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Based on the author's 30+ years of studying and teaching about the U.S. health care system, Still Broken: Understanding the U.S. Health Care System provides clear and comprehensive tools to improve our declining health care system.

Health care reform --- Medical policy --- United States --- Health services accessibility --- Health Services Needs and Demand --- Quality assurance (Health care) --- Health expenditures

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"At least 5.6 million to 8 million--nearly one in five--older adults in America have one or more mental health and substance use conditions, which present unique challenges for their care. With the number of adults age 65 and older projected to soar from 40.3 million in 2010 to 72.1 million by 2030, the aging of America holds profound consequences for the nation. For decades, policymakers have been warned that the nation's health care workforce is ill-equipped to care for a rapidly growing and increasingly diverse population. In the specific disciplines of mental health and substance use, there have been similar warnings about serious workforce shortages, insufficient workforce diversity, and lack of basic competence and core knowledge in key areas. Following its 2008 report highlighting the urgency of expanding and strengthening the geriatric health care workforce, the IOM was asked by the Department of Health and Human Services to undertake a complementary study on the geriatric mental health and substance use workforce. The Mental Health and Substance Use Workforce for Older Adults: In Whose Hands? assesses the needs of this population and the workforce that serves it. The breadth and magnitude of inadequate workforce training and personnel shortages have grown to such proportions, says the committee, that no single approach, nor a few isolated changes in disparate federal agencies or programs, can adequately address the issue. Overcoming these challenges will require focused and coordinated action by all."--Publisher's description.

Mental Health - manpower - United States. --- Older people --- Alcoholism --- Drug abuse --- Mental Disorders --- Health Services --- North America --- Behavioral Disciplines and Activities --- Psychological Phenomena and Processes --- Adult --- Health Services Research --- Diseases --- Health --- Delivery of Health Care --- Psychiatry and Psychology --- Population Characteristics --- Americas --- Age Groups --- Health Care Facilities, Manpower, and Services --- Health Planning --- Health Care Quality, Access, and Evaluation --- Geographic Locations --- Persons --- Health Care --- Health Care Economics and Organizations --- Geographicals --- Named Groups --- Health Services Needs and Demand --- Mental Health Services --- United States --- Mental Health --- Substance-Related Disorders --- Aged --- Health Services for the Aged --- Social Welfare & Social Work --- Social Sciences --- Substance Abuse --- Alcohol use --- Drug use --- Treatment --- Alcohol use. --- Drug use. --- Treatment. --- Keeley cure

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MEDICAL --- Health Care Delivery --- Astronauts --- Health Services Needs and Demand --- Radiation Effects --- Weightlessness --- Space Flight --- Aerospace Medicine --- Radiologic Health --- Radiation --- Medicine --- Aviation --- Health Services Research --- Hypogravity --- Delivery of Health Care --- Research Personnel --- Electromagnetic Phenomena --- Health Occupations --- Public Health --- Transportation --- Persons --- Health Planning --- Gravity, Altered --- Health Care Quality, Access, and Evaluation --- Technology, Industry, and Agriculture --- Disciplines and Occupations --- Health Care --- Health Care Economics and Organizations --- Named Groups --- Environment and Public Health --- Gravitation --- Physical Phenomena --- Phenomena and Processes --- Technology, Industry, Agriculture --- Astronomical Processes --- Physical Processes --- Transportation Medicine & Physiology --- Health & Biological Sciences --- Astronomical Phenomena --- Space medicine. --- Health and hygiene. --- Aerospace medicine --- Bioastronautics --- Cosmonauts --- Space ships --- Pilots --- Space biology --- Space sciences --- Transportation medicine --- Aviation medicine --- Air pilots --- Space travelers --- Manned space flight --- Astronautics personnel

