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Redesigning the health care system of the future.

The models outlined above represent alternative constructs for examining factors that may or may not influence human health in a positive manner. If the economic framework seems more theoretical than actionable, consider an alternative framework that has been advanced by the American Hospital Association and described in Table I. Regardless of the framework adopted, work to improve the health care system and its financing will be hard, irrespective of whether incremental or wholesale changes are made. What is important, however, is that a thoughtful approach be taken and the trade-offs of each decision carefully weighted. The health of the population of the state and the country depend on it.

Adult↗

Stating the case for coverage. Frustrated with federal efforts to solve the uninsured problem, many states are taking it upon themselves to find solutions.

States are leading the search for solutions to the uninsured problem, explorng various paths to universal coverage. In Massachusetts, which recently passed a near-universal plan, it took months to lay the groundwork, and comments were sought from a wide variety of groups. "You can't just look at the most recent accomplishment without understanding what brought us to this point," says Michael Miller, left.

Community Participation↗

Public hospitals in China: privatisation, the demise of universal health care and the rise of patient-doctor violence.

Ensuring the safety of staff and patients has become a major problem for hospitals in China. This article examines whether one of the reasons for this violence may be the emerging injustice and inequality that have manifested in the Chinese health care system as a result of privatisation reforms since the early 1980s. It considers approaches to these issues that may assist the Chinese Government, and other nations contemplating similar policy changes, to create efficient but equity-based health care systems that minimise collateral trauma to patients and their families.

China↗

California runs for coverage. Even though Schwarzenegger is likely to veto single-payer bill, other states could start clamoring for similar access plans.

With little afoot in D.C. to ease the uninsured crisis, state initiatives are attempting to take up the slack. In California last week, supporters rallied for a universal coverage bill that Gov. Schwarzenegger is expected to veto. "States are looking at the federal government and seeing that nothing's happening," one observer says.

California↗