California State University, Chico

DEPARTMENT OF HEALTH AND COMMUNITY SERVICES

HCSV 435/POLS 405                                                                           Spring 2007

HEALTHCARE POLICY AND POLITICS

Monday, 6:00 to 8:50 p.m.                                                                       Butte 229

Richard A. Narad, D.P.A.                                                    Phone:  (530)898-5309

Butte 627                                                                                 FAX:  (530) 898-5107

E-mail:  mailto:RNARAD@CSUCHICO.EDU                                                     

Office Hours: Monday 2-5, Wednesday 10-12, or by appointment

1.    Scope of Course:  This course will analyze the political forces, both private and public, which impact upon the health industry in the United States.  It focuses on the political process as it relates to the health care delivery system and on major political/policy issues related to the delivery of health care.

2.    Reading Materials

Texts:

·       Bodenheimer, Thomas and Kevin Grumbach Understanding Health Policy: A Clinical Approach, 4th ed.  (“B&T”)

·       Cutler, David M. Your Money or Your Life : Strong Medicine for America's Health Care System (Oxford: Oxford University Press, 2004)

Health administration core library:

·      Vergil Slee, Debora Slee, & HJ Schmidt (eds.) Slee's Health Care Terms, 4th ed. (St. Paul, MN: Tringa Press, 2001).

·       Diana Hacker A Pocket Style Manual, 4th ed. (Boston: Bedford Books of St. Martin’s Press, 2004).

WebCT

·       Paul J. Feldstein "Health Associations and the Legislative Process" From TJ Litman and LS Robins, eds. Health Politics and Policy

·       Howard Wolinsky and Tom Brune “The American Doctors’ Association” in The Serpent on the Staff

·       Jon R. Gabel, Anthony T. Lo Sasso, and Thomas Rice “Consumer-Driven Plans” Health Affairs

·       Tom Baker “The medical malpractice myth”

·       California Department of Finance Legislative Process (and chart) (“Leg Process”)

·       Rexford E. Santerre, Health Misery Index

For students who have not completed HCSV 431 (and/or who do not feel comfortable with their knowledge of the health care delivery system) Anthony R. Kovner’s Health Care Delivery in the United States is recommended.

3.    Course Format:  Classes will combine lectures, discussions, guest speakers, class exercises, and student presentations.

4.   Grading

Grades:

5.    Projects and Activities

·       Interest group profile: Paper and presentation on a special interest group which is involved in health care politics.

·       Friends and foes exercise: Identification of groups with whom your interest group might cooperate or compete.

·       Bill analysis:  Analysis of a bill, based on its impact on the above group, in the form of a memo to the organization’s legislative staff.

·       Position paper: Based on the above analysis, a legislative position paper in the form of a letter legislative committee.

·       Health issue: Paper and presentation on a current health policy issue.

This syllabus includes descriptions of each of the assignments.  Students should ensure that submitted papers include all of the required items and comply with the specifications listed in Section 9, below.

·       Readings:  Students are expected to have studied the assigned readings by the date indicated on the course schedule.

·       Class participation:  Attendance is expected.  Participation means more than being present in class.  Students are expected to actively participate in class activities and discussions.

6.    Confidentiality: During this course, the instructor, guest speakers, or students may share information regarding specific organizations or individuals.  Such information should be treated as confidential and not discussed outside of the classroom.  If you are in doubt regarding the confidentiality of any information, consult the instructor.

7.    Academic honesty: Students must ensure that appropriate credit is given for all materials.  Ideas taken from other persons must be properly cited.  Any direct quote must be enclosed in quotation marks and must be cited.

All papers will be checked for plagiarism at "turnitin.com".  Any student who engages in academic dishonestly (e.g., plagiarism, cheating, etc.) will receive a failing grade in this course and Student Judicial Affairs will be notified. 

8.    You should be aware that this class will be harder than most classes that you have taken. This is a 400 level class--you are expected to analyze topics in your papers, presentations, and class discussions; and not to merely describe them. 

Assignments should be of the same quality that is expected of an employee in a professional position in the health care field.  That means that grammar and spelling will be considered in grading assignments.  It means that due dates and project specifications are taken seriously.  It means that attendance is expected.

