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Cover -- Half Title: Jonas' Introduction to the U.S. Health Care System -- Author Bio -- Title: Jonas' Introduction to the U.S. Health Care System -- Copyright -- Dedication -- Contents -- Preface -- Acknowledgments -- List of Abbreviations -- Instructor Resources -- PART I: U.S. HEALTH CARE SYSTEM: PRESENT STATE -- Chapter 1: INTRODUCTION -- LEARNING OBJECTIVES -- HEALTH AND HEALTH CARE -- THE POPULATION SERVED -- U.S. HEALTH CARE SYSTEM -- SUMMARY -- DATA SOURCES -- REVIEW QUESTIONS -- REFERENCES -- Chapter 2: THE SETTINGS FOR HEALTH CARE DELIVERY -- LEARNING OBJECTIVES -- INTRODUCTION -- THE HOME -- AMBULATORY CARE -- HOSPITALS: INPATIENT ACUTE CARE -- POSTACUTE CARE -- SUMMARY -- DATA SOURCES -- REVIEW QUESTIONS -- REFERENCES -- Chapter 3: THE PEOPLE WHO PROVIDE HEALTH CARE -- LEARNING OBJECTIVES -- INTRODUCTION -- HEALTH CARE WORKFORCE, OVERALL -- MEDICINE -- NURSING2 -- NURSE PRACTIONER AND OTHER APRNs -- PHYSICIAN ASSISTANT -- OTHER HEALTH CARE OCCUPATIONS -- PRIMARY CARE AND ITS PROVIDERS -- SUPPLY AND SATISFACTION OF THE HEALTH CARE WORKFORCE -- SUMMARY -- DATA SOURCES -- REVIEW QUESTIONS -- REFERENCES -- Chapter 4: MEDICINES, DEVICES, AND TECHNOLOGY -- LEARNING OBJECTIVES -- INTRODUCTION -- PHARMACEUTICALS -- MEDICAL DEVICES -- OTHER MEDICAL DEVICES -- IMPACT OF THE COVID-19 PANDEMIC -- SUMMARY -- DATA SOURCES -- REVIEW QUESTIONS -- REFERENCES -- Chapter 5: GOVERNMENT AND THE HEALTH CARE SYSTEM -- LEARNING OBJECTIVES -- INTRODUCTION -- THE CONSTITUTIONAL BASIS OF GOVERNMENTAL AUTHORITY IN HEALTH CARE -- THE HEALTH CARE FUNCTIONS OF GOVERNMENT -- THE FEDERAL GOVERNMENT'S ROLE IN HEALTH CARE -- STATE GOVERNMENT'S ROLE IN HEALTH CARE -- LOCAL GOVERNMENT'S ROLE IN HEALTH CARE -- SUMMARY -- DATA SOURCES -- REVIEW QUESTIONS -- REFERENCES -- Chapter 6: FINANCING THE HEALTH CARE SYSTEM -- LEARNING OBJECTIVES -- INTRODUCTION.

We expect that mothers vary in the degree to which they perceive their children as burdensome, and that this variation may help explain why past research on the effect of children on mothers' psychological distress often finds insignificant or inconsistent effects: mothers who feel their children are a burden may have high distress levels compared with mothers who do not feel burdened. We find that mothers experience their children as differentially burdensome at different stages in the life cycle: younger mothers' perceived burden increases with each additional child, but older mothers are less affected by increasing numbers of children. Preschool children increase all mothers' perceived burden because they tend to make mothers feel that they cannot be alone when they want to. Employed mothers feel less burdened by their children than the nonemployed. Social context - the density of people in the home, integration into the neighborhood, and the presence of relatives in the area - had a number of unexpected effects. Crowding in the home increased the perception that children are burdensome by way of subjective crowding - the perception that there is too much activity in the home, the perceived inability to be alone, and dissatisfaction with living space. However, controlling for subjective crowding, the more adults in the home, the less the burden of children, presumably because these other adults can help care for the children. Integration into the neighborhood increased the likelihood of sharing child care with friends and neighbors, but this shared child care increased the perception of burden. We had expected the opposite. Possibly it increases perceived burden because it increases the obligation to care for one's neighbors' children in return for their help. Having relatives in the area increased the likelihood that these family members would care for one's children, but this child care had no significant effect on reducing burden. Instead, relatives in the area increased a mother's perception that she could not be alone when she wanted to, which increased burden. Thus, we find a number of costs of social integration for mothers.

"This book describes the public health system in broad strokes in order to focus the reader on basic public health goals, principles, structures, and practices. The context in which public health is practiced today has changed considerably since its historic roots in the Industrial Revolution of the 18th and 19th centuries. As a result, public health practices are changed and changing still. However, the overarching goal of public health systems remains the same-to ensure through collective action a healthful environment for all. The 21st century offers incredible challenges to public health. The disparity in access to healthy environments is widening, and the threats to health concern the foundations of health, including adequate and nutritious food, clean and sufficient water, and shelter. Moreover, these are global problems that touch every country to some extent and threaten to affect all countries within our lifetimes. This fact was made particularly clear by the COVID-19 pandemic."

This bestselling text is a concise and balanced classic presenting the domestic health care system. It explains the five major components of the U.S. health care system: 1. health care institutions (hospitals and nursing homes)2. health care personnel (physicians, nurses, and others)3. financing mechanisms4. research and educational institutions that produce biomedical knowledge and health personnel5. firms producing "health commodities" (such as pharmaceutical drugs and hospital equipment)

This paper examines the long-term psychological effects of the nuclear accident at Three Mile Island (TMI) on a community situated almost entirely within five miles of the reactor. Data, were collected in October-November, 1979 (Time I) from 391 residents 25 years of age and older and in October-November, 1980 (Time II) from a subsample of these subjects. The findings of the study indicate that: 1) the community can be characterized as distressed at Time I and at Time II; and 2) in general, perceived threat to physical health is more highly associated with distress than personal or demographic characteristics. The relationship of these findings to previous research findings regarding long-term psychosocial effects following other types of disasters is discussed.