Transcript Document
Domestic Policy
16
Video: The Big Picture
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Learning Objectives
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16.1
Trace the stages of the policy-making
process
16.2
Describe health policy in the United
States
Learning Objectives
16
16.3
Outline education policy in the United
States
16.4
Explain energy and environmental
policy in the United States
Learning Objectives
16.5
16
Assess the ongoing challenges in U.S.
domestic policy.
Video: The Basics
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SHARED_MEDIA_1/polisci/presidency/Seg2_
SocialPolicy_v2.html
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Roots of Domestic Policy in
the United States
Evolution of Health Care Policy
Evolution of Education Policy
Evolution of Energy and Environmental
Policy
A Model of the Policy-Making Process
16.1
Evolution of Health Care
Policy
National Marine Service (1798)
First federal health care service
New Deal efforts
Opposed by the American Medical Association
President Bill Clinton
Universal Health Coverage defeated
Number of uninsured rose dramatically
President Barack Obama
Patient Protection and Affordable Care Act
16.1
Video: In Context
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SocialPolicy_v2.html
16.1
Evolution of Education Policy
16.1
Post-Revolutionary War
Legitimizing democratic institutions through education
Immigration Era
Assimilation via education
Brown v. Board of Education (1954)
Ended segregation of public schools
Outcome and Standards-Based Education
No Child Left Behind
Race to the Top
Who was John Dewey?
16.1
How did Title IX Change Education?
16.1
Evolution of Energy and
Environmental Policy
Industrialization and Conservation
Abundant coal and oil
Teddy Roosevelt and the U.S. Forest Service
Environmental Protection
Rachel Carson’s Silent Spring, Earth Day 1970
Oil Dependency
OAPEC and OPEC
Speed limits, fuel efficiency standards
Climate change concerns
Greenhouse gases and global warming
16.1
A Model of the Policy-making
Process
Agenda Setting
Deciding which issues to discuss
Policy Formulation
Crafting of proposed courses of action
Policy Adoption
Approval of a policy proposal
Policy Implementation
Process of carrying out public policies
Policy Evaluation
Did policy achieve its goals?
16.1
FIGURE 16.1: What Are the Stages of the
Public Policy Process?
16.1
How Does Government Identify Public Policy
Problems?
16.1
16.1 Throughout our history,
education has been viewed by
political actors as a means to:
a. Legitimize democratic institutions
b. Facilitate assimilation
c. Ensure equality
d. All of the above
16.1
16.1 Throughout our history,
education has been viewed by
political actors as a means to:
a. Legitimize democratic institutions
b. Facilitate assimilation
c. Ensure equality
d. All of the above
16.1
Health Policy Today
Medicare
Medicaid
Health Insurance
Public Health
16.2
Medicare
Created in 1965
For people 65 and older
Part A
Covers hospitalization
Part B
Optional; covers doctors visits, outpatient services
Part C
Medicare Advantage, covers gaps
Part D
Optional drug benefit
16.2
Medicaid
Created in 1965
For people poor and disabled
Must meet eligibility requirements
Low-income
National and state government
Federal block grants cover 50-75%
50 million Americans covered in 2010
$400 billion
16.2
Health Insurance
16.2
Rising Costs
Technology advances
Americans living longer
Health care per capita costs
1970 $356 per capita
2013 $9,349 per capita
10 percent of Americans account for 63 percent of all health
care costs
Patient Protection and Affordable Care Act
Ensures access to either private insurance or governmentrun exchanges
State have challenged the program
FIGURE 16.2: Where Do American Health
Expenditures Go?
16.2
Public Health
16.2
Tools to protect public health:
Immunizations, education, advertisements, regulation
Gardasil debate
Medical Research
National Institutes of Health
Obesity
Public health priority: 2/3 of adults and 1/3 of children
are overweight or obese
How Does the Government Promote Public
Health?
16.2
TABLE 16.1: What do Americans think
about health insurance reform?
