COLLEGE OF HEALTH AND HUMAN SERVICES
California State University, Long Beach
Health Care Administration Program
Global Health Issues, HCA 422I
Spring, 2014
Instructor: Richard L. Tradewell, MBA, Ph.D.
E-mail: richard.tradewell@csulb.edu
Office Hours: T 2-5pm and Th 2-5pm or by
appointment
Office Location: 04 (Janice Frates, Ph.D.)
Phone: (562) 985-5694 Office
(949) 400-0960 Cell (text for appointment)
Class Number: 18561
Class Meets: Thursday, 7-9:45pm
Location: Room VEC-110
HCA Program Administrative Coordinator:
Deby McGill deby.mcgill@csulb.edu
Tel: 562/985-5694; Fax: 562/985-5886
HCA Office Location: HHS2-118
Course Goal and Objectives:
Compare and contrast contemporary problems in health services policy and delivery in the major developed and selected
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 seeking an international perspective. Identify mistakes of other nations and isolate
ideas that have worked to increase access and to promote quality of health services.
New Catalog Description
This course examines factors that impact global health, including geography, climate, demography, culture, religion, and
social organization. It then analyzes the characteristics of healthcare delivery systems and the governmental, economic,
social and political forces that influence them. Issues are discussed from the standpoint of individual nations, regions, and
the world. Behaviors, over which one can exert control, are juxtaposed with genetic and environmental factors, over
which one has limited or no control.
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.
Identify the components of the
health care continuum.
4-Knowledge
of the hc
environment
Discuss the pros and cons of
integrated and managed care
delivery systems
Discuss market, mandate,
single payer and other (HSA)
systems of health care in
nations
4-Knowledge
of the hc
environment
4-Knowledge
of the hc
environment
4-Knowledge
of global
healthcare
issues, trends
and
perspectives
(e.g., aging
Competency
Activities (A1) ,
Assignments (A2) &
Assessments (A3)
Socioeconomic environment in A2: Critical essay
which the organization
(country paper) and
functions
presentation
Organization and delivery of
healthcare
A3: Quizzes and final
exam
Managed care models,
structures,
A1: Study reform of
NHS and compare to
Kaiser.
A2: critical essay and
presentation.
Financing mechanisms for
achieving universal access
throughout the world
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Learning Objective
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
Domain
Competency
Activities (A1) ,
Assignments (A2) &
Assessments (A3)
The interrelationships among
access, quality, cost, resource
allocation, accountability and
community
Funding and payment
mechanisms of the healthcare
system
Interaction and integration
among healthcare sectors
A1: Focus discussion
question # 1 and 2
4-Knowledge
of the hc
environ-ment
Interaction and integration
among healthcare sectors
A1: Focus discussion
question 14
4-Knowledge
of the hc
environment
Role of non-clinical
professionals in the healthcare
system
A1: Focus discussion
question 14
population,
insurance
costs,
malpractice
crisis, etc
4-Knowledge
of the hc
environment
4-Knowledge
of the hc
environment
4-Knowledge
of the hc
environment
A1: Focus discussion
question 2
A1: Focus discussion
question 13
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 (Free downloads)
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 you may read the transcript here:
http://www.pbs.org/wgbh/pages/frontline/sickaroundtheworld/etc/script.html. Website also offers many learning
resources, all from a socialist democracy perspective.
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
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critical look at the 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.
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.
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.
http://owl.english.purdue.edu/owl/resource/560/01 The Purdue University Writing Lab’s free guide to putting your paper
in APA format.
Texts Required:
1. Jacobson, K. H. (2014). Introduction to global health (2nd Ed.). Burlingham, MA: Jones & Bartlett
Learning.
2. Goldhill, David. (2013). Catastrophic Care: How American Health Care Killed My Father and How We Can Fix
It. New York: Alfred A. Knoff.
Texts Recommended1:
1. Lovett-Scott, M. & Prather, F. (Eds.). (2014). Global health systems: Comparing strategies for
delivering health services. Burlingham, MA: Jones & Bartlett Learning.
2. Johnson, J.A. & Stoskopf, C.H. (2010). Comparative health systems: Global perspectives. Sudbury, MA: Jones &
Bartlett.
3. Levine, R. (2007). Case studies in global health: Millions saved. Sudbury, MA: Jones & Bartlett, or:
http://www.cgdev.org/section/initiatives/_active/millionssaved/studies.
4. American Psychological Association. (2010). Publication Manual of the American Psychological
Association, (6th ed.). Washington, DC: American Psychological Association.
5. Strunk, W. and E.B. White. The Elements of Style, Fourth Ed. 2000
Required Publications: Provided on BeachBoard:
Survey: “The Health of Nations.” The Economist. (July 15, 2004). (All chapters are required).
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” (9-305-076). Harvard Business
School. Note especially reading starting page 12, “The United Kingdom.”
Herzlinger, Regina. 2007. Who Killed Healthcare? New York: McGraw-Hill.
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Course texts are on reserve in the library under instructor and course name; APA manual is in general reference.
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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 ereserves).