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Veterans --- Community Mental Health Services --- Health Surveys --- Stress Disorders, Post-Traumatic --- Veterans Health --- Health Services Needs and Demand --- Data Collection --- Health --- Mental Health Services --- Persons --- Stress Disorders, Traumatic --- Delivery of Health Care --- Health Services Research --- Community Health Services --- Named Groups --- Epidemiologic Methods --- Anxiety Disorders --- Health Care Quality, Access, and Evaluation --- Health Services --- Behavioral Disciplines and Activities --- Health Care Evaluation Mechanisms --- Health Planning --- Population Characteristics --- Mental Disorders --- Psychiatry and Psychology --- Public Health --- Health Care Facilities, Manpower, and Services --- Health Care Economics and Organizations --- Health Care --- Investigative Techniques --- Quality of Health Care --- Environment and Public Health --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Military Administration --- Military & Naval Science --- Law, Politics & Government --- Mental health services --- Evaluation --- Quality of Care --- Quality of Healthcare --- Care Qualities --- Care Quality --- Health Care Quality --- Healthcare Quality --- Investigative Technics --- Investigative Technic --- Investigative Technique --- Technic, Investigative --- Technics, Investigative --- Technique, Investigative --- Techniques, Investigative --- Community-Based Distribution --- Contraceptive Distribution --- Delivery of Healthcare --- Dental Care Delivery --- Distribution, Non-Clinical --- Distribution, Nonclinical --- Distributional Activities --- Healthcare --- Healthcare Delivery --- Healthcare Systems --- Non-Clinical Distribution --- Nonclinical Distribution --- Delivery of Dental Care --- Health Care Delivery --- Health Care Systems --- Activities, Distributional --- Activity, Distributional --- Care, Health --- Community Based Distribution --- Community-Based Distributions --- Contraceptive Distributions --- Deliveries, Healthcare --- Delivery, Dental Care --- Delivery, Health Care --- Delivery, Healthcare --- Distribution, Community-Based --- Distribution, Contraceptive --- Distribution, Non Clinical --- Distributional Activity --- Distributions, Community-Based --- Distributions, Contraceptive --- Distributions, Non-Clinical --- Distributions, Nonclinical --- Health Care System --- Healthcare Deliveries --- Healthcare System --- Non Clinical Distribution --- Non-Clinical Distributions --- Nonclinical Distributions --- System, Health Care --- System, Healthcare --- Systems, Health Care --- Systems, Healthcare --- Healthcare Economics and Organizations --- Healthcare Facilities, Manpower, and Services --- Environment, Preventive Medicine & Public Health --- Environment, Preventive Medicine and Public Health --- Health, Public --- Behavior Disorders --- Diagnosis, Psychiatric --- Mental Disorders, Severe --- Psychiatric Diagnosis --- Disorder, Mental --- Disorder, Severe Mental --- Disorders, Behavior --- Disorders, Mental --- Disorders, Severe Mental --- Mental Disorder --- Mental Disorder, Severe --- Severe Mental Disorder --- Severe Mental Disorders --- Population Heterogeneity --- Population Statistics --- Characteristic, Population --- Characteristics, Population --- Heterogeneity, Population --- Population Characteristic --- Statistics, Population --- PL93-641 --- Public Law 93-641 --- Health and Welfare Planning --- National Health Planning and Resources Development Act of 1974 --- Planning, Health and Welfare --- State Health Planning, United States --- Planning, Health --- Public Law 93 641 --- Healthcare Evaluation Mechanisms --- Evaluation Mechanism, Healthcare --- Evaluation Mechanisms, Healthcare --- Healthcare Evaluation Mechanism --- Mechanism, Healthcare Evaluation --- Mechanisms, Healthcare Evaluation --- Services, Health --- Health Service --- Service, Health --- Healthcare Quality, Access, and Evaluation --- Anxiety Neuroses --- Anxiety States, Neurotic --- Neuroses, Anxiety --- Anxiety Disorder --- Anxiety State, Neurotic --- Disorder, Anxiety --- Disorders, Anxiety --- Neurotic Anxiety State --- Neurotic Anxiety States --- State, Neurotic Anxiety --- States, Neurotic Anxiety --- Epidemiologic Method --- Epidemiological Methods --- Methods, Epidemiologic --- Epidemiological Method --- Method, Epidemiologic --- Method, Epidemiological --- Methods, Epidemiological --- Epidemiology --- Community Healthcare --- Health Services, Community --- Services, Community Health --- Community Health Care --- Care, Community Health --- Community Health Service --- Community Healthcares --- Health Care, Community --- Health Service, Community --- Healthcare, Community --- Healthcares, Community --- Service, Community Health --- Action Research --- Health Services Evaluation --- Healthcare Research --- Research, Medical Care --- Health Care Research --- Medical Care Research --- Research, Health Services --- Evaluation, Health Services --- Evaluations, Health Services --- Health Services Evaluations --- Research, Action --- Research, Health Care --- Research, Healthcare --- Stress Disorder, Traumatic --- Traumatic Stress Disorder --- Traumatic Stress Disorders --- Person --- Health Services, Mental --- Services, Mental Health --- Services, Mental Hygiene --- Mental Hygiene Services --- Health Service, Mental --- Hygiene Service, Mental --- Hygiene Services, Mental --- Mental Health Service --- Mental Hygiene Service --- Service, Mental Health --- Service, Mental Hygiene --- Normalcy --- Normality --- Normalities --- Data Aggregation --- Data Collection Methods --- Dual Data Collection --- Aggregation, Data --- Collection Method, Data --- Collection Methods, Data --- Collection, Data --- Collection, Dual Data --- Data Collection Method --- Method, Data Collection --- Methods, Data Collection --- Health Services Needs --- Needs --- Needs and Demand, Health Services --- Target Population --- Health Services Need --- Need, Health Services --- Needs, Health Services --- Population, Target --- Populations, Target --- Target Populations --- Veteran --- Acute Post-Traumatic Stress Disorder --- Chronic Post-Traumatic Stress Disorder --- Delayed Onset Post-Traumatic Stress Disorder --- Neuroses, Posttraumatic --- Posttraumatic Stress Disorders --- Stress Disorder, Post Traumatic --- Stress Disorders, Posttraumatic --- Neuroses, Post-Traumatic --- PTSD --- Post-Traumatic Stress Disorders --- Acute Post Traumatic Stress Disorder --- Chronic Post Traumatic Stress Disorder --- Delayed Onset Post Traumatic Stress Disorder --- Neuroses, Post Traumatic --- Post Traumatic Stress Disorders --- Post-Traumatic Neuroses --- Post-Traumatic Stress Disorder --- Posttraumatic Neuroses --- Posttraumatic Stress Disorder --- Stress Disorder, Post-Traumatic --- Stress Disorder, Posttraumatic --- Stress Disorders, Post Traumatic --- Health, Veterans --- Abortion Surveys --- Abortion Survey --- Health Survey --- Survey, Abortion --- Survey, Health --- Surveys, Abortion --- Surveys, Health --- Assertive Community Treatment --- Health Services, Community Mental --- Services, Community Mental Health --- Services, Mental Health Community --- Mental Health Services, Community --- Community Treatment, Assertive --- Treatment, Assertive Community --- Combat veterans --- Ex-military personnel --- Ex-service men --- Military veterans --- Returning veterans --- Vets (Veterans) --- War veterans --- methods --- Pharmacy Audit --- Audit, Pharmacy --- Pharmacy Audits --- Community Health --- Health, Community --- Preventive Medicine --- Education, Public Health Professional --- Mentally Ill Persons --- Planning Techniques --- Anxiety --- Anti-Anxiety Agents --- Public Health Administration --- Social Work --- Community Health Planning --- Medical History Taking --- Empirical Research --- Health Care Sector --- Military Personnel --- Military Family --- Moral Injury --- Injury, Moral --- Moral Injuries --- Psychological Trauma --- War-Related Injuries --- Compassion Fatigue --- Combat Disorders --- War Exposure --- Armed Forces --- Retired military personnel --- Psychiatric Diseases --- Psychiatric Disorders --- Psychiatric Illness --- Psychiatric Disease --- Psychiatric Disorder --- Psychiatric Illnesses --- Vererans Health. --- Health Services Needs and Demand/ --- Health Surveys. --- psychology. --- Sanitary Surveys, Water Supply --- Veterans Health. --- Military Health --- Michigan.

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This work provides an overview of special payments that Medicare has been making to rural hospitals and physicians, including documentation of the supply of providers, trends in payments, and Medicare costs per beneficiary.

