A Comparative Approach to Policy Analysis: Health Care Policy in Four Nations

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CUP Archive, Oct 31, 1979 - Political Science - 326 pages
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This book provides a framework for explaining why governments adopt the policies they do. In addition, it establishes a basis for comparing political systems in terms of their public policies rather than their institutions or political processes. The book begins by placing in a historical perspective the worldwide role of the state as a major provider of goods and services. Following this general background is an 'accounting scheme' that brings some semblance of order to the seemingly infinite variety of policy-relevant variables and makes the comparative study of public policy more manageable. It is suggested that any nation's public policies can be explained in terms of situational, structural, environmental and cultural factors. The second part of the book applies the accounting scheme to an increasingly specific and narrow range of public policies. The author examines one crucial area of public policy - health care - and the evolution of that policy in four diverse nations: Germany, Great Britain, the Soviet Union and Japan. The book concludes with an assessment of the prospects for an American national health care programme in the light of the experiences of these other nations.
 

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Contents

The origins and evolution of the positive state
14
Accounting for public policy
38
Comparing policy priorities
70
Introduction to Part II
103
the pioneer in national health care
110
health care in a modern welfare state
157
health care in a communist state
200
health care in an Asian nation
237
Summary and implications for health care policy in
271
Defense education and health policies
283
Notes
295
Bibliography
310
Index
316
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