Grand canyon mat / 134 discussions week 2 – 7


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Week 2 Discussion


Health policy is profoundly influenced by value-driven issues that cut across the entire U.S. policy landscape. Describe both positions (i.e., for and against) a current debate regarding a value-driven health policy issue.


What interests in health policy do you bring to this class? McLaughlin’s Table 1-1 specifies the knowledge and skills called for in a policy analyst.  Discuss for which of these areas do you currently feel prepared, and in which ones do you want to gain competence? Why?


Week 3 Discussion

Argue the following statement: Despite our relatively high level of healthcare expenditure, we may still be getting enough for our money.



Discuss the social forces and other issues behind the move toward industrialization. Does industrialization threaten professional autonomy and control? If yes, why? If no, why? Please provide examples to support your position.


Week 4 Discussion


There may be a great deal of debate about the monopoly power of the medical profession. Discuss whether the following statement is true: “It is clear that the profession once exerted that power and that the power of the profession has been waning.” Please provide examples to support your responses.


What role should government play in controlling increases in the cost of care and the cost of health coverage? What different choices do state and federal policymakers have in containing costs.


Week 5 Discussion


Discuss why those who propose a one-size-fits-all approach to solving health care problems are operating in a simplistic never-never land that ignores the complex interests of many stakeholders.


Discuss why large and small employers seem to have different interests.


Week 6 Discussion

Table 5-1 in Health Policy Analysis: An Interdisciplinary Approach is long, but it is not intended to exhaust the possibilities.  What federal government alternatives would you like to add to that array?  Post and defend your alternatives for inclusion in an expanded Table 5-1.


Illustrative Federal Government Health Policy Options Added


Discuss why obtaining true free market competition would require considerable government intervention.


Week 7 Discussion


Discuss value-driven care initiatives in relation to pay-for-performance and medical home initiatives (demonstration projects).


Discuss the different interests (and why) medical professionals and the institutions they work in can have ─ even when they present a united front to the consumer.

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