Gerry Warburg and Eric Patashnik Post Lecture Discussion

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From the course by University of Virginia

Public Policy Challenges of the 21st Century

464 оценки

University of Virginia

Public Policy Challenges of the 21st Century

464 оценки

This course introduces class participants to the political significance and societal consequences of challenges facing U.S. and international policymakers. It is designed to help participants develop skills to analyze policy proposals and advocate for their preferred options for issues on the public policy agenda ahead. The class assumes basic knowledge about governing institutions and democratic processes, while recommending supplemental materials for further study to complement reading links provided. The course focuses on future policy challenges, while examining the broad historical context in which policies are adopted and implemented. As the course evaluates how issues are advanced by private sector interests, non-governmental organizations, and government policymakers, it examines how groups become effective policy advocates. Particular attention is paid to how winning coalitions are formed and how issue framing shapes the outcome of policy campaigns. The goal is neither to produce partisan talking points, nor to favor one governance philosophy over others. Rather it is to clarify the public policy challenges ahead and to enhance participants’ understanding of how policy options are adopted in the real world arena of contemporary politics. Coming soon, you will be able to join Signature Track, a system that verifies your identity when you take an exam. This option will allow you to earn a Verified Certificate, which provides formal recognition of your achievements in the course and includes the University of Virginia logo. Before then, you can complete a “test run” of the exam. You can then re-take the exam after the Verified Certificate becomes available. For information regarding Verified Certificates, see https://courserahelp.zendesk.com/hc/en-us/articles/201212399-Verified-Certificates"

From the lesson

Healthcare Systems and Insurance Markets

Professor Eric Patashnik examines healthcare reforms, weighing costs, benefits and the efficacy of alternative approaches, including 'Obamacare.'

Student Introduction to Healthcare Lecture with Eric Patashnik1:15

Gerry Warburg introduction to Eric Patashnik and the Importance of Healthcare Policy6:32

Eric Patashnik Discussing Imperfect Information and the Three Dilemmas of Medical Finance6:27

Eric Patashnik Discusses Different Types of Healthcare Markets5:25

Eric Patashnik Compares International Healthcare Responses to the United States9:40

Eric Patashnik Provides an Overview of the Affordable Care Act10:08

Eric Patashnik Answers UVa Student Questions5:28

Eric Patashnik Continues to Answer UVa Student Questions8:18

Gerry Warburg and Eric Patashnik Post Lecture Discussion4:30

Meet the Instructors

Professor Gerry Warburg
Professor of Public Policy, Assistant Dean for External Affairs
Frank Batten School of Leadership and Public Policy

What I'm trying to do is give the students some perspective on today's headlines.

I the students in this class, and the people who are watching this video,

are people who are interested in public policy.

But it's very easy sometimes to lose sight of the big picture.

You're focused on this debate, or that debate, this latest public opinion poll.

You need some context.

And so what I was trying to do today was to frame some basic questions.

What is healthcare as a commodity?

Why is it a difficult one to supply and demand?

What is it about healthcare that makes it one that involves government?

Why is the United States healthcare system look different than the healthcare

systems of other countries?

What is Obamacare?

What does it try to do and why's it been so controversial?

Trying to give students a sense of the historical context,

some of the economics that would lead them to have a better understanding of

the way in which healthcare is provided in the market.

As well as some of the bigger philosophical debates and why good people

can disagree about the appropriate role of government in the healthcare arena.

I think historically it has not been a major issue.

I think young people who have been interested in public policy have been much

more concerned about human rights, about the environment, perhaps about poverty.

Health care has been something that old people worry about.

Senior citizens for example.

You know, obviously people who get Medicare they're very attu,

attentive to government's role in a health care arena.

But I do think the debate about Obamacare, the Affordable Care Act.

Has involved young people to some degree.

Certainly kids that are interested in public policy have a better

understanding of it.

I also think with, in, in recent years, have had an economic slowdown.

Had a recognition that middle class wages have stagnated.

I think there's a growing recognition that there's a connection between that

and healthcare.

And finally, we've had a lot of

debates recently about the budget deficit and the debt.

We've had crises about this.

And again, at the center of those debates looking out in the future fiscal

situation of the country, healthcare is a big part of that as well.

So, I do think over time and understanding that healthcare is at the center of our

public policy debates is percolating through the better educated citizenry.

Well many of the people who are in this class are watching a video like

this are not only going to be citizens, they're going to be decision makers.

They're going to be people who are either directly implementing public policy.

Or they're in the position, because of their interest and knowledge and

background, to make a real difference.

Whether it's by working on a campaign, writing a letter, writing an op-ed, or

being involved in the private sector.

Because the private sector's going to have to make very important decisions whether

a private employer continues to participate or

decides not to participate in the health care system in different ways.

So through the employer's side, the employee's side the citizen's side,

there's lots of different ways for people to be involved.

I think it, the most important thing I want them to recognize is

that there's no easy solution to the health care problem.

That's the most important thing,

that they recognize that there's going to be trade offs between access and cost.

Between quality and and unfettered ability of individuals to re,

receive what ever healthcare they want.

That there is a trade off between the role of the market and the role of government.

For them to understand that the reason why we've been struggling over healthcare is

because there's not easy answers actually.

This is a hard conundrum.

It's a difficult set of dilemmas.

And what we've seen in Obama Care is an effort to say to the country.

Here is one possible solution to these dilemmas.

It's not a perfect one, but it's a solution.

We've been struggling with it because I think there's a growing recognition even

apart from the unsuccessful implementation of it.

That, you know, more of something means less of something else.

If we have a bigger government role, well it's a little bit less role of the market.

Or, we don't have medicare for

all, because we want to leave in place existing private insurance.

It's an effort of the affordable care act to find a middle ground.

And we're living in a time of great polarization when it's not so

easy to find the middle.

It's one of the things that I personally believe is most important for

a school like, like Batten.

That all students come in and are challenged.

It doesn't matter to me at all whether a student is liberal or conservative.

But I do want them to reflect on their beliefs.

To think about the evidence.

To think about pragmatically would this solution work best in this,

in this context.

And to recognize again the trade offs.

The economic trade offs.

The trade offs in terms of our values.

That's really for me as a professor what's key, is that students learn to reflect on

their own values, to gather data and at the end of the day, to refine their views.

Hopefully their views change as they become better educated.

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