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Health care reform and state U.S. regional policy
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Keywords

регионализация
cyclical socio-economic development of the USA
the federal structure of the USA
competitive federalism
inequality in the provision of medical services
healthcare reforms
state regional policy
regionalization

How to Cite

Minat V.N. Health care reform and state U.S. regional policy // Развитие территорий. 2022. Vol. 1, no. 4. P. 61–70. https://doi.org/10.32324/2412-8945-2022-4-61-70

Abstract

One of the reasons of social contradictions aggravation in modern USA is inequality of provision of the population with medical benefits, which actualizes the research of reforms and directions of regional policy, carried out by the state in the sphere of health care. The purpose of the research consists in revealing the tendency of formation of inequality in provision of the population of the USA with medical services, developed as a consequence of socio-economic and political processes in American society, expressed in permanent reforming of national health care and state regulation of regional problems. On the basis of the evolutional-genetic approach to the subject of research and the use of methods of statistical and economic analysis, as well as abstract-logical methods of processing of the theoretical material the results were obtained, that reflect the dynamics of the studied inequality and the factors determining it during 1951—2020 years were revealed. A number of conclusions reflecting the spatial-temporal and socio-structural nature of inequality in the provision of medical benefits to the US population, determined by the economic and political cyclism of the development of American society in the period under study, are made. The consequence of cyclicity is the inconsistency of reforming and using various types of state regional policy in the regulation of healthcare, depending on conjunctural factors.
PDF (Russian)