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Single Payer
- Medas Infrastructure
- Tax payer pays taxes
- Government hire doctors
- Government set pay for doctor and staff
- Rest of money pays for health care of everyone
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Third Party Pay USA
- Med as commodity to sell
- On the market
- Fee for service
- solo practice
- Don�t criticize a fellow doctor
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50% of surgery (protocalls) not necessary (single payer system)
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HMO's
- People pay dues
- CEO sets the salary of Doctors
- Profit is taken
- Rest of money pays for healthcare of members
- Same as single except not owned by government but promote business profit
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Health Insurance
- Make money
- Maximize profit
- Insure the healthy (exclude the sick)
- Pre existing condition (when apply make sure your not sick, used to exclude you)
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Driving cost of medicine
- Older populatic
- Shift acute to cronic illness
- Increase cost of tec
- Increase cost of med
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Health Insurance Companies + Free for service
- 1) Corporations - Profits First - old days - doc expected to put the health of patients first - profit second
- 2) Free from anti trust laws
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Price Fixing
- 1) Competition good - assures lowest prices
- 2) Eliminates competition
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Structural functional
- 1) Functional - sick people can't do their work well - can't perform role obligation
- Sick role - Doc's control the sick role
- 1) You are ill - biological
- 2) It is not your fault
- 3) If you try to get well
- 4) You are excused from your role obligations
- Latent dysfunctions
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Conflict
- 1) Old days - doc expected to put the health of patient before profits
- Today - big corporations - profit first
- 2) a lot of health related decisions based on profit
- 1) Drugs for under developed countries
- 3) Health care corporations use money to shape government health policy
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Symbolic Interaction
- 1) Medicalization - expansion of the medical model to clued normal stress and problems
- Medical model
- 1) You have illness
- 2) It is not your fault
- 3) Cured by drugs, therapy or support
- 2) Labeling
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Deindustrialization
- Mental hospitals
- Main stream the mental ill
- A) Supervised living
- B) Vocational rehab
- C) Community health centers
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Blue collar crime
- Or "street crime"
- Index crimes - FBI
- Because recorded
- High risk low profit associated with poverty
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White collar crime
- Crimes done while doing one's work
- Low risk
- High profit
- Price fixing stock manipulation tax fraud double billing
- Selling unsafe products
- Environment crimes
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Types of crimes
- 1) Status offenses - delinquency
- 2) White collar crime - blue collar crime
- a. Corporate crime
- b. For/against
- 3) Situational
- a. No premeditation
- b. Perp. Not think of self as criminal
- 4) Professional
- a. Premeditative
- b. Perp. Thinks of self as criminal
- 5) Organized crimes
- a. Crimes without victims
- b. Consensual crimes (perp. And victim the same person)
- c. Drugs, hoe�s, gambling, (at one time) booze - abortion - homosexuality
- d. Prohibition
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Prohibition
- One large group of people telling another large group of people they can't do something they normally would.
- Characteristics
- 1) Creating a black market
- 2) Increase in violence
- 3) Lose all control (could regulate who sell to and when but then gang sell anyone - black market)
- 4) Never worked
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Who profits from large prison population and war on drugs
- 1) Drug dealers
- When you design a social control agency to solve the problem - don't want to solve, want to keep going for jobs
- 2) Police/DEA
- 3) Corporations
- a. Contract labor
- b. For profit prisons
- c. Rent a snitch
- d. Lawyers
- e. Drug testesten drug test beaters
- f. Small towns
- g. Prison guards
- Dysfunctional
- 1) Cost
- 2) Legitimacy
- Drugs - change the internal chemistry
- Addiction - withdrawal
- Alerted state of consciousness
- Marijuana
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Drugs
- Hard vs. soft
- No good or bad drugs - just bad use
- Drug laws are designed to be a political tool used against certain people.
- GI generation Boomers
- Born poverty affluence
- Depression
- Status insecure status secure
- War good bad
- Raise family time of economic prosperity time of economic decline
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Medical Model Criminal Justice
- User is sick User is criminal
- Rehabilitation Prison first
- Detox
- Supervised Living
- Vocational Rehab
- Prison Last Resort Treatment secondary
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Functionalism
- Durkhiem
- A) Normal Crime
- B) Function-Reduce Anomie
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Merton: Strain Theory
- Universal Goals Legitimate Means
- Yes yes conformists
- Yes no innovator
- No yes ritualist
- No no retreatism
- No/yes no/yes rebellion
- Can't explain elite crime though
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Symbolic Interaction Differencial Association
- 1) Crime is learned
- 2) When you learn how to do a crime, you learn an ideology that says its ok to do the crime
- 3) There are people in your social network who favor doing crimes - others not
- 4) If most of the people in your network favor crime you will do crime.
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Labeling Theory
- A) Relation between status (position) and role (behavior)
- B) Primary Deviance
- a. Normal law breaking
- b. Not yet caught
- C) Dave-Junior-MSM-Pot
- a. Not think of self as criminal or substance abuser
- b. Busted - labeling
- c. Dave starts to think of self as substance abuse
- D) Secondary deviance - stigma
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Conflict
- 1) Crime and drug use is associated with the unequal distribution of money and power
- a. Old marxist - poverty cause crime and drug use (money)
- b. New Marxist - say crime and drug use is found in upper classes focus on powerful define the laws (power)
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