Spring, 2016
COLLEGE OF HEALTH AND HUMAN SERVICES
California State University, Long Beach
Health Care Administration Program
Global Health Issues, HCA 422
Spring, 2016
Instructor: Richard L. Tradewell, MBA, Ph.D.
E-mail: richard.tradewell@csulb.edu
Office Hours: 2-6PM Thursday
Office Location: Instructor Office: SSPA-006
Phone: (562) 985-5694 Office
(949) 400-0960 Cell (text for appointment)
Class Number: 5578
Class Meets: 7-9:45PM, Thursday
Location: Room HHS1-105
HCA Program Administrative Coordinator:
Deby McGill deby.mcgill@csulb.edu
Tel: 562/985-5694; Fax: 562/985-5886
HCA Office Location: HHS2-118
Catalog Description
This course examines factors that impact global health, including geography, climate,
demography, culture, religion, and social organization. Issues are discussed from the standpoint
of individual nations, regions, and the world. It then analyzes the characteristics of healthcare
delivery systems and the governmental, economic, social and political forces that influence them.
Behaviors, over which one can exert control, are juxtaposed with genetic and environmental
factors, over which one has limited or no control.
Prerequisites: Completion of the GE Foundation, one or more Exploration courses and upper
division standing.
Course Goals and Objectives
Compare and contrast contemporary problems in health services policy and delivery in selected
developed and developing nations. Analyze health system performance from a financial,
management, government, private sector and public policy perspective. Obtain a more complete
understanding of the problems and possible solutions to U.S. health system inefficiencies and
inequities by acquiring an international perspective. Identify mistakes of other nations and isolate
ideas that have worked to increase access and promote quality of health services.
Expected Learning Objectives & Outcomes; Activities, Assignments & Assessments.
The Health Care Administration Department has adopted a competency-based curriculum, based
on the American College of Health Care Executives (ACHE) Competencies Assessment Tool
and the Healthcare Leadership Alliance (HLA) Competency Directory. The emphasis in this
course is on acquiring competencies in HLA Domain 4, knowledge of the healthcare
environment.
Learning Objective
Domain
Describe how environmental,
economic, social and political
forces affect access to health
care in America.
4-Knowledge
of the
Healthcare
Environment
Competency
Activities (A1) ,
Assignments (A2) &
Assessments (A3)
Socioeconomic environment A2: Critical essay
in which the organization
(country paper) and
functions
presentation
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Learning Objective
Domain
Competency
Identify the components of
the health care continuum.
4-Knowledge
of the
Healthcare
Environment
Organization and delivery
of healthcare
Activities (A1) ,
Assignments (A2) &
Assessments (A3)
A3: Quizzes and final
exam
Discuss the pros and cons of
integrated and managed care
delivery systems
Managed care models,
structures,
A1: Study reform of
NHS and compare to
Kaiser.
Discuss market, mandate,
single payer and other
(HSA) systems of health
care in nations
Financing mechanisms for
achieving universal access
throughout the world
A2: critical essay and
presentation.
The interrelationships
among access, quality, cost,
resource allocation,
accountability and
community
A1: Focus discussion
question # 1 and 2
Funding and payment
mechanisms of the
healthcare system
A1: Focus discussion
question 2
Interaction and integration
among healthcare sectors
A1: Focus discussion
question 13
Interaction and integration
among healthcare sectors
A1: Focus discussion
question 14
Role of non-clinical
professionals in the
healthcare system
A1: Focus discussion
question 14
Discuss the problems of the
uninsured in accessing care
and efforts to expand health
insurance coverage
Explain the reasons for the
long term increase in health
care costs
Distinguish between public
health and personal medical
care and explain the distinct
role of each in life
expectancy and infant
mortality
Appreciate how terrorism
