Washington Duke Inn and Golf Club

Durham, North Carolina

Health Care into the Next Century: Markets, States, and Communities

With the political failure of comprehensive national health reform, health care specialists and policy makers are turning to alternative dynamics in the system, including the "remarketization" of health care financing and delivery. We are witnessing unprecedented and extraordinary growth in managed care and market-driven changes in health care institutions and programs; the re-emergence of the states as the potential agents for major public policy changes affecting the structure of the health care system; and renewed interest in alternative, local-level models for organizing and delivering services
within self-consciously defined communities.

Themes To Be Explored and Participating Speakers

I. Where We've Been and What Has Changed

Kenneth E. Thorpe, Tulane University: The Health Care System in Transition: Implications for Health Care, Cost, and
Coverage

Theda Skocpol, Harvard University, and Jacob Hacker, Yale University: The Demise of Health Care Reform, the 1994
Election, and the Future of U.S. Health Policy

II. Is the Market a Vehicle for Reform?

Thomas Rice, University of California, Los Angeles: Problems with the Economic Theories of Competition and Demand

Gary Belkin, Brown University: A Market Is Not a Market, Is Not a Market, Is Not a Market: Historical Perspectives on
the Measuring of Medicine in the Medical Marketplace

Robert G. Evans, University of British Columbia: Going for Gold: The Redistributive Agenda behind Market-Based
Health Care Reform

Cathie Jo Martin, Boston University: Markets, Medicare, and Making Do: Business Strategies after National Health
Reform

Deborah A. Stone, Brandeis University: The Industrial Revolution in Health Care

Jonathan B. Oberlander, University of California, Berkeley: Remaking Medicare: The Politics of Market Reform

Marsha Gold, Mathematica Policy Research, Inc.: Medicaid Managed Care: Recent Insights from the TennCare and
Oregon Programs

III. Can the States Really Be Laboratories of Democracy?

Thomas Anton, Brown University: The Changing Face of Federalism and Intergovernmental Fiscal Relationships: The
Implications for Health Policy

Thomas R. Oliver, University of Maryland, and Pamela Paul-Shaheen, Comprehensive Community Health Models of
Michigan: Translating Ideas into Actions: Entrepreneurial Leadership in State Health Care Reforms

Karl Kronebusch, University of Wisconsin--Madison: Medicaid Politics: Recipients, Providers, and State Policy-Maker
Choices

Michael S. Sparer, Columbia University: Policy Laboratories and the Health Care Marketplace: The Limits of State
Workforce Policy

Colleen M. Grogan, Yale University: State Variations in Medicaid Managed Care Policy

IV. The Community: At the Core or at the Periphery?

Mark Schlesinger, Yale University and Rutgers University: Paradigms Lost: The Persisting Search for Community in
America Health Policy

James A. Morone, Brown University: The Malevolent Side of Community: "Us" versus "Them" in American Health
Politics

Bruce Spitz, Brandeis University: Health System Innovations and Community Choices

Richard Bogue, Community Care Network Demonstration Program, Hospital Research and Educational Trust:
Community Experiments in Reconfiguring Health Care Delivery

V. Into the Next Century

Mark A. Peterson, University of Pittsburgh: The Limits of Social Learning: Translating Analysis into Action

Lawrence D. Brown, Columbia University: Exceptionalism as Rule: U.S. Health Reform Doctrine as Cross-national
Model

Theodore R. Marmor, Yale University: Making Sense of Health Care Re-form: Looking Backward, Looking Now,
Looking Forward