PMID: 9159707Apr 1, 1997Paper

The new politics of U.S. health policy

Journal of Health Politics, Policy and Law
J S Hacker, T Skocpol

Abstract

Following the demise of comprehensive health care reform in 1994, some reformers are seeking comfort in the successful "incremental" strategy for enacting Medicare that emerged out of President Harry Truman's failed campaign for national health insurance in 1948-50. But despite similarities between the Truman and Clinton health security efforts, overall contexts of government and politics are much less hospitable to governmentally funded reforms today than they were after Truman's defeat. Back then, market transformations and political dynamics were both pushing toward expanded access to health services and insurance coverage. Today, by contrast, both push in the opposite direction. The private insurance market is fragmenting, federal budgetary constraints stymie new programs, and the deficit dominates debate over existing programs. Equally important, a stable pro-reform coalition like that of Truman's day has yet to emerge, while a new and fiercely conservative corps of Republicans is championing coherent programmatic alternatives based on antigovernment premises. Although passage of the Kassebaum-Kennedy health insurance reform bill in 1996 unleashed a wave of enthusiasm about incremental health care reform, formidable politi...Continue Reading

Citations

May 22, 1998·ANS. Advances in Nursing Science·S M Padgett
May 23, 2020·Health Services Research·Mahesh Karra, Emma Sandoe
Jul 1, 2004·The Milbank Quarterly·Thomas R OliverHelene L Lipton
Apr 21, 2010·Health Care Management Science·Gary D FerrierVivian G Valdmanis
Sep 15, 2017·Osong Public Health and Research Perspectives·Sang-Yi LeeSeung Eun Lee

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