and emergency
preparedness have increased
the importance of
partnerships between public
health and public and
voluntary agencies
Define the major health care
professions and the role of
health care administrators
within each
4-Knowledge
of the
Healthcare
Environment,
Knowledge of
global
healthcare
issues, trends
and
perspectives
(e.g., aging
population,
insurance
costs,
malpractice
crisis, etc)
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Expected Outcomes:
Upon successful completion of the course, the student will be able to analyze provision of health
care in several nations and apply theories of market failure and government failure to the
operation of these health services systems. In addition, students will:
A.
B.
C.
D.
E.
F.
G.
H.
Describe supply and demand patterns for health services in several countries.
Analyze how government and politics affect health policy.
Identify different approaches used to bring health care to the poor and underserved.
Analyze the relationship between economic/industrial development and health care
delivery.
Examine how resources are expended on hospitals, physicians, nurses, preventive and
sanitation services in various countries.
Describe the role of indigenous healers in several countries.
Relate social and political change to consequent reforms in health care and changes in
health status.
Identify issues affecting underserved population’s health in the United States and abroad.
Textbooks (Mandatory; Free downloads)
o Reid, T.R. 2008. “Sick Around the World” PBS Home Video. We will watch DVD in class
together. PBS offers a free online version here:
http://www.pbs.org/wgbh/pages/frontline/sickaroundtheworld/ or read the transcript:
http://www.pbs.org/wgbh/pages/frontline/sickaroundtheworld/etc/script.html. Website offers
many learning resources, all from a socialist democracy perspective.
o Tanner, Michael D. 2008. The Grass Is Not Always Greener: A Look at National Health
Care Systems Around the World. CATO Institute. Policy Study No. 613. Available online
and Beach Board: http://www.cato.org/pubs/pas/pa-613.pdf. A critical look at various
socialist democracy attempts to provide universal health care in several nations and the
criticisms that these systems are unsustainable and tend to compromise quality and freedom
of choice.
o Tanner, Michael D. 2011 (Revised from 2010). Bad Medicine: A Guide to the Real Costs and
Consequences of the New Health Care Law. CATO Institute, Washington, D.C.
http://www.cato.org/pubs/wtpapers/BadMedicineWP.pdf. A critical but comprehensive
examination of ObamaCare’s (PPACA) impact on health care access, costs, taxes and
business.
o White, E.B. 2006. The Elements of Style. Paperback (about $3.00) or online
http://www.bartleby.com/141. Instructor has Chapter II posted on BeachBoard. This short
classic writing guide is considered the best ever produced; keep it at your desk throughout
your career. You are tested on Chapter 2.
o http://owl.english.purdue.edu/owl/resource/560/01 The Purdue University Writing Lab’s free
guide to putting your paper in APA format.
o Feldstein, Paul J. 2015. Health Policy Issues: An Economic Perspective. Chicago: Health
Administration Press. Chapter 32 (Canada) to Chapter 35 (Long-Term Care).
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Texts (Optional)
1. Jacobson, K. H. (2013). Introduction to global health (2nd Ed.). Burlingham, MA: Jones &
Bartlett Learning.
2. Lovett-Scott, M. & Prather, F. (Eds.). (2013). Global health systems: Comparing strategies
for delivering health services. Burlingham, MA: Jones & Bartlett Learning.
3. Johnson, J.A. & Stoskopf, C.H. (2010). Comparative health systems: Global perspectives.
Sudbury, MA: Jones & Bartlett.
4. Levine, R. (2007). Case studies in global health: Millions saved. Sudbury, MA: Jones &
Bartlett, or: http://www.cgdev.org/section/initiatives/_active/millionssaved/studies.
5. American Psychological Association. (2010). Publication Manual of the American
Psychological Association, (6th ed.). Washington, DC: American Psychological Association.
Required Reading Posted on BeachBoard:

