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Examines historical pathways in shaping recent health policies. Among the topics examined: Medicare's history, failed Clinton reforms, and 2010 health legislation as case studies of diverse pathways toward reform; Ritalin as insight into FDA policy, direct-to-consumer drug advertising, and prescription practices; recent vaccine debates which sit at the intersection of science, consumer beliefs, economics, and state health policy; and physician-assisted suicide in medicine, law, and the courts. Emphasis on analyzing role of government, political ideology, consumers, industry, scientists, and regulatory interests in health policy formation.