Suchergebnisse

Advocates universal & comprehensive health insurance (1) to cover the 16% of Americans who now have no public or private coverage; (2) to help hospitals pressured to end the cross-subsidies that previously enabled them to care for the uninsured; (3) to protect the jobs &, thus, the communities of health care workers; & (4) to improve the care received by the currently underinsured. It is allowed, however, that the US nonparliamentary political system all but precludes the enactment of the sort of ambitious, cohesive plan needed to repair the health care system. Thus, even though an incremental approach tends to politically weaken those it does not directly help, several smaller steps for improving the organization & financing of care are suggested: (A) slowing the shift of not-for-profit providers to the for-profit sector, possibly through the power of the states' attorneys general; (B) regulating & demanding greater accountability from health maintenance organizations; & (C) strengthening & improving Medicare. E. Blackwell

A summary of data on twin problems in the health field: (1) the increasing number of Americans without health insurance; & (2) the increasing costs of health care. It is argued that these problems can be addressed by a national health insurance program that makes comprehensive benefits universally available & that operates within prescribed budgets. The characteristics of such a program are discussed. AA

Examines reasons for the growth of health maintenance organizations and managed care, the problems engendered, and why they continue despite dissatisfaction among key participants.

Introduction /Miriam Boeri and Rashi K. Shukla --Going native with evil /Marie Rosenkrantz Lindegaard --Lost in the park : learning to navigate the upredictability of fieldwork /Elizabeth Bonomo and Scott Jacques --Unearthing aggressive advocacy : challenges and strategies in social service ethnography /Curtis Smith and Leon Anderson --Going into the gray : conducting fieldwork on corporate misconduct /Eugne Soltes --Hide-and-seek : challenges in the ethnography of street drug users /Merrill Singer and J. Bryan Page --Into the epistemic void : using rapid assessment to investigate the opioid crisis /Jason N. Fessel, Sarah G. Mars, Philippe Bourgois, and Daniel Ciccarone --Conducting international reflexive ethnography : theoretical and methodological struggles /Avelardo Valdez, Alice Cepeda, and Charles Kaplan --Hidden : accessing narratives of parental drug dealing and misuse /Ana Lilia Campos-Manzo --Navigating stigma : researching opioid and injection drug use among young immigrants from the former Soviet Union in New York City /Honoria Guarino and Anastasia Teper --Dangerous liaisons : reflections on a serial ethnography /Robert Gay --The emotional labor of fieldwork with people who use methamphetamine /Heith Copes --Ethnography of injustice : death at a county jail /Joshua Price --Conclusion : looking back, moving forward /Rashi K. Shukla and Miriam Boeri.

In mehreren Beiträgen wird die Problematik der von US-Präsident Clinton eingeleiteten Reform des Gesundheitssystems der Vereinigten Staaten behandelt. Dabei wird u.a. auf die wirtschaftlichen Aspekte der Gesundheitsreform eingegangen, auf die Erfahrungen früherer Administrationen, auf die öffentliche Meinung im Hinblick auf die Gesundheitsreform sowie auf die aktuellen Realisierungschancen des Reformprogramms im US-Kongreß. (AuD-Hng)