Freidman, Milton. “How to Cure Healthcare”. The Public Interest, Winter, 2001. (Word copy
of article on BeachBoard).

Getzen, Thomas E. 2007. Health Economics and Financing. John Wiley & Sons. Chapter 17:
“International Comparisons of Health and Health Expenditures”, pp 396-423. Excellent
summary of recent problems in German health system at pages 415-418.

Goodman, Musgrave and Herrick. 2005. Lives at Risk: Single-Payer National Health
Insurance Around the World. Chapter 24: Designing Ideal Health Insurance.

Gratzer, David. 2006. The Cure: How Capitalism Can Save American Healthcare. Encounter
Books.

Herzlinger, Regina E. 2005. Harvard Case Study: “Hospital for Special Surgery” (9-305076). Harvard Business School. Note especially reading starting page 12, “The United
Kingdom.”

Herzlinger, Regina. 2007. Who Killed Healthcare? New York: McGraw-Hill.

Klein The Health of Nations. American Prospect
http://www.prospect.org/cs/articles?articleId=12683

“A Survey of the World Economy: The Future of the State.” The Economist (September 20,
1997). (Part 1 in e-reserves).

World Development Report: Investing in Health (free download). 1993. Oxford University
Press and World Bank. Chapter 3 provides an excellent short summary of market and
government failure in health care.
http://www.dcp2.org/file/62/World%20Development%20Report%201993.pdf

Chapter 4: “Infectious Diseases” in Merson, R Black, A Mills, International Public Health,
Gaithersburg: Aspen Publishers, Inc. 2001. (e-reserves).

Chapter 8: “Limits to Public Intervention: Government Failures” in Weimer, David L. and
Aidan R. Vining. 2005. Policy Analysis: Concepts and Practice. Prentice Hall.

Schieber, George J., Pablo Gottret, Lisa K. Fleisher, and Adam A. Leive. “Financing Global
Health: Mission Unaccomplished.” Health Affairs. 26, no.4 (2007):920 July/August 2007.
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
Stonebraker, Robert. Joy of Economics. Chapter “Health Care” in free, online textbook
http://faculty.winthrop.edu/stonebrakerr/book/medicalcare.htm .

World Development Report: Investing in Health (free download). 1993. Oxford University
Press and World Bank. Chapter 3 provides an excellent short summary of market and
government failure in health care.
http://www.dcp2.org/file/62/World%20Development%20Report%201993.pdf
Methods of Presentation
A. Lecture/Discussion. PowerPoints and articles are posted on BeachBoard prior to each class
B. Variety of video materials
C. Discussion of student critical essays
OR
The course is taught through a combination of lectures, PowerPoint presentation, videos, and
class discussion of topic questions and critical essays.
Expectations of Student Skill Performance
To complete the requirements for the course, students are expected to:
Write clearly and concisely, using correct grammar, punctuation and spelling.
Communicate articulately in oral presentations.
Be proficient in using PowerPoint for presentations.
Search the web and research publication, then apply the information found.
Analyze information, both numeric and text.
Apply internationally-accepted metrics to compare health and healthcare.
Synthesize information about factors that impact health and health care.
Compare and contrast countries, situations, historic and current times.
Participate in class discussions.
Submit all assignments on time.
Submit assignments online and provide professor with a paper copy during class.
Use of Academic Technology in this Class
This course makes use of several forms of academic technology, including the web, e-reserves
and BeachBoard. Students are required to use of this technology to fulfill the requirements for
this course. To participate in the academic technology elements of this course, students must
have access to, and be able to use:



