1. Chapter 6Physical Illness Copyright 2006 @ Brooks/Cole, a division of Thomson Learning

2. History of Public Health Interventions in the United States Public health: “a kind of rearguard action against the filth and congestion created by anarchic economic & urban development” (p. 190) Marine Hospital Service (first federal public health intervention) Copyright 2006 @ Brooks/Cole, a division of Thomson Learning

3. Federal Health Agencies Public Health Service Children’s Bureau Department of Veterans Affairs Copyright 2006 @ Brooks/Cole, a division of Thomson Learning

4. Federal Financing of Health Care: Medicaid Medicaid Cost Containment Medicaid and Managed Care Long-Term Care Copyright 2006 @ Brooks/Cole, a division of Thomson Learning

5. Vulnerable Groups in an Affluent Nation Poverty and Health Health Disparities Gender and Health Uninsured Citizens Infant Mortality in Harlem Copyright 2006 @ Brooks/Cole, a division of Thomson Learning

6. Fundamental Dilemmas in the U.S. Health Care Policy Assigning Risk Market-based Solutions versus Public Provision of Care Copyright 2006 @ Brooks/Cole, a division of Thomson Learning

7. Health Care Reform Proposals Insurance Regulation Managed Care Single-Payer Proposals Copyright 2006 @ Brooks/Cole, a division of Thomson Learning

8. Social Work Roles in Health Care Policy Advocates Administrators Practitioners Copyright 2006 @ Brooks/Cole, a division of Thomson Learning

9. Legislation Discussed in Chapter 6 The Public Health Act - 1848 (Britain) The National Quarantine Act - 1878 The Social Security Act -1935 Sheppard-Towner Act -1921 Act for the Emergency Maternity and Infant Care for the Wives and Children of Servicemen -1963 Hill Burton Act - 1946 Copyright 2006 @ Brooks/Cole, a division of Thomson Learning

10. Legislation Discussed in Chapter 6 (cont.) Personal Responsibility and Work Opportunity Reconciliation Act ( PRWORA) -1996 Medical Catastrophic Coverage Act -1988 The Balanced Budget Act - 1997 Ryan White Care Act –1990 Americans With Disabilities Act - 1990 Health Insurance Portability and Accountability Act or “ Kassebaum-Kennedy”- 1996 Copyright 2006 @ Brooks/Cole, a division of Thomson Learning

11. Programs Discussed in Chapter 6 Copyright 2006 @ Brooks/Cole, a division of Thomson Learning

12. Web Links for Further Reference http://www.cdc.gov/nchs/data/hus/tables/2003/03hus027.pdf http://www.census.gov/hhes/www/income.html http://www.commonwealthfund.org/index.htm http://www.who.int/en/ Copyright 2006 @ Brooks/Cole, a division of Thomson Learning