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History of Health Policy Health Systems(卫生系统医疗政策的历史)
History of Health Policy Health Systems Elective: MA in Bioethics, Stony Brook University Graduate School Course # HCB 515 Time Location Instructor: Carla C. Keirns, MD, PhD, MSc, carla.keirns@, 631-444-2765 Assistant Professor of Preventive Medicine; Assistant Professor of Medicine; Assistant Professor of History; Center for Medical Humanities, Compassionate Care Bioethics, Stony Brook University School of Medicine Who gets sick? Who gets health care, what kind, and in what setting? This course covers the major health policy issues of the United States today, including the health status of the U.S. as a whole, the social and economic determinants of health, the role of personal and public health services in affecting health, the organization and financing of health services, and the multiple factors affecting health policies. We will explore the evolution of the US health care system in the past century, and debates about rights to health care or lack thereof, health disparities, conflicts of interest, and the ethics of health policy and practice. Week 1: Introduction Week 2: What is a health care system and does the US have one? Week 3: The Burden of Disease Epidemiologic Transitions Week 4: The Origins of Hospitals Week 5: Health Crisis and Health Reform in the Progressive Era Week 6: The Multiple Origins of Health Insurance Week 7: Blue Cross, Blue Shield Employment-Based Health Insurance Week 8: The Many lives of Medicare Week 9: From Charity Care to Medicaid Week 10: The Changing Welfare State, 1970s-1990s Week 11: The Rise and Fall of the Clinton Health Care Plan Week 12: HMOs and Health Reform in the 1990s Week 13: Continuing Crises of Cost and Coverage Week 14: What Now? Course Objectives: 1. At the end of this class,
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