A computer, equipped with Adobe Acrobat Reader 5.0 or newer and word-processing
software capable of reading Microsoft Word XP files.
The internet. Specifically, the World Wide Web. Whatever internet service provider is
used must be capable of accessing Web pages, BeachBoard and Acrobat files.
An account on BeachBoard.
Student Responsibilities and University Policies
(1) CSULB policies on cheating and plagiarism shall apply, as delineated in California State
University, Long Beach Policy Statement 85-19, December 13, 1985. One or more of the
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(2)
(3)
(4)
(5)
following academic actions are available to the faculty member who finds a student has been
cheating or plagiarizing.
a) Review—no action.
b) An oral reprimand with emphasis on counseling toward prevention of further
occurrences;
c) A requirement that the work be repeated;
d) Assignment of a score of zero (0) for the specific demonstration of competence,
resulting in the proportional reduction of final course grade;
e) Assignment of a failing final grade;
f) Referral to the Office of Judicial Affairs for possible probation, suspension, or
expulsion.
Students who need accommodation for any type of disability must inform the instructor in
advance.
Withdrawal is the responsibility of student. Withdrawal after the posted date is allowed only
for serious and compelling reasons and requires the approval of the dean.
Absences are excused consistent with University policies.
Students are expected to have CSULB email accounts and to check their email and
BeachBoard regularly for class announcements.
Commitment to Inclusion
California State University, Long Beach is committed to maintaining an inclusive learning
community that values diversity and fosters mutual respect. All students have the right to
participate fully in university programs and activities free from discrimination, harassment,
sexual violence, and retaliation. Students who believe they have been subjected to
discrimination, harassment, sexual violence, or retaliation on the basis of a protected status such
as age, disability, gender, gender identity/expression, sexual orientation, race, color, ethnicity,
religion, national origin, veteran/veteran status or any other status protected by law, should
contact the Office of Equity and Diversity at (562) 985-8256, University Student Union (USU)
Suite 301, http://www.csulb.edu/depts/oed.
Methods of Evaluation and Grading
A.
B.
C.
D.
E.
Critical Essay (CE) ........................................................................... 50 points
Essay oral presentation ..................................................................... 20 points
Attendance Quizzes (9* @ 10 points each)………………………… 90 points
Objective Quizzes (5** @ 20 pts each) ............................................100 points
Final Examination ............................................................................. 40 points
300 points
* Ten quizzes are given. The lowest score is dropped. These quizzes are taken in class.
**Six quizzes are given. The lowest score is dropped.
No make-up quizzes are given. Attendance quizzes must be completed during class period.
Grading
90 % and higher:
80 % and higher
70 % and higher
A
B
C
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60 % and higher
Below 60%
D
F
CRITICAL ESSAY SCHEDULE
Discuss Your Topic and Reference Sources in Class
Critical Essays Due
Class Presentations Begin
Week 3
Week 5
Week 6
BIWEEKLY QUIZ/EXAM SCHEDULE
Quiz 1
Quiz 2
Quiz 3
Quiz 4
Quiz 5
Quiz 6
Take Home Final
Intro to Problems in U.S. Health System
Canada Ideals and Government Failure
U.K. Reform: Conservatives vs. Bureaucracy
Mandate Nations: Germany, Holland, Japan
Grammar and Writing
Developing Nations: Poverty, Disease, Corruption, Hope
Model Nations (Singapore, Switzerland) vs. PPACA
Week 3
Week 5
Week 7
Week 9
Anytime
Week 11
Week 13
CRITICAL ESSAY GUIDELINES
This is a very short, 4-5 pages plus reference sheet, essay. You have a choice:
1. You may choose an OECD nation http://www.oecd.org/about/membersandpartners/
nation of your choice. (See list: there are currently 34 nations, including Mexico and
Chile, in our hemisphere). HOWEVER: you may NOT select an OECD nation that is
already selected for our core study list. Thus, you may NOT write on Canada, U.K.,
Germany, Netherlands, Switzerland, Japan or Singapore.
2. You may choose a developing nation ranging from one of the transitional giants (Brazil,
China, or India) or perhaps select a nation from the “bottom billion” of poverty ranks