Medicare. --- Rural Health Services. --- Rural hospitals. --- Rural hospitals - Prospective payment. --- Rural hospitals --- Medicare --- Rural health services --- Health Services --- Insurance, Health --- Delivery of Health Care --- Regional Health Planning --- Medical Assistance --- Legislation as Topic --- Financing, Organized --- Costs and Cost Analysis --- Health Services Needs and Demand --- Rural Health Services --- Health Care Costs --- Medically Underserved Area --- Insurance, Health, Reimbursement --- Economics --- Health Planning --- Insurance --- Health Care Quality, Access, and Evaluation --- Public Assistance --- Health Care Facilities, Manpower, and Services --- Social Control, Formal --- Health Care Economics and Organizations --- Health Care --- Financing, Government --- Public Health --- Medical Care Plans --- Health & Biological Sciences --- Prospective payment --- Cost control --- Government Financing --- Federal Aid --- Financing, Public --- Grants and Subsidies, Government --- Hill-Burton Act --- Subsidies, Government --- Act, Hill-Burton --- Aid, Federal --- Aids, Federal --- Federal Aids --- Government Subsidies --- Government Subsidy --- Hill Burton Act --- Public Financing --- Subsidy, Government --- Community-Based Distribution --- Contraceptive Distribution --- Delivery of Healthcare --- Dental Care Delivery --- Distribution, Non-Clinical --- Distribution, Nonclinical --- Distributional Activities --- Healthcare --- Healthcare Delivery --- Healthcare Systems --- Non-Clinical Distribution --- Nonclinical Distribution --- Delivery of Dental Care --- Health Care Delivery --- Health Care Systems --- Activities, Distributional --- Activity, Distributional --- Care, Health --- Community Based Distribution --- Community-Based Distributions --- Contraceptive Distributions --- Deliveries, Healthcare --- Delivery, Dental Care --- Delivery, Health Care --- Delivery, Healthcare --- Distribution, Community-Based --- Distribution, Contraceptive --- Distribution, Non Clinical --- Distributional Activity --- Distributions, Community-Based --- Distributions, Contraceptive --- Distributions, Non-Clinical --- Distributions, Nonclinical --- Health Care System --- Healthcare Deliveries --- Healthcare System --- Non Clinical Distribution --- Non-Clinical Distributions --- Nonclinical Distributions --- System, Health Care --- System, Healthcare --- Systems, Health Care --- Systems, Healthcare --- Healthcare Economics and Organizations --- Regulation --- Social Control --- Control, Social --- Controls, Social --- Formal Social Control --- Formal Social Controls --- Regulations --- Social Controls --- Healthcare Facilities, Manpower, and Services --- Assistance, Public --- Healthcare Quality, Access, and Evaluation --- Indemnity --- Insurance Premiums --- Insurance Premium --- Premium, Insurance --- Premiums, Insurance --- PL93-641 --- Public Law 93-641 --- Health and Welfare Planning --- National Health Planning and Resources Development Act of 1974 --- Planning, Health and Welfare --- State Health Planning, United States --- Planning, Health --- Public Law 93 641 --- Capital --- Conditions, Economic --- Consumption --- Cost of Living --- Easterlin Hypothesis --- Economic Conditions --- Economic Factors --- Economic Policies --- Economic Policy --- Economics, Home --- Factors, Economic --- Home Economics --- Household Consumption --- Macroeconomic Factors --- Microeconomic Factors --- Policies, Economic --- Policy, Economic --- Production --- Remittances --- Utility Theory --- Consumer Price Index --- Condition, Economic --- Consumer Price Indices --- Consumption, Household --- Economic Condition --- Economic Factor --- Factor, Economic --- Factor, Macroeconomic --- Factor, Microeconomic --- Factors, Macroeconomic --- Factors, Microeconomic --- Household Consumptions --- Hypothesis, Easterlin --- Index, Consumer Price --- Indices, Consumer Price --- Living Cost --- Living Costs --- Remittance --- Theories, Utility --- Theory, Utility --- Utility Theories --- Third-Party Payers --- Health Insurance Reimbursement --- Reimbursement, Health Insurance --- Third-Party Payments --- Health Insurance Reimbursements --- Insurance Reimbursement, Health --- Insurance Reimbursements, Health --- Payer, Third-Party --- Payers, Third-Party --- Payment, Third-Party --- Payments, Third-Party --- Reimbursements, Health