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"Nearly everyone agrees that the nation's health care system needs to be reformed. By mid-1994 over a half-dozen major reform plans were under consideration in Congress. But beyond the political challenge of passing a reform package lies an even bigger challenge-how to make health reform work!Critics of the Clinton plan have charged that it's too complex and doomed to administrative failure. Are they right? The nation's health care finance and delivery systems are already immensely complex and problem-ridden. Is it possible to achieve meaningful reforms without adopting new administrative strategies and structures that are equally complex? What role do the states now play in administering the nation's health care system? Is it possible to design administrative success into national health reform plans from the start?Produced in close consultation with state health care officials from all around the country, this important volume offers practical and timely recommendations for how to make health reform work. It addresses the central implementation, management, and federalism dimensions of reform. Chapters by some of the country's leading health policy and public management experts explore the administrative challenges of reform as they relate to health alliances, cost containment, quality of care, medical education and training, and other key issues. They discuss various working principles for developing an administratively sound health reform policy.The contributors are Lawrence D. Brown and Michael Sparer, Columbia University; Gerald Garvey, Princeton University; Donald F. Kettl, University of Wisconsin-Madison; James R. Tallon, United Hospital Fund; James W. Fossett and Frank J. Thompson, State University of New York, Albany."
The Clinton administration's National Performance Review of the federal government (also called the Reinventing Government Initiative) is the eleventh effort this century to improve the executive branch and reform the federal service.
"e;Do you know if you are going to heaven?"e; Shortly after being appointed the first Director of Faith-Based and Community Initiatives-the "e;faith czar"e;-John J. DiIulio Jr. was asked this question. Suddenly DiIulio, a Catholic Democrat who pioneered programs for inner-city children, was acutely aware that he was no longer a private citizen who might have humored the television evangelist standing before him. Now he was, as he recalls in his introduction-"e;responsible for assisting the president in faithfully upholding the Constitution . . . and faithfully acting in the public interest without regard to religious identities."e; Using his brief tenure in the George W. Bush administration as a springboard, this lively, informative, and entertaining book leaps into the ongoing debate over whether as a nation America is Christian or secular and to what degree church-state separation is compelled by the Constitution. Avoiding political pieties, DiIulio makes an impassioned case for a middle way. Written by a leading political scholar, Godly Republic offers a fast-paced, faith-inspired, and fact-based approach to enhancing America's civic future for one and all.
With the benefit of a historical perspective on the development of American public service from the days of the progressives to the present, the contributors to this book argue that deregulating the public service is a necessary but insufficient condition for much of the needed improvement in governmental administration.
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