Transcript Document

Domestic Policy
16
Video: The Big Picture
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16_Domestic_Policy_Seg1_v2.html
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Learning Objectives
16
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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HARED_MEDIA_1/polisci/presidency/Seg5_So
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
16
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
MyPoliSciLab
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 Listen to the Chapter
 Study and Review the Flashcards
 Study and Review the Practice Tests