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E-Seminars: E-Seminar Detail
 



E-Seminars in This Series

E-Seminar 1
The Roots of Health Care in the United States


E-Seminar 3
The Uninsured


E-Seminar 4
Managing the Managed-Care Revolution


E-Seminar 5
Managed Care in the Public Sector


E-Seminar 6
Long-Term Care


The Politics of Health Care
A Series of Six E-Seminars


 
The Politics of Health Care
E-Seminar 2, Medicare, Medicaid, and the Legacy of the New Deal

Taught by: Michael S. Sparer, Ph.D.

Description
Most Americans get their health-care insurance through their employers. But what happens to those Americans who fall outside this system? What happens to the unemployed, the elderly, and the disabled, and to employees who do not receive health insurance from their employers? Who pays for their health care?



E-Seminar Trailer (RealVideo Clip)
Michael S. Sparer, associate professor of public health at Columbia University's Mailman School of Public Health, addresses these questions in the second e-seminar in his six-part series The Politics of Health Care. Professor Sparer introduces Medicare and Medicaid, the two leading public health-insurance programs. Today, Medicare provides health insurance to around 39 million low-income Americans at an annual cost of $217 billion, while Medicaid covers 40 million elderly and disabled Americans at a cost of more than $200 billion. Professor Sparer explores how these programs came to be enacted, looking at the legacy of the New Deal as a counter to America's cultural preference for limited government. Finally, he focuses on each program in detail, explaining how Medicare and Medicaid are funded and administered, whom they aid, and how the programs have evolved since their enactment in 1965.

E-Seminar Length: 3-5 hours
Start Date: Anytime
Credits: Not-for-Credit
Prerequisites: None
Moderator: None
Columbia Students, Faculty, Staff, and Alumni: FREE

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E-Seminar Objectives | Outline | Instructor's Background | Recommended Reading | Additional Resources | Technical Requirements

E-Seminar Objectives
•   Learn about the history of public health-insurance programs in the United States.

•   Examine the creation and evolution of Medicare and Medicaid.

•   Explore the inner workings of Medicare and Medicaid today.


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Outline
1. Introduction
2. History of Medicaid and Medicare
      A Strong Federal Government
      The New Deal
      Hospital Insurance for the Aged
      Welfare Medicine
      Medicare and Medicaid
      Community Health Centers
3. Medicaid
      Program Overview
      First Era
      Second Era
      Third Era
      Fourth Era
4. Medicare
      Program Overview
      Funding
      Prescription Drugs
5. Conclusion

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Instructor's Background
Instructor's Background
Michael Sparer is Associate Professor at the Joseph L. Mailman School of Public Health at Columbia University. He has a Ph.D. in political science from Brandeis University and a law degree from Rutgers School of Law (Newark). Professor Sparer studies and writes about the politics of health care with an emphasis on the state and local role in the American health-care system. He is the author of Medicaid and the Limits of State Health Reform (Temple University Press, 1996) as well as numerous articles and book chapters.

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Recommended Reading
DiIulio, John J., and Frank J. Thompson, eds. Medicaid and Devolution: A View from the States. Washington, D.C.: The Brookings Institute, 1998.

Marmor, Theodore R. The Politics of Medicare. 2d ed. Social Institutions and Social Change series. New York: Aldine De Gruyter, 2000.

Sparer, Michael S. Medicaid and the Limits of State Health Reform. Philadelphia: Temple University Press, 1996.

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Additional Resources
The Henry J. Kaiser Family Foundation Web site for the Kaiser Commission on Medicaid and the Uninsured.

The Web site of the American Association of Retired Persons (AARP).

The Web site of the Urban Institute, a nonpartisan economic and social-policy research organization.

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Technical Requirements
You will need to use a computer with Internet access to complete this course. We recommend the following minimum configurations:

IBM-COMPATIBLE PC
Windows 95, 98, 2000, XP, or NT
64 MB of RAM (128 recommended)
Monitor: 800x600 resolution recommended
Connection: Internet service and 56K modem minimum
Browser: Internet Explorer 4 or above (Internet Explorer 5 strongly recommended) or Netscape 4.7 or above
Sound Card (if you can hear audio you have a sound card)
Plug-ins: RealPlayer 7 or later; Flash Player 5 or later; Acrobat Reader 5 or later
(all plug-ins are free)

MACINTOSH
MAC OS 8.6 or higher
64 MB of RAM (128 recommended)
Monitor: 800x600 resolution recommended
Connection: Internet service and 56K modem minimum
Browser: Internet Explorer 5 or above or Netscape 4.7 or above
Sound Card (if you can hear audio you have a sound card)
Plug-ins: RealPlayer 7 or later; Flash Player 5 or later; Acrobat Reader 5 or later
(all plug-ins are free)

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