This course will use a structure-process-outcomes (impact) framework to review how the federal and state (and sometimes local) governmental structures and processes influence aging-related health policy. We will first review the fundamentals of civics and explore how each branch of government operates and intersects with aging health and wellbeing. We will explore how the executive, legislative, and legal branches of government interact with each other and how government processes impact aging-related organizations as well as individual lives. We will use examples of specific federal and state laws, regulations, and judicial opinions to illustrate structures, processes, and impact. We will review current and expected outcomes, debate their benefits, burdens, complexities, and unintended consequences. We will do a deeper dive into a recent federal regulatory enactment in order to see the on-the-ground implementation and impact of regulations. We will also review how states and private businesses are impacted by policy change. We will map the landscape of aging health policy stakeholders and the various ways they participate in or influence processes and outcomes. Finally, we will review aging-related legal issues, primarily focusing on the complexities of end-of-life health planning and decision-making surrounding guardianship, powers of attorney, advance directives, and POLST (Physician Orders for Life-Sustaining Treatment).
Monday, March 15, 2021 to Friday, May 21, 2021