Tri County Health Colorado

With the collapse of national health care reform efforts in the early 1990s, states emerged as a focal point for new policy and administrative developments in U.S. health care. This book provides a timely overview of the key issues facing states as they have responded to this challenge. It tells how states are making decisions about health policies and then putting them into action -- and how legislatures, executives, courts, and bureaucracies all participate in this process. The New Politics of State Health Policy describes many of the major trends in states' responses to health care problems of the 1990s, and it identifies the forces that will influence state policy actions in the new century. It examines reforms now under way, from Medicaid to tobacco control to mental health, and addresses today's most pressing issues surrounding managed care, health insurance, and public health administration. Editors Hackey and Rochefort have brought together a distinguished group of scholars and practitioners in the field of health policy analysis. Frank Thompson, Theodore Marmor, Michael Dukakis, and others map out the different institutional frames shaping how each state approaches the health care domain. While some states deliberate over universal coverage, others have shifted to the county level decisions once made in Washington, D.C. But all face the difficulty of taking on unprecedented responsibilities with limited resources amid the often-conflicting concerns of public management and "moral politics". Each contribution in the volume explores the interplay between state governance and health care policy by addressing four themes: the capacity of states to fulfill their new healthcare roles, the significance of recent policy changes, patterns in the politics of state health policy making, and the relationship of state-level changes to failed national health care reform.

The Rocky Mountain West is largely arid and steep, with ecological scars from past human use visible for hundreds of years. Just how damaging were the past 150 years of activity? How do current rates of disturbance compare with past mining, grazing, and water diversion activities? In the face of constant change, what constitutes a "natural" ecosystem? And can ahigh quality of life be achieved for both human and natural communities inthis region? Rocky Mountain Futures presents a comprehensive and wide-ranging examination of the ecological consequences of past, current, and future human activities in the Rocky Mountain region of the United States and Canada. The book brings together 32 leading ecologists, geographers, and other scientists and researchers to present an objective assessment of thecumulative effects of human activity on the region's ecological health andto consider changes wrought by past human use. This combined view of past and present reveals where Rocky Mountain ecosystems are heading, and the authors project what the future holds based upon current economic and social trends and the patterns that emerge from them. The book: examines the biogeographic and paleoenvironmental setting and, historical climate that have shaped Rocky Mountain ecosystems, traces the direct human influences on landscapes and ecosystems over the past 150 years, explores the cumulative effects of past, present, and projected future human activities on tundra, subalpine and montane forests, valleys, grasslands, and waters, offers case studies that illustrate specific examples of human fluence and current eff orts to restore the environment Case studies focus on northern New Mexico; Summit County, Colorado; Flathead Valley, Montana; and Alberta, Canada. Among the contributors are Craig D. Allen, N. Thompson Hobbs, Linda L. Joyce, Robert E. Keane, David Schindler, Timothy R. Seastedt, David Theobald, Diana Tomback, William Travis, Cathy Whitlock, and Jack Stanford.