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Full-Text Articles in Health Policy

A Case Study Of The Effects Of Privatization Of Child Welfare On Services For Children And Families: The Nebraska Experience, Grace S. Hubel, Alayna Schreier, David J. Hansen, Brian Wilcox Jan 2013

A Case Study Of The Effects Of Privatization Of Child Welfare On Services For Children And Families: The Nebraska Experience, Grace S. Hubel, Alayna Schreier, David J. Hansen, Brian Wilcox

Department of Psychology: Faculty Publications

Privatization, or contracting with non-governmental agencies for provision of state or federally funded services, is a strategy that has gained recent attention from policymakers as a potential tool for successful child welfare reform. The Child Welfare Privatization Initiatives Project was created in 2007 as a joint effort between the United States Department of Health and Human Services and the Office of the Assistant Secretary for Planning and Evaluation. The framework identified by this project produced twelve key considerations for states moving towards a privatized system. This case study considers these twelve considerations in a description of the large-scale effort to …


Political Economy, Moral Economy And The Medicare Modernization Act Of 2003, Judie Svihula Mar 2008

Political Economy, Moral Economy And The Medicare Modernization Act Of 2003, Judie Svihula

The Journal of Sociology & Social Welfare

Through the lens of political and moral economy, I examined the dominant values and actors in the legislative process of the Medicare Modernization Act of 2003. In my content analysis of federal hearings, I found that witnesses from government agencies, Congress and think tanks had almost equal presence at the hearings. Witnesses who were invited by Congress to testify at the hearings expressed twice as much support for private interests than for the general Medicare population or low-income beneficiaries. Few expressed concern for the uninsured population. Witnesses offered almost four times as many expressions of support for market rationalism than …