Project Manager – Adolf Gundersen
Depression is among the most significant health problems in American society, not only in human terms, but in economic and socialterms as well. Depression also servesas a useful lens for citizens in exploring the governance of health care more generally. The future of medical care in the United States has been a major concern for policymakers. While there have been numerous proposals for how medical care will be financed as it expands and continues to grow more expensive, there has been much less attention on health care support. In the past fifty years, health care has evolved from a family-focused delivery system for many routine illnesses and situations to one that relies almost completely on the formal health care system (doctors, hospitals). This discussion project focused on exploring and developing alternative public policy possibilities as they relate to public policy for health care and for the treatment of depression in particular.
Monthly sanctuary discussions among both our expert-specialist and our citizen-generalist panelists were conducted between October 2002 and September 2004. Following exploratory discussions, our panelists developed a series of contrasting governance possibilities, from which the following six were selected as worthy of further democratic public consideration:
- Universalize Coverage & Individualize Care;
- Universalize Coverage & Enhance Client Participation;
- Support the Supporters;
- Stimulate Social Interaction and Provide Community Support;
- Meet Basic Human Needs; and
- Accelerate Research and Development.
You can download a copy of this report from our “Discussion Reports” page, which lists all of our published reports, or, to download a copy directly, you can either click on the blue button in the sidebar to the right or on on the following link: Health Care: the Case of Depression (24 pages/481 KB). As a further aid to discussion of this topic, we have also developed six draft “Exploratory Situations,” or fact patterns that may help to highlight many of the concerns and challenges outlined by the policy possibilities listed above and in the discussion report. You can also download a copy of these Exploratory Situations (6 pages/76 KB) by clicking on either the preceding link or on the corresponding blue button in the sidebar to the right.