https://muse.jhu.edu/journal/93 Project MUSE®: Latest articles in Journal of Health Politics, Policy and Law. daily 1 2026-05-13T00:00:00-05:00 text/html en-US Vol. 24, nos. 4-5 (1999); Vol. 25 (2000) - vol. 29 (2004) Latest Articles: Journal of Health Politics, Policy and Law TWO Project MUSE® Journal of Health Politics, Policy and Law 1527-1927 0361-6878 Latest articles in Journal of Health Politics, Policy and Law. Feed provided by Project MUSE® https://muse.jhu.edu/article/176823 <p></p> Much of U.S. health policy since 1970 has proceeded on two premises: provider dominance is the main reason the system malfunctions, and managed care is the most promising corrective to the problem. Provider dominance is supposedly the inevitable product of the ill-fated interfusion of fee-for-service medicine and third-party payment. The more doctors do, the more money they make, and the bills, to which consumers and providers alike are supremely indifferent, go to insurers, thence to purchasers. Appropriate patterns of care and efficient levels of health spending await the reversal of these illogical incentives by means of prepaid group practice (i.e., health maintenance organizations [HMOs] or managed care ... <a href="https://muse.jhu.edu/article/176836">Read More</a> Project MUSE® https://muse.jhu.edu/ 2026-05-13T00:00:00-05:00 https://muse.jhu.edu/journal/93/image/coversmall The Paradoxical Politics of Provider Reempowerment 2005-01-11 text/html en-US The Paradoxical Politics of Provider Reempowerment 2005-01-11 2005 TWO Project MUSE® 91278 2026-05-13T00:00:00-05:00 2005-01-11 https://muse.jhu.edu/article/176824 <p></p> Given the fact that Medicare is the second largest program in the federal budget (behind Social Security), it has received less attention from political scientists than might be expected. There are important works on the politics of the program&#39;s founding, but much of the literature on Medicare&#39;s development since 1965 has been written by economists. In his new book, Jonathan Oberlander addresses this lacuna, providing a valuable and much-needed account of the politics of Medicare in the postfounding era. This crisply and engagingly written book incorporates congressional hearings and government reports, interviews, and journalistic and scholarly accounts to generate an enlightening analysis of the political life ... <a href="https://muse.jhu.edu/article/176836">Read More</a> Project MUSE® https://muse.jhu.edu/ 2026-05-13T00:00:00-05:00 https://muse.jhu.edu/journal/93/image/coversmall The Political Life of Medicare (review) 2005-01-11 text/html en-US The Political Life of Medicare (review) 2005-01-11 2005 TWO Project MUSE® 11141 2026-05-13T00:00:00-05:00 2005-01-11 https://muse.jhu.edu/article/176825 <p></p> Health impact assessment (HIA) has been advanced in a number of different nations and by the World Health Organization (WHO) as a means to facilitate the consideration of potential health consequences of proposed policies (World Health Organization 1999; Ison 2000; Northern and York Public Health Observatory 2001), particularly outside the health sector where potential health effects may not be fully recognized (First International Conference on Health Promotion 1986). A core tenet of HIA is that policy makers, stakeholders, and the public can benefit from clearly communicated information generated from a balanced, formal, and systematic analysis of potential health impacts of proposed projects, policies, or ... <a href="https://muse.jhu.edu/article/176836">Read More</a> Project MUSE® https://muse.jhu.edu/ 2026-05-13T00:00:00-05:00 https://muse.jhu.edu/journal/93/image/coversmall Prospects for Health Impact Assessment in the United States: New and Improved Environmental Impact Assessment or Something Different? 2005-01-11 text/html en-US Prospects for Health Impact Assessment in the United States: New and Improved Environmental Impact Assessment or Something Different? 2005-01-11 2005 TWO Project MUSE® 148387 2026-05-13T00:00:00-05:00 2005-01-11 https://muse.jhu.edu/article/176828 <p></p> Concerns about population aging and increased longevity dominate many of our social policy debates. Ironically, despite all of the attention population aging receives, long-term care remains &#x22;largely off the political radar screen in any meaningful way&#x22; (Kane 2001). This is striking because, while older persons are healthier and have fewer disabilities than previous generations, there is a growing population of vulnerable older persons age eighty-five and over. Between 1970 and 2000, this population grew from 1.5 to 4.2 percent of the population over sixty-five. The number of persons age eighty-five and over is projected to triple by 2040 (Stone 1999). This so-called older-old population tends to be less healthy ... <a href="https://muse.jhu.edu/article/176836">Read More</a> Project MUSE® https://muse.jhu.edu/ 2026-05-13T00:00:00-05:00 https://muse.jhu.edu/journal/93/image/coversmall The Paradox of Aging in Place in Assisted Living, and: Reinventing Care: Assisted Living in New York City (review) 2005-01-11 text/html en-US The Paradox of Aging in Place in Assisted Living, and: Reinventing Care: Assisted Living in New York City (review) 2005-01-11 2005 TWO Project MUSE® 27001 2026-05-13T00:00:00-05:00 2005-01-11 https://muse.jhu.edu/article/176829 <p></p> As will be discussed further, although the legal standard is one of mental competence, the standards as written refer to concepts of rationality, mental illness, mental disorder, and mental disease in ambiguous and overlapping ways.The terminology surrounding medically assisted deaths is also