16.2
16.2 Which part of Medicare is
optional and covers doctor’s visits
and other outpatient services?
a. Medicare Part A
b. Medicare Part B
c. Medicare Part C
d. Medicare Part D
16.2
16.2 Which part of Medicare is
optional and covers doctor’s visits
and other outpatient services?
a. Medicare Part A
b. Medicare Part B
c. Medicare Part C
d. Medicare Part D
16.2
Explore Social Policy: Is
Health Care a Public Good?
16.2
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_12/pex/pex16.html
Explore the Simulation: You Are
an OMB Staff Member
16.2
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_1/2013_mpsl_sim/simulation.html?simulaURL=19
Education Policy Today
No Child Left Behind Act
Federal Aid to Higher Education
16.3
No Child Left Behind Act
Accountability
Standardized tests, report cards, reorganization
Flexibility
Schools can tailor expenditures to meet their needs
Proven methods for quality outcomes
Best practices
School Choice
Vouchers for private or other public schools
Charter schools
16.3
What Are Charter Schools?
16.3
Video: Thinking Like a
Political Scientist
Seg4.SocialPolicy.v2.mp4
16.3
Federal Aid to Higher
Education
16.3
Research grants and financial assistance to
students
Military academies
Access to college
Student debt load
Grants
College Cost Reduction and Access Grant
Stafford fixed interest rate
Repayments capped at 10% of income
16.3 No Child Left Behind can force
schools to reorganize under which of
its four tenets:
a. Accountability
b. Flexibility
c. Proven methods of outcomes
d. School choice
e. None of the above
16.3
16.3 No Child Left Behind can force
schools to reorganize under which of
its four tenets:
a. Accountability
b. Flexibility
c. Proven methods of outcomes
d. School choice
e. None of the above
16.3
Energy and Environmental
Policy Today
Energy Policy
Environmental Policy
Climate Change
16.4
Energy Policy
16.4
President Obama’s budget
“All of the above” approach encourages development of
alternative energies
Oil and other fossil fuels
U.S. has 2 percent of world’s oils reserves but consumes
20 percent of the world’s oil
Natural gas extraction
Problems with groundwater contamination
Consumption
Energy efficiency requirements for cars, buildings
FIGURE 16.3: Where Do U.S. Oil Imports
Come From?
16.4
FIGURE 16.4: How Does the United States
Generate Electricity?
16.4
Environmental Policy
16.4
National Environmental Policy Act of 1969
Required environmental impact statements when the
government proposed a project
Clean Air Act of 1970
Established national primary and secondary air quality
standards
Clean Water Act of 1972
Goal: make all surface water “swimmable and fishable” by
1985
Climate Change
16.4
Difficulties for comprehensive federal reform
Exact impact unknown
State efforts
California – 30 percent reduction in automobile emissions
Regional Greenhouse Gas Initiative (RGGI) – a cap and
trade agreement among nine states
Renewable Portfolio Standards (RPS) – require set amounts
of electricity from alternative sources
How can governments encourage Americans
to go green?
16.4
16.4 Federal environmental policy
16.4
has taken a backseat lately to this:
a. Economic recovery
b. The need to wean the U.S. from foreign oil
c. Both of the above
d. None of the above
16.4 Federal environmental policy
16.4
has taken a backseat lately to this:
a. Economic recovery
b. The need to wean the U.S. from foreign oil
c. Both of the above
d. None of the above
Video: In the Real World
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cialPolicy_v2.html
16.4
Toward Reform: Ongoing
Challenges in Domestic Policy
Policies not fully implemented or
successful
Opportunities and barriers to change
Policy often formulated in context of
uncertainty
16.5
16.5 Which of these factors
16.5
contributed to the complexity and
difficulty of the policy-making
process?
a. The decentralized structure of government
b. The different interests of different groups
c. The public’s focus – or lack of focus – on an
issue
d. All of the above
16.5 Which of these factors
16.5
contributed to the complexity and
difficulty of the policy-making
process?
a. The decentralized structure of government
b. The different interests of different groups
c. The public’s focus – or lack of focus – on an
issue
d. All of the above
Discussion Question
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Why is the U.S. the only developed
country without universal health care?
Why are Americans disinclined to adopt a
single-payer health care system?
Video: So What?
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Further Review: On
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