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Just a few generations ago, serious illness, like hazardous weather, arrived with little warning, and people either lived through it or died. In this important, convincing, and long-overdue call for health care reform, Joanne Lynn demonstrates that our current health system, like our concepts of health and disease, developed at a time when life was mostly short, serious illnesses and disabilities were common at every age, and dying was quick. Today, most Americans live a long life, with the disabilities and discomforts of progressive chronic illness appearing only during the final chapters of their life stories. Sick to Death and Not Going to Take It Anymore! maintains that health care and community services are not set up to meet the needs of the large number of people who face a prolonged period of progressive illness and disability before death. Lynn offers what she calls an "owner's manual for the health care system," which lays out facts, concepts, strategies, and action plans for genuine reform and gives the reader new ways to interpret information creatively, imagine innovative possibilities, and take steps to implement them.
Older people --- Chronically ill --- Terminal care --- Health care reform --- End-of-life care --- Terminally ill --- Care of the sick --- Critical care medicine --- Death --- Chronic diseases --- Sick --- Medical care --- Long-term care --- Care and treatment --- Patients --- advance care planning. --- aging. --- alzheimers. --- american hospital association. --- at home care. --- baby boomers. --- caregivers. --- chronic illness. --- degenerative disease. --- dementia. --- disability. --- disease. --- gerontology. --- health and wellness. --- health care delivery. --- health care reform. --- health care. --- health policy. --- hospice. --- hospitals. --- illness. --- life span. --- long term care. --- medicine. --- modern health care. --- nonfiction. --- nursing home. --- palliative care. --- progressive illness. --- retirement home. --- seniors. --- terminal care.
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This study of the Employee Retirement Income Security Act of 1974 (ERISA) explains in detail how public officials in the executive branch and Congress overcame strong opposition from business and organized labor to pass landmark legislation regulating employer-sponsored retirement and health plans. Before Congress passed ERISA, federal law gave employers and unions great discretion in the design and operation of employee benefit plans. Most importantly, firms and unions could and often did establish pension plans that placed employees at great risk for not receiving any retirement benefits. In the early 1960's, officials in the executive branch proposed a number of regulatory initiatives to protect employees, but business groups and most labor unions objected to the key proposals. Faced with opposition from powerful interest groups, legislative entrepreneurs in Congress, chiefly New York Republican senator Jacob K. Javits, took the case for pension reform directly to voters by publicizing frightening statistics and "horror stories" about pension plans. This deft and successful effort to mobilize the media and public opinion overwhelmed the business community and organized labor and persuaded Javits's colleagues in Congress to support comprehensive pension reform legislation. The enactment of ERISA in September 1974 recast federal policy for private pension plans by making worker security an overriding objective of federal law.
Pension trusts --- Law and legislation --- History. --- United States. --- Employee pension trusts --- Pension funds --- Pension plans --- Trusts and trustees --- business economics. --- capitalism. --- congress. --- employee benefits. --- employee retirement income security act. --- erisa. --- federal law. --- finance. --- free markets. --- government policy. --- government regulation. --- health plans. --- health policy. --- history. --- insurance. --- jacob k javits. --- javits. --- labor unions. --- labor. --- legislation. --- marxism. --- nonfiction. --- pension reform. --- pensions. --- personal finance. --- political history. --- politics. --- private pension plans. --- retirement plans. --- retirement. --- unions. --- worker security.
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