The aim of this course is to provide students with an overview of the U.S. health care system, its components, and the policy challenges being discussed. We will give special attention to the status of health reform and the role of the state and federal levels and to the budgetary implications of health care spending more broadly. We will focus on the major health policy institutions and important issues that cut across institutions, including private insurers and the federal/state financing programs (Medicare and Medicaid/SCHIP). Attention also will be given to disparities in access to care, the role of pharmaceuticals in health care and the pricing and regulation of the pharmaceutical industry, the quality of care, and the drivers of cost growth. The course will draw on lectures by the faculty and national expert “guests”, on assigned readings, and on in-class discussions. Students are expected to actively participate in the discussion. Literature from economics, political science, medical sociology, and ethics will be referenced throughout the course; however, no disciplinary background is assumed, nor is any special familiarity with the field of health care required.


This course will provide students with the skills and knowledge of negotiation, multidimensional problem solving and meta-leadership, as well as conflict analysis, management, intervention and resolution. Through our literature review, classroom simulation exercises, and conference discussion, we will examine the field and explore its application in complex and multi-professional public health and healthcare environments and problems. The course is offered in the hope that its content and lessons will become a valuable component in the professional repertoire of participants, either for crisis management or to better achieve the daily objectives that attracted us to the important work of health care.


This course is an overview of health care personnel, hospitals and other institutions, the federal government, financing and payment mechanisms, and managed care. 

Using case studies students will learn the origins and milestones of the US healthcare system, to interpret the Affordable Care Act and its impact on the US healthcare system, and evaluate the current operations of the healthcare system and its impact on the general population.