(African nations south of the Sahara provide a good selection).
Whether you choose an OECD nation or a developing nation, you are NOT reporting on the
health system or health status of the entire nation. You are examining one area of critical
controversy to the nation’s health policy. Example: Denmark recently enacted, and then
repealed, a “fat food tax” to counter obesity. Or how about the extensive use of Genetically
Modified Foods, such a vitamin A enhanced wheat, or drought and disease resistant corn, in
Africa, India, the Philippines, etc. Do GMO’s improve nutrition and prevent starvation or
distort food supply and allow big corporations such as Monsanto to take advantage of small
farmers? Or, why is maternal and child health so advanced in France? Is it worth the cost? Is
it sustainable? In most nations, pro-con argument and analysis of whether a recent reform
actually worked, or if a proposed reform could work, whether it is sustainable, is an effective
approach to a good grade. There are two sides to every proposal or public policy. There are
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always unintended consequences of best intentions. I look for the “fight” between these two
sides.
Semester Schedule and Reading Assignments
Week 1: Is Health Care in the U.S. So Uniquely Unaffordable Because the Market has
Failed?
A. Why this class is important to you, the nation and your world
B. What went wrong on the way to universal care?
C. What are the goals of ObamaCare (PPACA)?
D. Review of reading assignments
E. Review of written assignments (See: Critical Essays)
F. Participation in class discussions, debates
G. Attendance, expectation of performance
H. Testing and grading policies
Reading Assignment:
http://www.ted.com/talks/hans_rosling_shows_the_best_stats_you_ve_ever_seen.html
Video presentation: John Stossel, six part series: “Sick in America
http://www.youtube.com/watch?v=kf3MtjMBWx4.
Two segments will be watched and discussed in class the first three weeks.
Reading Assignment: STONEBRAKER: JOY OF ECONOMICS (SEE BEACHBOARD)
“How American Healthcare Killed My Father”
http://www.theatlantic.com/magazine/archive/2009/09/how-american-health-care-killed-myfather/7617/
Tanner (“Green,” pages 1-7)
PowerPoint: “Ten Characteristics of U.S. Health System”
Note: students that are taking HCA 422I without a foundation course (HCA 202 or 402) must
read the entry on “Health Care” http://en.wikipedia.org/wiki/Health_care
Also: watch five-part Khan video series. 1) http://www.khanacademy.org/science/healthcareand-medicine/v/conversation-about-drug-pricing; 2)
http://www.khanacademy.org/science/healthcare-and-medicine/v/health-care-costs-in-us-vseurope; 3) http://www.khanacademy.org/science/healthcare-and-medicine/v/healthcare-systemoverview; 4) http://www.khanacademy.org/science/healthcare-and-medicine/v/medicareoverview; 5) http://www.khanacademy.org/science/healthcare-and-medicine/v/paying-doctors.
Background in health systems around the world:
http://en.wikipedia.org/wiki/Health_care_system;
http://www.khanacademy.org/science/healthcare-and-medicine/v/medicare-overview;
http://en.wikipedia.org/wiki/Universal_health_care
White. E.B. 1979 (third edition); Chapter II, “Elementary Principles of Composition.”
Week 2. What Are the Three Components of Market Failure? What Is Government
Failure? Did Reform Make These Failures Better or Worse?
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A.
B.
C.
D.
E.
F.
G.
Moral hazard
Adverse selection
Information asymmetry
Employer tax exemption
Bureaucratic supply
Entitlement
Unintended consequences of intervention
MILTON FRIEDMAN; HOW TO CURE HEALTH CARE (SEE BEACHBOARD)
Week 3: What kind of health reform is ObamaCare: single payer government-operated,
single payer government insurance, government mandate, or managed competition?
What Are Some of the Unintended Consequences of PPACA?
A.
B.
C.
D.
E.
Impact on demand.
Shortages of skilled staff.
Impact on labor market.
Impact on health premiums.
The revolt of the states.
Study aids:
John Stossel’s STUPID IN AMERICA http://abcnews.go.com/2020/stossel/story?id=1500338
will be watched at home and discussed in class.
Short Movie: IOUSA http://www.youtube.com/watch?v=O_TjBNjc9Bo (30 minute version; watch
at home and discuss in class).
Instructor PowerPoint: Government Failure
Bureaucracy: http://en.wikipedia.org/wiki/Bureaucracy
Government Failure; http://en.wikipedia.org/wiki/Government_failure .
Week 4: What is the Single Payer Model? What is National Health Insurance? What Are
