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ERIC Number: ED220353
Record Type: RIE
Publication Date: 1982-May
Pages: 31
Abstractor: N/A
Reference Count: 0
Health Policy Formulation on a Federal Level, Process and Substance.
Stambler, Moses
Factors which influence the federal government's policy toward health care include cost, technology, social values, federalism, interest group politics, increased federal involvement, and the current utilitarian attitude toward research. The interaction of these factors results in a complex process of policy formation. For example, when the national government intervenes in health care issues it must consider the conflicting interests: if cigarette smoking is a determinant of health, should the government subsidize tobacco farms? Further, federalism (the sharing of power among different levels of government) creates a disjunction between administrative and regulatory responsibilities. Conflict arises over whether national health insurance should be administered by states or by a centralized federal bureaucracy, or whether health controls should be nationally uniform, tailored to individual characteristics of states. Pressure from interest groups such as medical organizations, the insurance industry, and consumer groups results in incremental rather than comprehensive policy making. Increased federal involvement in physician training and research and through Medicare and Medicaid programs has created a growing demand for policy analysis. Finally, the current attitude toward research as supporting prevailing beliefs rather than providing an informed appraisal of issues creates only partial knowledge, from which policy must be formed. (KC)
Publication Type: Opinion Papers
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A