In Health Care Policy and Practice: A Biopsychosocial Perspective, Moniz and Gorin guide students through the development of the American health care system: what it is, what the policies are, and how students can influence them. Part I focuses on recent history and reforms; Part II examines the system’s structure and policies; and Part III explores policy analysis and advocacy, and disparities in health based on demographics and inequities in access to care. The book concludes with a discussion of the impact of social factors on health and health status.

This new, fifth edition has been fully updated to include the Trump administration’s efforts to "repeal and replace" the Affordable Care Act (ACA) and to integrate content throughout the text on the impact of the ACA in recent years. In addition, new content on health disparities for the LGBTQ community has been added.

part I|95 pages

Where We Are and How We Got Here

chapter 1|20 pages

Efforts to Achieve Universal Health Care

From Clinton to Trump

chapter 2|23 pages

The Early Years

The Road to Employer-Based Coverage, Medicare, and Medicaid

chapter 3|22 pages

Public, Community, and Mental Health

part II|62 pages

Structure and Funding of U.S. Health, Mental Health, and Behavioral Health Care System

chapter 6|20 pages


chapter 7|31 pages

Medicaid and CHIP

part III|175 pages

Policy Practice

chapter 8|8 pages

Social Workers and Policy Practice

Affecting Policy and Achieving Policy Action

chapter 9|35 pages

Analyzing the Problem

Access to Care

chapter 10|39 pages

Analyzing the Problem

Disparities in Health for People of Color

chapter 11|60 pages

Analyzing the Problem

Disparities in Health for Women, Children, Older Adults, and the LGBTQ Community

chapter 12|31 pages

Advocating for Policies that Improve Health

Models of Health and Health Policy