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As the debate over health care reform continues, costs have become a critical measure in the many plans and proposals to come before us. Knowing costs is important because it allows comparisons across such disparate health conditions as AIDS, Alzheimer's disease, heart disease, and cancer. This book presents the results of a major study estimating the large and largely overlooked costs of occupational injury and illness--costs as large as those for cancer and over four times the costs of AIDS.The incidence and mortality of occupational injury and illness were assessed by reviewing data from national surveys and applied an attributable-risk-proportion method. Costs were assessed using the human capital method that decomposes costs into direct categories such as medical costs and insurance administration expenses, as well as indirect categories such as lost earnings and lost fringe benefits. The total is estimated to be $155 billion and is likely to be low as it does not include costs associated with pain and suffering or of home care provided by family members.Invaluable as an aid in the analysis of policy issues, Costs of Occupational Injury and Illness will serve as a resource and reference for economists, policy analysts, public health researchers, insurance administrators, labor unions and labor lawyers, benefits managers, and environmental scientists, among others.J. Paul Leigh is Professor in the School of Medicine, Department of Epidemiology and Preventive Medicine, University of California, Davis. Stephen Markowitz, M.D., is Professor in the Department of Community Health and Social Medicine, City University of New York Medical School. Marianne Fahs is Director of the Health Policy Research Center, Milano Graduate School of Management and Urban Policy, New School University. Philip Landrigan, M.D., is Wise Professor and Chair of the Department of Community Medicine, Mount Sinai Medical Center, New York.

Several states are virtually bankrupt, including California and New York, with others fast approaching that status. In Tragedies of Our Own Making, West Virginia Supreme Court Justice Richard Neely distills the insights of a lifetime spent dealing with our nation's worst social problems. "Twenty years as a judge", he writes, "has convinced me that state government fiscal crises, deteriorating schools, declining living standards among the old blue-collar class, and our rising crime rate are all strangely interrelated". His overriding conclusion? Problems including colossal Medicaid costs, savagery in the streets, and the falling relative wage rate of half our workforce all relate to a disintegrating family structure. All public agencies - welfare, the courts, public health, education - "are crumbling under the burden of acting as a surrogate family". In presenting a brilliant fiscal analysis of social insurance predicated on personal responsibility, Neely argues that "we are going broke because we are allowing excessive losses to be triggered through carelessness. Millions of children are being born to school-age girls and to parents who will needlessly divorce, making those children uncared for and insecure. Illegitimacy and divorce are to social insurance what leaving a pot of oil on a burning stove is to fire insurance". Neely paints a vivid picture of the "actuarial limits" of our ability to rescue people from the consequences of their own actions. He offers a two-part solution to the core problems of divorce and illegitimacy. First, Neely calls for a massive, government-financed media campaign aimed at educating the public on the financial and psychological costs of divorce toadults and children. He also presents a comprehensive and politically acceptable approach to improved birth control.

American Family Insurance - American Family Insurance Group is a private mutual company which focuses on property, casualty and auto insurance, but also offers life, health, and homeowners coverage, as well as investment and retirement-planning products.

Paid Family Leave - California's Paid Family Leave (PFL) insurance program, which is also known as the Family Temporary Disability Insurance (FTDI) program, is a law enacted in 2002 that extends unemployment disability compensation to cover individuals who take time off of work to care for a seriously ill family member or bond with a new minor child. Benefits equal approximately 55% of earnings and have a maximum per week.

California Insurance Equality Act - The California Insurance Equality Act (AB 2208) is a state law that requires California insurance providers and managed care plans (HMOs) to provide coverage for registered domestic partners that is equal to spousal coverage. The law complements California’s Domestic Partnership Rights and Responsibilities Act of 2003 (AB 205), which grants registered domestic partners most of the same rights and responsibilities under California law as belong to married couples.

Family Health International - Formed in 1971, Family Health International (FHI) is among the largest and most established nonprofit organizations active in international public health with a mission to improve lives worldwide through research, education, and services in family health.

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