the Idealist Goals and Values of Canadian Health Care?
Canada Critical Thinking Discussion Topics:
A. Three way of organizing a health system: Market, Mandate, and Single-Payer.
B. What does a single payer of health care mean?
C. Does the United States already have a single payer health system in Medicare?
D. Can uniformity be enforced in health and social welfare?
E. What is the real market for health care? Providers? Insurers?
F. Why is Canada different from the U.S.?
Reading Assignment:
TANNER PAGES 31-33
Feldstein, Paul J. 2007. Health Policy Issues: An Economic Perspective, Chapter 32, “The
Canadian Health Care System.” (posted on BeachBoard)
Medicare in Canada (Medicare is term for government universal healthcare)
http://en.wikipedia.org/wiki/Medicare_%28Canada%29
Look for supplemental articles on BeachBoard concerning recent attempts to reform Canadian
healthcare in light of recent court decisions
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Key Terms
Monopsony http://en.wikipedia.org/wiki/Monopsony
Canadian style socialism
Week 5:
Focus Question Week 5: What Are the Recent Challenges and Crises in Canadian Style
Socialism?
A
Supreme Court Decisions: the crisis and its aftermath
B
What about the private sector in Canada?
Reading Assignment: Steinbrook, Robert. 2006. “Private Health Care in Canada” New England
Journal of Medicine
Gratzer: Chapter Nine: “The Hip That Changed History” in The Cure. See e-reserves.
QUIZ 2: 20 questions on Canada
Week 6: Where “Single Payer” Started: the U.K.’s National Health Service
Critical Thinking Discussion Topics:
A. What is the key problem facing the NHS that requires constant reform?
B. Describe the recent Mid Staffordshire NHS Foundation Trust hospital scandals.
C. Why were the Thatcher reforms so revolutionary?
D. Why didn’t the Labor governments (Tony Blair) overturn these reforms?
E. What is the goal of the new reform movement?
F. What do the Cameron reforms have in common with Thatcher?
G. Have they gone too far?
H. Read: “Thinking About Rationing” by the King’s Fund. Every health system in the
world, including the U.S., rations care. Is government bureaucracy the most “rational”
way to ration?
Reading Assignment:
Tanner, UK section.
http://www.rcn.org.uk/support/navigating_the_new_nhs (Go to PowerPoint on Reforms; also
posted in BeachBoard.
http://www.channel4.com/news/nhs-reforms-and-cuts (Dangerous hospitals placed in “special
measures).
http://www.bbc.co.uk/news/health-22778479 (Video explaining why hospitals are no longer
dominant).
http://www.kingsfund.org.uk/projects/nhs-65/alternative-guide-new-nhs-england
http://www.kingsfund.org.uk/topics/nhs-reform/health-and-social-care-act-2012-timeline
http://www.slideshare.net/kingsfund/workforce-trendsslidepackjul13
http://en.wikipedia.org/wiki/British_National_Health_Service
http://www.nhs.uk/Aboutnhs/howthenhsworks/Pages/HowtheNHSworks.aspx
Key Terms:
Clinical Commissioning (Contracting) Groups
Health and Well Being Boards
Hospital Trusts
Waiting lists
Privatization
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Week 7: U.K. Continued
QUIZ 3: 20 Questions on Great Britain
Week 8:
Germany and Netherlands
Focus Question(s) Week 8: What Does ObamaCare and the German system have a
common? How have the Dutch taken the German system and reformed it?
Germany: Bismark’s Great Experiment and the Current Crisis
A.
Bismarck and social reform
B.
The role of sickness funds in Germany
C.
Labor and management relations in Germany
D.
Functioning and problems of the system
E.
Lack of product differentiation; cream-skimming; lack of real competition
Critical Thinking Discussion Topics:
1.
How did Bismark co-opt the workers’ revolutionary movement?
2.
Is Germany today a public or a private system?
3.
Describe the crisis Germany faces today.
4.
How has German healthcare contributed to high unemployment and slow economic
growth?
5.
How does the necessity for increased payroll taxation decrease future international
competitiveness?
6.
Are physicians as a corporatist cartel the key obstacle to reform?
7.
What did the Dutch do to improve on Germany’s system?
Reading Assignments: German Health Care and Dutch Reforms
Getzen, Thomas E. 2007. Health Economics and Financing. John Wiley & Sons. Chapter 17:
“International Comparisons of Health and Health Expenditures”, pp 396-423. Excellent summary of
recent problems in German health system at pages 415-418.
Dutch reform article will be posted on BeachBoard
Key Terms
Sickness Funds
Automatic increases in payroll taxation
