Study Guide: Health & Welfare

Readings:

 

Instructor Presentations:

Health

Welfare

Glossary:

Look these words up at the following web site: Glossary of Social Science

mental disorder Schizophrenia relative poverty
Psychosis public health care dual welfare system
Medicaid managed care stratification
Bioethics physicians assistants social mobility
medical model of behavior Medicare absolute poverty
HMOs Deinstitutionalization structural unemployment
Iatrogenic sick role class
secondary deviance primary deviance underclass
Wealthfare fee-for-service medicine class consciousness
crisis medicine curative medicine culture of poverty
AIDS welfare state division of labor
chronic disease lifestyle changes split labor market
Longevity life expectancy acute disease

Please Note:
 
Development and disease patterns
HIV (U.S. and around the world)
Causes of the rise in health care costs
Social factors in illness
Lack of access
Recent poverty rates
Demographics of the poor
Feminization of poverty
Working and poverty
Disability and poverty
Deinstitutionalization and poverty
Poverty and the rise of service occupations
Welfare reform

Names to Know: 

Thomas Szasz

Herbert Gans

William Julius Wilson

Christopher Jencks

 
Practice Quiz
 

Essay Questions:  

  1. According to Elwell (Industrializing America), what is managed care?  What are the consequences of managed care for medical practitioners? For patients?

  2. According to your instructor, what factors account for the rapidly escalating medical costs in American society?

  3. How is development related to disease patterns within a sociocultural system?

  4. How does SES affect access to health care in the U.S.?

  5. What factors led to the establishment of managed health care in America?

  6. According to The Economist (The Euthanasia Wars), what is the difference, if any, between doctor-assisted suicide and euthanasia?

  7. What is passive euthanasia?  Why is this less objectionable to many people than active euthanasia?

  8. Describe the arguments that are generally made against doctor-assisted suicide.  Do the data from the Dutch study support any of these arguments?

  9. According to Cohen (Who Should be on Welfare), what do Welfare professionals mean by "the hard to serve"?  What makes these individuals so difficult to serve?

  10. Briefly describe the new Welfare rules.

  11. How has the current booming economy helped former Welfare recipients?  Under the new Welfare rules, what will likely happen to these people as the economy slows down?

  Bibliography: 

Bernstein, Aaron. 1996. "Is America Becoming More of a Class Society?," Business Week. Iss. 3464 (February 26): 86-91.

Birenbaum Arnold. 1993. "Managed Care: What's in Store for U.S.?," USA TODAY: The Magazine for the American Scene. Vol. 122. (November): 20-22.

Blau, Joel.  1992.  The Visible Poor: Homelessness in the United States. New York:  Oxford University Press.

Block, Fred and Richard A. Cloward, Barbara Ehrenreich, and Frances Fox Piven.  1987.  The Mean Season: The Attack on the Welfare State.  New York: Pantheon.

Bogdanich, Walt.  1992. The Great White Lie: Dishonesty, Waste, and Incompetence in the Medical Community. New York: Touchstone.

Children's Defense Fund.  1989. Lack of Health Insurance Makes a Difference. Washington, D.C.: Children's Defense Fund.

Gittleman, Maury and Mary Joyce. 1995. "Earnings Mobility in the United States, 1967-91," Monthly Labor Review. 118 (September): 3-13.

Harrington, Michael.  1984. The New American Poverty.  New York: Holt, Rinehart and Winston.

Ilg, Randy E. 1995 "The Changing Face of Farm Employment," Monthly Labor Review Vol. 118. (April): 3-12.

Jones, Jacqueline.  1992. The Dispossessed: America's Underclasses from the Civil War to the Present.  New York: Basic Books.

Kissick, William L.  1994.  Medicine's Dilemmas.  New Haven: Yale University Press.

Kozol, Jonathon.  1985.  Illiterate America.  Garden City, N.Y.: Anchor Press/Doubleday.

Kwitney, Jonathan.  1992.  Acceptable Risks. New York: Poseidon Press.

Leigh, Wilhemina A.  1992.  A Health Assessment of Black Americans. Washington, D.C.: Joint Center for Political and Economic Studies.

Lemann, Nicholas.  1991. The Promised Land: The Great Black Migration and How It Changed America. New York: Knopf.

Light, Donald W. 1994. "Managed Care: False and Real Solutions," Lancet Vol. 344, Iss 8931 (Oct 29): 1197-1199.

Merline, John W. 1994. "Making Money by Denying Health Care," Consumers' Research Magazine 77 (September): 10-15.

Rose, Stephen J. 1996. "The Truth About Social Mobility," Challenge 39 (May): 4-8.

Starr, Paul.  1982.  The Social Transformation of American Medicine. New York: Basic Books.

Wholey, Douglas R. Christianson, Jon B., Sanchez, Susan M. 1993. "The effect of physician and corporate interests on the formation of health maintenance organizations," American Journal of Sociology 99 (July): 164-200.

Wilson, William J.  1987.  The Truly Disadvantaged: The Inner City, the Underclass, and Public Policy.  Chicago: University of Chicago Press.

Woolhandler, Steffie and David U. Himmelstein. 1994. "Giant H.M.O. 'A' or Giant H.M.O. 'B'," Nation. Vol 259, Iss 8. (September 19): 265-268.

 

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