After reading this chapter, you will be able to

• Discuss variations in public health programs and how political culture influences how states define public health,
   
• Explain how federal and state governments became involved in health care,
   
• Describe health care reform efforts from the 1980s to the 2010s,
   
• Relate how the rise of managed care resulted in greater state involvement in health care,
   
• Identify current issues in U.S. health care, and
   
• Compare how different states and the federal government have sought to define good health.