Health Policy Commons^™

An Evaluation Of The Economic Impact Of P.L., 101-336, Americans With Disabilities Act On A Community Hospital, Jean E. Craig

Masters Theses & Specialist Projects

Public Law 131-336, Americans With Disabilities Act (ADA), is comprehensive legislation created with the intention of integrating the disable into the work place and every segment of society. Forty-three million Americans are disabled. Of these, twenty-three million seek employment, but because of discrimination are unable to find work. The law provides requirements for access to public accommodations. All disabled Americans deserve the opportunity to enjoy the same public services as the non-disabled.

Businesses are now required to provide reasonable accommodations to a disabled employee if these accommodations will allow the employee to perform the essential functions of the job. Businesses …

Epa's Map Of Radon Zones, Nebraska, Sharon W. White, Lisa Ratcliff, Kirk Maconaughey, R. Thomas Peake, Dave Rowson, Steve Page, Linda C. S. Gundersen, R. Randall Schumann, James K. Otton, Doug Owen, Russell Dubiel, Kendell Dickinson, Sandra L. Szarzi

United States Environmental Protection Agency: Staff Publications

Sections 307 and 309 of the 1988 Indoor Radon Abatement Act (IRAA) direct EPA to identify areas of the United States that have the potential to produce elevated levels of radon. EPA, the U.S. Geological Survey (USGS), and the Association of, American State Geologists (AASG) have worked closely over the past several years to produce a series of maps and documents which address these directives. The EPA Map of Radon Zones is a compilation of that work and fulfills the requirements of sections 307 and 309 of IRAA. The Map of Radon Zones identifies, on a county-by-county basis, areas of …

Regulatory Regimes And State Cost Containment Programs, Robert B. Hackey

Health Policy & Management Faculty Publications

No abstract provided.

Consensus Development At Nih: What Went Wrong, Itzhak Jacoby

RISK: Health, Safety & Environment (1990-2002)

A close observer identifies the Science Court concept as inspiring consensus development conferences at the National Institutes of Health and describes the extent to which they have followed the model. Professor Jacoby also argues that, if the model were more closely followed, conference objectives would be better realized.

Older Americans' Attitudes Toward The Medicare Catastrophic Coverage Act Of 1988, Christine L. Day

Political Science Faculty Publications

Congress repealed the Medicare Catastrophic Coverage Act of 1988, which expanded Medicare benefits, after vigorous protests by groups of older people nationwide. Surveys show, however, that older Americans were deeply divided in their opinions. This study examines four explanations for divisions among the elderly on this issue: symbolic politics, socioeconomic status, distrust in government, and direct self-interest. The results of probit analysis indicate that high income, younger age (under 75), Republican partisanship, and distrust in government all contributed to older Americans' opposition to government catastrophic health care coverage. Direct self-interest—that is, perceived direct impact on one's own taxes and benefits—was …

Drawing A Line Between Killing And Letting Die: The Law, And Law Reform, On Medically Assisted Dying, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

Traditional medical ethics and law draw a sharp distinction between allowing a patient to die and helping her die. Withholding or withdrawing life sustaining treatment, such as by abating technological nutrition, hydration or respiration, will cause death as surely as a lethal injection. The former, however, is a constitutional right for a competent or once-competent patient, while the latter poses a risk of serious criminal or civil liability for the physician, even if the patient requests it.

The Political Economy Of Hospital Rate Regulation In Maine, David F. Wihry, Julie T. Fralich, Ellen Jane Schneiter

Maine Policy Review

Ten years ago, Maine established a health care finance board to regulate hospital rates. But the concerns that prompted the regulatory system, access and cost, have not abated. In this article, former Maine Health Care Finance Commission chair David Wihry, and former Commission staffers Julie Fralich and Ellen Jane Schneiter examine the economic and political influences that have affected the state’s efforts to regulate hospital costs.

Assessing The Merits Of The Clinton Health Care Reform Proposal, Warren C. Kessler

Maine Policy Review

The twentieth anniversary of the Governor’s Economic Development Conference last October focused on the impact of public policy on the competitiveness of Maine’s business and industry. Warren C. Kessler, president of Kennebec Health Systems, assesses the Clinton administration’s health care reform proposal.

New Wine In Old Bottles: Certificate Of Need Enters The 1990s, Robert B. Hackey

Health Policy & Management Faculty Publications

Although state certificate- of-need (CON) programs have been the subject of intense criticism over the past decade, recent evidence suggests that CON programs may be more effective than commonly believed. While many state programs have yielded disappointing results, the CON process can also be used to achieve other important policy objectives, such as increasing access to care for the uninsured and increasing lay participation in health policy planning. In sum, rather than fading away after the termination of federal support for health planning in 1986, state CON programs are poised to assume new roles during the 1990s.

The Illogic Of Health Care Reform: Policy Dilemmas For The 1990s, Robert B. Hackey

Health Policy & Management Faculty Publications

After more than a half century, supporters of health care reform now argue that the passage of national health insurance is "inevitable," for all of the major players in the health care policy arena-physicians, insurers, hospitals, and the mass public-are now favorably disposed toward reform. Periods of optimism are not new in health care debates in the U.S., but in each such era (in the 1930s, 1940s, and 1970s), reform efforts fell victim to ideological fissures in Congress, an overabundance of reform proposals, intense conflicts over what a new health care system should look like, and wavering support from the …

Rust V. Sullivan And The Control Of Knowledge, Dorothy E. Roberts

All Faculty Scholarship

No abstract provided.

The Americans With Disabilities Act And The Corpus Of Anti-Discrimination Law: A Force For Change In The Future Of Public Health Regulation, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

In this paper the author reviews the constitutional history of the courts' attempts to check the powers of the public health department. He demonstrates how ineffective and inconsistent constitutional review has been, and suggests that adequate review criteria have not emerged. The author shows that, whether the courts are applying First, Fourth, or Fourteenth Amendment standards, ultimately they are highly deferential to public health officials. Then he carefully examines the key concepts in the Americans with Disabilities Act (ADA) as they apply to communicable disease. He reveals Congress' clear intention to include communicable disease, even asymptomatic infection, as a disability. …

Foreword: Health Care Reform In The United States—The Presidential Task Force, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

This essay serves as the foreword to Implementing U.S. Health Care Reform, a symposium held in 1993.

The exact specifications of the new health care system depend on the package that President Clinton will send to Capitol Hill and the changes that Congress will make in the reform package. Some of the basic structures and organizing principles of the new system that are being considered by the President are already the subject of intense public scrutiny.

The design being considered would involve new relations between the federal government and the states, between the public and private sectors, and between …

Crime, Race And Reproduction, Dorothy E. Roberts

All Faculty Scholarship

No abstract provided.