Insurance --- Third Party Payers --- Third Party Payments --- Third-Party Payer --- Third-Party Payment --- Area, Medically Underserved --- Health Service Corps, National --- National Health Service Corps --- Physician Shortage Area --- Area, Physician Shortage --- Areas, Medically Underserved --- Areas, Physician Shortage --- Medically Underserved Areas --- Physician Shortage Areas --- Shortage Area, Physician --- Shortage Areas, Physician --- Underserved Area, Medically --- Underserved Areas, Medically --- Costs, Medical Care --- Health Costs --- Healthcare Costs --- Medical Care Costs --- Treatment Costs --- Cost, Health --- Cost, Health Care --- Cost, Healthcare --- Cost, Medical Care --- Cost, Treatment --- Costs, Health --- Costs, Health Care --- Costs, Healthcare --- Costs, Treatment --- Health Care Cost --- Health Cost --- Healthcare Cost --- Medical Care Cost --- Treatment Cost --- Health Services, Rural --- Rural Health Center --- Services, Rural Health --- Center, Rural Health --- Centers, Rural Health --- Health Center, Rural --- Health Centers, Rural --- Health Service, Rural --- Rural Health Centers --- Rural Health Service --- Service, Rural Health --- Health Insurance for Aged, Disabled, Title 18 --- Health Insurance for Aged, Title 18 --- Health Insurance for Aged and Disabled, Title 18 --- Insurance, Health, for Aged and Disabled --- Health Services Needs --- Needs --- Needs and Demand, Health Services --- Target Population --- Health Services Need --- Need, Health Services --- Needs, Health Services --- Population, Target --- Populations, Target --- Target Populations --- Analysis, Cost --- Cost --- Cost Analysis --- Cost Comparison --- Cost Measures --- Cost-Minimization Analysis --- Costs and Cost Analyses --- Costs, Cost Analysis --- Pricing --- Analyses, Cost --- Analyses, Cost-Minimization --- Analysis, Cost-Minimization --- Comparison, Cost --- Comparisons, Cost --- Cost Analyses --- Cost Comparisons --- Cost Measure --- Cost Minimization Analysis --- Cost, Cost Analysis --- Cost-Minimization Analyses --- Costs --- Measure, Cost --- Measures, Cost --- Community Financing --- Grants --- Organized Financing --- Financing, Community --- Grant --- Constitutional Amendments --- Laws and Statutes --- Legislation, Health --- Model Legislation --- Population Law --- Statutes and Laws --- Health Legislation --- Amendment, Constitutional --- Amendments, Constitutional --- Constitutional Amendment --- Law, Population --- Laws, Population --- Legislation, Model --- Population Laws --- Assistance, Medical --- Review, Appropriateness --- Annual Implementation Plans --- Appropriateness Review --- Areawide Planning --- Comprehensive Health Planning --- Annual Implementation Plan --- Appropriateness Reviews --- Health Planning, Comprehensive --- Health Planning, Regional --- Implementation Plan, Annual --- Implementation Plans, Annual --- Plan, Annual Implementation --- Planning, Areawide --- Planning, Comprehensive Health --- Planning, Regional Health --- Plans, Annual Implementation --- Reviews, Appropriateness --- Group Health Insurance --- Health Insurance --- Health Insurance, Voluntary --- Health Insurance, Group --- Insurance, Group Health --- Insurance, Voluntary Health --- Voluntary Health Insurance --- Services, Health --- Health Service --- Service, Health --- Medical services, Rural --- Rural medical services --- Medicare rural hospital prospective payment --- Payment, Rural hospital prospective --- PPS (Medical care) --- Prospective payment, Rural hospital --- Prospective reimbursement, Rural hospital --- Reimbursement, Rural hospital prospective --- Public Policy --- Planning Techniques --- Health Expenditures --- Suburban Health Services --- Health Care Sector --- Health Legislation as Topic --- Community health services --- Medical care --- Medicine, Rural --- Regional medical programs --- Rural health --- Health insurance --- Older people --- Medicaid --- Medigap --- Hospitalization insurance --- Rates --- Medically Underserved Population --- Medically Underserved Populations --- Population, Medically Underserved --- Populations, Medically Underserved --- Underserved Population, Medically --- Underserved Populations, Medically --- Affordability --- Affordabilities --- Health Care Costs. --- Medically Underserved Area. --- Insurance, Health, Reimbursement. --- economics. --- United States.