000 people in Washington and Idaho and is one of the largest private employers in Washington.

Washington Marine Group - The Washington Marine Group is a consortium of companies owned or largely owned by Dennis Washington of Montana. These companies provide a variety of transportation and marine services in British Columbia's waterways.

Citizens' Health Care Working Group - Section 1014 of the "Medicare Prescription Drug, Improvement, and Modernization Act of 2003" created the Citizens' Health Care Working Group; its web site is www.citizenshealthcare.

Health Alliance International - Health Alliance International (HAI) in a non-profit organization based in Seattle, Washington, USA. HAI is an international public health organization, loosely affiliated with the University of Washington, currently working in Mozambique and East Timor.

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