This article examines the possibilities for health care reform in the 111th Congress. It uses a simple model of policy making to analyze the failure of Congress to pass the Clinton health plan in 1993-1994. It concludes that the factors that created gridlock in the 103rd Congress are likely to have a similar impact in the present.

Jo Ivey Boufford, a paediatrician and formerly President of New York City public hospital system spent almost four years working in the UK, 20 months as Director of the King's Fund College. She returned to the United States in September 1993 and now has a pivotal role in developing and implementing the public health care sector as part of the Clinton reforms. Below are some of her reflections o...

On June 6, 2016, as a mode expected to open a new prospect for tiered system of medical care in China, family physicians contracted healthcare was officially launched, intending to facilitate such healthcare be universal coverage by 2020.There are some doubts as to whether this goal is possible. The role of family physicians contracted healthcare in China should also be carefully identified. We...

The impact of conflict on population health and health infrastructure has been well documented; however the efforts of the international community to rebuild health systems in post-conflict periods have not been systematically examined. Based on a review of relevant literature, this paper develops a framework for analyzing health reform in post-conflict settings, and applies this framework to t...

This paper provides three frameworks for understanding the process of implementing a financial reform in an African country that has adopted a policy of devolution. The paper is based on four years of experience in implementing a financial reform under Ethiopia’s Civil Service Reform. The first framework, which we have termed the Framework for Financial Reform, provides an overall conception of...

McDonough’s perspective on healthcare reform in the US provides a clear, coherent analysis of the mix of access and delivery reforms in the Affordable Care Act (ACA) aka Obamacare. As noted by McDonough, this major reform bill is designed to expand access for health coverage that includes both prevention and treatment benefits among uninsured Americans. Additionally, this legislation includes s...

Introduction. The prime role of the medical teacher of the future will be to provide his or her students with learning opportunity and to direct them to the proper resources rather than to teach, so the more presence of scientific board members in clinical wards can lead us to this goal. At this study we answer to this question that How will the quality of clinical education improve with increa...

Introduction: Pervasive beliefs regarding curricular reformand integration have flourished among medical students, facultymembers and medical school administrators. These conceptshave extensively impacted the reform process, sometimes byresisting the reforms and sometimes by diverting the curriculumfrom its planned objectives. In the current paper, we have tried toaddress the challenges of inte...