ambiguous, with ongoing debate about the meaning of euthanasia, physician-assisted suicide, termination or withdrawal of life-sustaining treatment, and so on (see expanded discussion later). For purposes of this article, I borrow the nonlegalistic definition of euthanasia provided by Margaret Somerville (2001: 26): &#x201C;an intervention or non-intervention to end the life of someone else who is terminally ill; the goal is to ... <a href="https://muse.jhu.edu/article/176836">Read More</a> Project MUSE® https://muse.jhu.edu/ 2026-05-13T00:00:00-05:00 https://muse.jhu.edu/journal/93/image/coversmall Mental Competence and End-of-Life Decision Making: Death Row Volunteering and Euthanasia 2005-01-11 text/html en-US Mental Competence and End-of-Life Decision Making: Death Row Volunteering and Euthanasia 2005-01-11 2005 TWO Project MUSE® 106777 2026-05-13T00:00:00-05:00 2005-01-11 https://muse.jhu.edu/article/176832 <p></p> In the past few years, several edited books have been published on the challenges of providing health and income security to an aging population. To this list should be added the valuable collection Policies for an Aging Society, edited by Stuart H. Altman and David I. Shactman. This important book is distinguished by its careful attention to all three major programs affording retirement security to the elderly (Social Security, Medicare, and Medicaid), by its admirable insistence on the need to bring both historical and international perspectives to bear on contemporary American welfare state topics, and by its balanced treatment of the political and economic dimensions of critical policy issues. Every chapter in ... <a href="https://muse.jhu.edu/article/176836">Read More</a> Project MUSE® https://muse.jhu.edu/ 2026-05-13T00:00:00-05:00 https://muse.jhu.edu/journal/93/image/coversmall Policies for an Aging Society (review) 2005-01-11 text/html en-US Policies for an Aging Society (review) 2005-01-11 2005 TWO Project MUSE® 11344 2026-05-13T00:00:00-05:00 2005-01-11 https://muse.jhu.edu/article/176833 <p></p> See, for example, Marmor and Oberlander 1998; Moon 1999; Oberlander 2000; Thorpe and Atherly 2001; and Rice and Desmond 2002.Breaux-Frist I does not specify the specific method for adjusting premium support by geography and beneficiary risk characteristics. To make it possible to conduct the simulations in the article, we have employed some plausible options (e.g., for geographic adjustments we use the 2002 geographic practice cost index that is used by the Medicare Payment Advisory Commission to adjust the Medicare physician fee schedule for geographic variation in practice expenses). Medicare Prescription Drug, Improvement, and Modernization Act of 2003. Conference Agreement. HR.1.ENR, p. 114. ... <a href="https://muse.jhu.edu/article/176836">Read More</a> Project MUSE® https://muse.jhu.edu/ 2026-05-13T00:00:00-05:00 https://muse.jhu.edu/journal/93/image/coversmall The Distributional Consequences of a Medicare Premium Support Proposal 2005-01-11 text/html en-US The Distributional Consequences of a Medicare Premium Support Proposal 2005-01-11 2005 TWO Project MUSE® 41964 2026-05-13T00:00:00-05:00 2005-01-11 https://muse.jhu.edu/article/176835 <p></p> Rather than comparing a random sample of observations, as is the case with ordinary least squares regression, fixed-effects models compare observations falling within particular categories. In this case, observations for individuals in the same family are differenced. This method is a significant improvement over standard regression techniques because drawing comparisons between individuals within families factors out significant amounts of unobserved variance that may bias estimates in standard regression techniques. For further discussion of fixed-effects models see Duncan et al. 1988 and Firebaugh and Beck 1994.For further information on the PSID, see Hill 1992 or Institute for Social Research, University of ... <a href="https://muse.jhu.edu/article/176836">Read More</a> Project MUSE® https://muse.jhu.edu/ 2026-05-13T00:00:00-05:00 https://muse.jhu.edu/journal/93/image/coversmall Reconsidering Risk: Adapting Public Policies to Intergenerational Determinants and Biosocial Interactions in Health-Related Needs 2005-01-11 text/html en-US Reconsidering Risk: Adapting Public Policies to Intergenerational Determinants and Biosocial Interactions in Health-Related Needs 2005-01-11 2005 TWO Project MUSE® 69457 2026-05-13T00:00:00-05:00 2005-01-11 https://muse.jhu.edu/article/176836 <p></p> Conventional wisdom has managed care on the ropes or two shoulders to the canvas. Patient frustrations with managed care bureaucracies, combined with physician anger at institutional incursions on clinical autonomy, have led to popular rebellion and subsequent industry retooling. Media accounts of medical neglect driven by health plan penury have inspired legislative initiatives that clip managed care&#39;s wings, and a previously protective judiciary has taken an increasingly dim view of many of the industry&#39;s basic practices. In the face of such hostility, health maintenance organizations (HMOs), preferred provider organizations (PPOs), and other managed care entities have gutted their most unpopular ... <a href="https://muse.jhu.edu/article/176836">Read More</a> Project MUSE® https://muse.jhu.edu/ 2026-05-13T00:00:00-05:00 https://muse.jhu.edu/journal/93/image/coversmall Strangers in the Night: Law and Medicine in the Managed Care Era (review) 2005-01-11 text/html en-US Strangers in the Night: Law and Medicine in the Managed Care Era (review) 2005-01-11 2005 TWO Project MUSE® 25024 2026-05-13T00:00:00-05:00 2005-01-11