Word: ellwood
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Dates: during 1980-1989
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...taken to fill medicine's information void. In a new field of study called patient-outcomes research, hospitals, clinics, health-maintenance organizations and other medical groups are collecting data on how well various treatments work. Armed with such knowledge, doctors should be able to get better results. Dr. Paul Ellwood, chairman of the InterStudy health-policy center near Minneapolis, predicts that within a year at least 100 patient- outcomes projects will be under way, with sponsors as diverse as the Cleveland Clinic and the Maine Medical Assessment Foundation. High on the list of treatments to be studied are those...
There are three welfare "conundrums" which Ellwood discerns in the current system. First, there is what he dubs the security-work conundrum, in which the demands of providing security for those whose earnings place them below the poverty line conflict with the desire to make those people self-sufficient workers. Then, there is the targeting-isolation conundrum, which contrasts the need to identify and aid specific groups of the poor with the problem of isolating and stigmatizing those same people...
...final paradox of the current welfare system is what he terms the assistance-family structure conundrum. Much has been written about the break-up of the American family in the ghetto, and Ellwood argues that one of the structural problems inherent in the welfare system is that it may provide incentives for the dissolution of the nuclear family. Yet Ellwood in Poor Support is a sensitive critic, and he dismisses most of the conservative rhetoric about women "marrying" the welfare system instead of husbands...
...ELLWOOD'S book provides a corrective to many of the current myths, liberal and conservative, about why welfare doesn't work. In particular, he pleads the case for understanding the poor as a part of mainstream American society, and not the ghettoized, isolated group that it is often perceived to be. Less than 10 percent of American poor live in the ghettos, as Ellwood reminds his readers...
Taken together, these "conundrums" mentioned over and over again in the book provide compelling evidence for far-reaching reform of the current welfare system. And Ellwood's blueprint for change seems a sensible place for Congress to start...