9.    Written papers:  All papers turned in for this course must comply with the following requirements:

·                     You must turn in both a hardcopy (printed) version of your term paper (which I will grade and return to you) and an electronic version.  The electronic version must be PC compatible and formatted as a Text (*.txt), MS-Word (*.doc), or Rich-Text-Format (*.rtf) file.  The electronic version must be emailed to me as an attachment through WebCT.  Papers will be checked for plagiarism at "turnitin.com".

·         Use 81/2" x 11" paper, with one-inch margins on all sides.

·         Papers should be typed, with all text, including quotes, double-spaced.

·         Do not use covers or cover pages.

·         Use Courier or Courier New 12 font

·         Do not exceed the maximum length for the assignment.

·         Papers should be free of typographical and spelling errors and should be grammatically correct.

10.  Presentations:  The presentations that you make in this class must comply with the following:

·         Presentations should cover the same area as the paper, but should not be just a reading of the written paper.  DON’T READ YOUR PAPER!

·         Be prepared to respond to questions from the instructor and the class

·         Do not exceed the maximum time for the presentation.

·         Use PowerPoint.

·         Dress professionally.  This means the same way that you would dress for a job interview or a professional presentation.

11.  On-line resources:  I have established a WebCT site (through the CSU, Chico Portal for class related materials.  Class handouts and other materials will be distributed only through this site.

INTEREST GROUP PROFILE

Assignment:  Identify a special interest group which is involved in health care politics in California.  Sign up at the second class session.

Content:  The paper and presentation should include:

1.    General description of the group

·           Who are the members?

·            What is the general purpose of the organization?

2.    General goals/policies regarding the health care delivery system

·           What do they want the health system to be like?

·           Generally, what do they want to accomplish in legislation?

3.    Positions on specific health issues

·           What positions have they taken?

·           Using Feldstein’s model (from the article on WebCT), why have they taken these positions?

4.    The group's power

·           How successful/influential are they?

Your primary source of information will be the group itself.  You should contact them early because sending you information may not be their highest priority.  In addition to written information that they provide, you will probably need to interview them, either in person or on the telephone.  Some information is available from their web pages.  Where possible, these are linked to our class page.

Do not depend only on the information that they provide.  You should also look at the bills that they support and oppose and consider the reasons that they take the positions that they do.

Papers should be a maximum of three pages (plus endnotes).  Presentations should be five minutes.

FRIENDS AND FOES ANALYSIS

Assignment:  Based on the class presentations, identify three groups that you would expect to cooperate with your group on legislation and three groups that you would expect your group to compete with (that is, they would oppose your legislation and visa versa).

Content: 

1. Identify your group and give a brief summary of its general goals for the health system.

2. Identify three groups that would be friends and three groups that would be foes.  For each, explain why you believe this about them. 

Papers should be a maximum of two pages.

BILL ANALYSIS

Assignment:  A piece of current health legislation will be provided.  Analyze the bill to determine its impact on the group which you profiled.

Content:  The analysis should include:

1.    General goal/purpose of bill

2.    Specific contents

3.    Pros and cons of the initiative, from the viewpoint of your organization.

4.    Specific impacts on "your" organization and its members.

5.    A recommended position and rationale.   You must take a support or oppose position.  The bill is not one that your organization would sit back and watch!

The analysis should be in the form of a memo from you (role playing as a member of the legislative advocacy staff) to your organization's legislative advocate.  It should be a maximum of three pages.  (Of course, a memo would normally be single spaced, but for the purpose of this assignment, follow the specifications in this syllabus).

POSITION PAPER

Assignment:  Based on the above analysis, develop a legislative position paper.

Content:  The position paper should be in the form of a letter from you (role playing as a member of your organization's legislative advocacy staff) to the Chair of the Assembly Health Committee.  It should state

1.  Your organization's position for or against the bill

2.  your supporting arguments.

It should be a maximum of two pages.  (Of course, a letter would normally be single spaced and shorter, but for the purpose of this assignment, follow the specifications in this syllabus).

HEALTH ISSUE PAPER/PRESENTATION

Assignment:  Select a current health policy issue (sign up at the second class session).  Prepare a written summary of the issue and a presentation. 

Content:  The paper and presentation should include:

1.    A summary of the issue—identify the issue and what problems are perceived to exist

2.    Potential policy options for solving these problems, including your analysis of their strengths and weakness

3.    Any current California or federal legislation (if any) on this topic