United States

Fourth Edition

Beaufort B. Longest, Jr.


Fourth Edition

AUPHA/HAP Editorial Board

Louis G. Rubino, Ph.D., FACHE, Chair California State University-Northridge

University of Toronto

Sharon Buchbinder, R.N., Ph.D. Towson University

Caryl Carpenter, Ph.D. Widener University

Leonard Friedman, Ph.D. Oregon State University

Sarah B. Laditka, Ph.D. University of South Carolina

Thomas Mcllwain

Medical University of South Carolina

Michael A. Morrisey, Ph.D. University of Alabama at Birmingham

University of North Carolina at Chapel Hill

Sandra Potthoff, Ph.D. University of Minnesota

Lydia Reed AUPHA

Nancy H. Shanks, Ph.D. Metropolitan State College of Denver

Dennis G. Shea, Ph.D. Penn State University

Dean G. Smith, Ph.D. University of Michigan

Mary Stefl, Ph.D. Trinity University


Fourth Edition

Beaufort B. Longest, Jr.

Health Administration Press, Chicago, IL AUPHA Press, Washington, DC


Your board, staff, or clients may also benefit from this book's insight. For more information on quantity discounts, contact the Health Administration Press Marketing Manager at (312) 424-9470.

This publication is intended to provide accurate and authoritative information in regard to the subject matter covered. It is sold, or otherwise provided, with the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought.

The statements and opinions contained in this book are strictly those of the author(s) and do not represent the official positions of the American College of Healthcare Executives or of the Foundation of the American College of Healthcare Executives, or of the Association of University Programs in Health Administration.

Copyright © 2006 by the Foundation of the American College of Healthcare Executives. Printed in the United States of America. All rights reserved. This book or parts thereof may not be reproduced in any form without written permission of the publisher.

Library of Congress Cataloging-in-Publication Data

Longest, Beaufort B.

Health policymaking in the United States / Beaufort B. Longest.— 4th ed. p. ; cm.

Includes bibliographical references and index. ISBN-13: 978-1-56793-245-4 (alk. paper) ISBN-10: 1-56793-245-2 (alk. paper)

1. Medical policy—United States. 2. Health planning—United States. 3. Medical laws and legislation—United States. 4. Policy sciences—Methodology. I. Title. [DNLM: 1. Health Policy—United States. 2. Health Planning—legislation & jurisprudence—United States. 3. Policy Making—United States. WA 525 L852h 2005] RA395.A3 L66 2005

362.1'0973—dc22 2005050217

The paper used in this publication meets the minimum requirements of American National Standard for Information Sciences—Permanence of Paper for Printed Library Materials, ANSI Z39.48-1984. ©™

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