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 Ju l y/Au g u s t 2 0 0 7.
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
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.
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 on line and provide professor with a paper copy during class.
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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 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.
(2) Students who need accommodation for any type of disability must inform the instructor in advance.
(3) Withdawal 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.
(4) Absences are excused consistent with University policies.
(5) Students are expected to have CSULB email accounts and to check their email and BeachBoard regularly for class
announcements.
Methods of Evaluation and Grading
A.
Critical Essay (CE)
C.
Objective Quizzes (5* @ 20 pts each)
D.
Essay oral presentation
E.
Final Examination
100 points
100 points
20 points
80 points
300 points
*Six quizzes are given. The lowest score is dropped. Because of the “free” quiz, I do not give make-up exams.
Grading
90 % and higher:
80 % and higher
70 % and higher
60 % and higher
Below 60%
A
B
C
D
F
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
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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 always unintended consequences of
best intentions. I look for the “fight” between these two sides.
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 SCHEDULE
Discuss Your Topic and Reference Sources in Class
Critical Essays Due
Class Presentations Begin
Week 3
Week 5
Week 6
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:
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-americanhealth-care-killed-my-father/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
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Also: watch five-part Khan video series. 1) http://www.khanacademy.org/science/healthcare-andmedicine/v/conversation-about-drug-pricing; 2) http://www.khanacademy.org/science/healthcare-and-medicine/v/healthcare-costs-in-us-vs-europe; 3) http://www.khanacademy.org/science/healthcare-and-medicine/v/healthcare-systemoverview; 4) http://www.khanacademy.org/science/healthcare-and-medicine/v/medicare-overview; 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?
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.?
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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
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
Week 7: U.K. Continued
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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?
3.
What happened to the Japanese economic miracle?
4.
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.
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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
B.
Economic structure of rich and poor nations http://en.wikipedia.org/wiki/Economic_inequality
C.
Health status differences and social insurance
D.
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.
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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 Parsa-Parsi, 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/the-singaporemodel/article_print; Rowan Callick Tuesday, May 27, 2008.
Critical Thinking Discussion Questions:
1.
2.
3.
4.
What is consumer-driven health care?
How do the Swiss level the playing field with risk selection?
Why does the Democrat party hate Health Savings Accounts when they are so successful in Singapore?
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
Video presentation, Harvard historian, Niall Ferguson
http://www.thedailybeast.com/newsweek/2011/10/23/yes-wall-street-helps-the-poor.html
Review for Final Exam.
Week 16
Final Examination
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Information Resources
Selected Health Administration & Policy Journals:
American Journal of Managed Care
American Journal of Medical Quality
American Journal of Public Health
Business and Health
Harvard Business Review
The Economist
Health Affairs
Health Care Financing Review
Health Policy
Health Services Research
Health Technology Trends
Inquiry
Journal of the American Medical Assn.
J of Health Services Research & Policy
Journal of Health, Politics, Policy and Law
Medical Care
Medicine and Health
Milbank Memorial Fund Quarterly
New England Journal of Medicine
J of HC for the Poor & Underserved
Public Health Reports
Journal of Public Health Policy
Journal of Ambulatory Care Management
Social Science and Medicine
Journal of Law, Medicine & Ethics
Medical Care Research and Review
Policy Studies Journal
Modern Healthcare2
Web sites:
Topic
Health policy
Health policy (California)
Information resources
Health policy formation, agenda
setting
Policy implementation &
2
Web Sites
Health Affairs http://www.healthaffairs.org/
Department of Health and Human Services: www.hhs.gov/
Healthcare.gov: www.healthcare.gov/index.html
Medicare: www.medicare.gov
Office of Consumer Information and Insurance Oversight:
www.hhs.gov/ociio/index.html
Kaiser Family Foundation: www.kff.org
Center for Health Improvement: www.healthpolicyguide.org
Academy for Health Services Research & Health Policy:
www.academyhealth.org/
Health Hippo: hippo.findlaw.com/hippohome.html
Center for Global Development http://www.cgdev.org
Milbank Memorial Fund Quarterly http://www.milbank.org/quarterly.html
New England Journal of Medicine http://www.nejm.org/
Journal of Health Policy, Politics and Law http://jhppl.dukejournals.org/
The Economist http://www.economist.com/
Center for Budget and Policy Priorities http://www.cbpp.org/ (Liberal/left)
CATO Institute http://www.cato.org/ (Libertarian/right)
California HealthCare Foundation: www.chcf.org
Insure The Uninsured Project: www.itup.org
Health Access: health-access.org/
Public Policy Institute of CA: www.ppic.org
National Library of Medicine: www.nlm.nih.gov
Virtual reference style manuals: www.csulb.edu/library/eref/vref/style.html
APA electronic citations: www.apastyle.org/apa-style-help.aspx.
