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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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