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Why, in the recent campaigns for universal health care, did organized labor maintain its support of employer-mandated insurance? Did labor's weakened condition prevent it from endorsing national health insurance? Marie Gottschalk demonstrates here that thc unions' surprising stance was a consequence of the peculiarly private nature of social policy in the United States. Her book combines a much-needed account of labor's important role in determining health care policy with a bold and incisive analysis of the American welfare state. Gottschalk stresses that, in the United States, the social welfare system is anchored in thc private sector but backed by government policy. As a result, the private sector is a key political battlefield where business, labor, the state, and employees hotly contest matters such as health care. She maintains that the shadow welfare state of job-based benefits shaped the manner in which labor defined its policy interests and strategies. As evidence. Gottschalk examines the influence of the Taft-Hartley health and welfare funds, thc Employee Retirement Income Security Act (E.R.I.S.A.), and experience-rated health insurance, showing how they constrained labor from supporting universal health care.

Clinical Audit in Mental Health Towards a Multidisciplinary Approach John Riordan Central Psychology Service, Thorpe Combe Hospital, Walthamstow, UK and Darren Mockler Neuropsychology Department, King’ s College Hospital, London, UK Clinical audit is central to current health care reforms. Although the concept of audit is now well accepted, the key challenge is its implementation in different specialities. In the field of mental health care a highly collaborative, team-based approach is essential, and audit practice must take into account the activities of the full range of multidisciplinary professional groups in hospital and community settings. The content of this book reflects the growing need to extend the principles of medical audit to encompass clinical audit in order to meet the demands of purchasers, providers, clinicians, carers and patients. An evaluation of key areas of care such as delivery, timeliness and outcome, with an emphasis on quality, is provided. The approach to clinical audit, here, is essentially practical and case-oriented and this book will appeal to a wide audience including psychiatric services managers, consultant psychiatrists, social services care managers and community care teams, and quality assurance professionals.

Wolfson Foundation - The Wolfson Foundation is a registered charity based in London, UK. It was established in 1955 and aims to support the arts, education, health, humanities, research, science and technology.

Health Visitor - Health Visitors are UK registered nurses or midwives who have undertaken further training to work as part of the primary health care team. As their name suggests, their role is to promote mental, physical and social wellbeing in the community by giving advice and support to families in all age groups.

The London Museums of Health & Medicine - The London Museums of Health & Medicine is an organisation that brings together some of the activities of some of the museums in London related to health and medicine. It was founded in 1991.

London Knights (UK) - London Knights were an ice hockey team based in London, UK. They first played in the Superleague in September 1998 and finally folded in April 2003

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