Robert Wood Johnson Foundation: www.rwjf.org
The Urban Institute: www.urban.org; Families USA: www.familiesusa.org
Center for Health Care Strategies: www.chcs.org
Center for Studying Health System Change: www.hschange.com
National Academy for State Health Policy: www.nashp.org
Free student subscription available at: http://www.aupha.org/i4a/forms/form.cfm?id=51&pageid=3829&showTitle=1
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Topic
modification
Financing health services
Managed care, insurance & benefits
Ambulatory health services
Hospitals & health systems
Long Term Care; Politics of Aging
& Disability
Mental health
Pharmaceuticals
Public health
Health professionals
Quality of care
Ethical issues
Web Sites
UCLA Center for Health Policy Research: www.healthpolicy.ucla.edu
California HealthCare Foundation: www.chcf.org
Kaiser Family Foundation: www.kff.org; Rand Corporation: www.rand.org
Mathematica Policy Research: www.mathematica-mpr.com/
The Commonwealth Fund: www.commonwealthfund.org/Health-Reform.aspx
Center for Medicare & Medicaid Services: www.cms.gov
Center on Budget & Policy Priorities: www.cbpp.org
Kaiser Family Foundation: www.kff.org
CA Legislative Analyst's Office: www.lao.ca.gov
Healthcare Financial Management Assn: www.hfma.org
Employee Benefits Research Institute: www.ebri.org
America’s Health Insurance Plans: www.ahip.org
CA Assn. Of Health Plans: www.calhealthplans.com
CA Dept. of Managed Health Care: www.dmhc.ca.gov
CA Office of the Patient Advocate: www.opa.ca.gov/index.aspx
National Governors Association: www.nga.org/
National Association of Insurance Commissioners: www.naic.org/
American Academy of Urgent Care Medicine: www.aaumc.com
National Association for Ambulatory Care: http://www.urgentcare.org/
Medical Group Management Association: www.mgma.com
American Hospital Assn.: www.aha.org
Blue Cross/Blue Shield Assn.: www.bluecares.com
Kaiser Permanente: www.kaiserpermanente.org/
American Association of Retired Persons: www.aarp.org
Disability Rights Education & Defense Fund: www.dredf.org
National Institute of Mental Health: www.nimh.nih.gov
Bazelon Center for MH Law: www.bazelon.org
Medline Plus: www.nlm.nih.gov/medlineplus/mentalhealth.html
Pharmaceutical Research & Manufacturers of America: www.phrma.org
American Society of Health-System Pharmacists: www.ashp.org/
Centers for Disease Control & Prevention: www.cdc.gov
American Public Health Association: www.apha.org
Am. Medical Assn.: www.ama-assn.org; Am. Nurses Assn. www.ana.org
Am. Academy of Physician Assistants: www.aapa.org
Am. Pharmaceutical Assn.: www.pharmacist.com
Institute of Medicine: www.iom.edu
National Committee for Quality Assurance: www.ncqa.org
Joint Commission (accreditation): www.jointcommission.org
California Healthcare Foundation Quality Initiative: www.chcf.org
Alliance for Health Reform: www.allhealth.org
Hastings Center: www.thehastingscenter.org
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Bibliography
Bruce Fried and Laura Gaydos, World Health Systems: Challenges and Perspectives. Chicago: Health Administration
Press, 2002. (available from CSULB Bookstore and on reserve)
Graig, L. The Health of Nations (1999). Congressional Quarterly Press, Washington, DC., 3nd ed.
M Merson, R Black, A Mills, International Public Health, Gaithersburg: Aspen Publishers, Inc. 2001.
D Crystal, The Cambridge Encyclopedia of Language. Cambridge: Cambridge University Press, 1997.
G. Anderson, P Hussey, Frogner, H. Waters, “Health Spending in the U.S. and the Rest of the Industrialized World.”
Health Affairs, July/August 2005/Volume 24, Number 4
P Colman, Corpses, Coffins, and Crypts. New York: Henry Holt and Co., 1997.
Global Report 05/06. Published by McGaw Hill, 2005.
Health Affairs Special Issue. “Global Challenges in Health.” May/June 2004.
J Hinnells, A New Handbook of Living Religions. London: Penguin, 1998.
D. Skal, Death Makes a Holiday: A Cultural History of Halloween. New York: Bloomsbury, 2002.
The Economist. Journal with typically one article per issue pertinent to global or international health.
M Toro-Morn and M. Alicea (Eds), Migration and Immigration: A Global View. Westport, CN: Greenwood Press, 2004
T Tuleja, Curious Customs. New York: The Stonesong Press, Inc., 1987.
World Health Organization. World Health Reports. Annually 1995-2005. Geneva: WHO.
M Merson, R Black, A Mills, International Public Health, Gaithersburg: Aspen Publishers, Inc. 2001.
Health Affairs. May-June, 2002; May-June, 2003; May-June, 2004; May-June 2005; May-June 2006. This edition is
always devoted to international health or health care systems in a foreign nation.
The Reform of Health Care, Health Policy Studies No. 2, Paris: OECD 1992.
Goodman, Musgrave and Herrick. 2005. Lives at Risk: Single-Payer National Health Insurance Around the World. New
York: Rowman & Littlefield.
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STUDENT INFORMATION SHEET
Spring, 2014
(TURN IN TO INSTRUCTOR)
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Please describe briefly:
a.
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