Demographic unsustainability
Dutch no claim bonus
Week 9 and 10: Japan
Focus Question: Are Japan-style Price Controls the Answer to Soaring Medical Costs?
The Japanese Health System
A.
Japan’s contact with the West
B.
Development of social security
C.
World War II and the occupation
D.
The roles of Japanese business
E.
Why is Japanese health care so inexpensive or is it?
F.
Health care and health status in Japan
Critical Thinking Discussion Topics:
1.
Why are the Japanese so healthy?
2.
Why Japan had grown so prosperous? Does this include health care providers?
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3.
4.
What happened to the Japanese economic miracle?
Is the Japanese price control system applicable to the U.S.?
Reading Assignment:
Yoshikawa and Bhattacharya: Japan in class text, pp 249-266.
Ikegami, et al. 2004. “Japan’s Health Care System: Containing Costs and Attempting Reform.”
Health Affairs, May/June 2004.
Getzen, Thomas E. 2007. Health Economics and Financing. John Wiley & Sons. Chapter 17:
“International Comparisons of Health and Health Expenditures”, pp 396-423. See section
discussing Japanese healthcare.
Key terms:
Society managed health insurance
GMHI
CHI
Standardized reimbursement
LTCI
Aging society
Week 11:
Quiz 4 Germany, Holland, Japan
Week 12:
Focus question: Why is Sub-Saharan Africa So Poor? Will It Ever Develop Given the
public Health Challenges It Faces?
Poverty and Health: A Global Perspective
A.
Rich nations and poor nations-- an overview
B.
Income and class differences within countries
C.
Rural and urban poverty
D.
Multi-class health care
E.
Models of How Economies Grow
Critical Thinking Discussion Topics:
1.
How is the U.S. similar to or different from developing countries in health care?
2.
Is a two-class health care system inevitable?
3.
Does industrialization lead to an unhealthy civilization? Is economic growth dangerous
to health?
4.
How does traditional aid hurt Africa and other developing nations? How does the 1)
gratitude, 2) anticipation, 3) expectation, 4) entitlement, 5) dependency cycle work?
Listen to Podcast:
“Your Help Is Hurting.” http://bowyerbriefing.com/upload/greer-2-13-13.mp3
Week 13:
Focus Question: Why Are Most Medical Payments in the Developing World Made Out of
Pocket? Where are Government and Private Insurance in the Picture?
Non-European Models
A.
Differences between less developed and industrialized countries
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B.
C.
D.
Economic structure of rich and poor nations
http://en.wikipedia.org/wiki/Economic_inequality
Health status differences and social insurance
Role of World Health Organization
http://en.wikipedia.org/wiki/World_Health_Organisation .
Critical Thinking Discussion Topics:
1.
Why does an economy dependent on agriculture and raw materials lead to a poorer,
less healthy country?
2.
Does lower GNP per capita mean poverty, disease and illiteracy? Why or Why not?
3.
How does colonialism determine health organization?
Reading Assignment:
http://www.ted.com/index.php/talks/view/id/92 TED Conference, Monterey, CA.
Chapter 17, Getzen in e-reserves, and PowerPoint “International Comparisons”.
Economist; “For 80 Cents More”. August 17, 2002 U.S. Edition. Note: the PowerPoint with this
article explores when developing nations make bad policy decisions because of lack of data on
causes of death.
Week 14:
The Model Nations: Switzerland, Taiwan, Singapore
Reading Assignment:
Focus Question: What Can We Learn from the Model Nations?
Reading Assignment:
“Consumer-Driven Health Care: Lessons from Switzerland” Regina E. Herzlinger, DBA; Ramin ParsaParsi, MD, MPH. Downloaded from www.jama.com at on February 20, 2006.
The Singapore Model. http://www.american.com/archive/2008/may-june-magazine-contents/thesingapore-model/article_print; Rowan Callick Tuesday, May 27, 2008.
Critical Thinking Discussion Questions:
1. What is consumer-driven health care?
2. How do the Swiss level the playing field with risk selection?
3. Why does the Democrat party hate Health Savings Accounts when they are so successful in
Singapore?
4. How does Singapore deal with those that cannot afford to contribute to their health savings
account?
QUIZ 5: 20 QUESTIONS ON DEVELOPING WORLD
Week 15:
Student presentations
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Spring, 2016
STUDENT INFORMATION SHEET
HCA 422I, Spring 2016
(TURN IN TO INSTRUCTOR)
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Please describe briefly:
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