Welfare State Eras, Policy Narratives, and the Role of Expertise: The Case of the Affordable Care Act in Historical and Comparative Perspective.
This article presents a way of understanding the linkage of expert and public opinion through a focus on policy narratives, which serve as deliberately crafted rhetorical bridges between expert discourses and broader cultural experiences. Across advanced nations, the dynamics of this bridging functi...
| Publicado en: | Journal of Health Politics, Policy & Law Vol. 43; no. 3; pp. 427 - 454 |
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| Formato: | Artículo |
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Duke University Press
Jun2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=130206094&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 130206094 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 03616878 HPP jtl: Journal of Health Politics, Policy & Law issn: 03616878 maglogo: N pubinfo: dt: Jun2018 vid: 43 iid: 3 pid: 154 pub: Duke University Press artinfo: ui: 130206094 10.1215/03616878-4366172 ppf: 427 ppct: 27 formats: tig: atl: Welfare State Eras, Policy Narratives, and the Role of Expertise: The Case of the Affordable Care Act in Historical and Comparative Perspective. aug: au: Hughes Tuohy, Carolyn affil: University of Toronto su: United States Health planning Human rights Insurance Policy sciences Public opinion Witnesses Consumer activism Patient Protection & Affordable Care Act State health plans sug: subj: Health planning Human rights Insurance Policy sciences Public opinion Witnesses Consumer activism United States Third Party Administration of Insurance and Pension Funds All Other Insurance Related Activities Other Insurance Funds Patient Protection & Affordable Care Act State health plans keyword: Affordable Care Act policy analysis policy narratives politics of health policy Affordable Care Act policy analysis policy narratives politics of health policy ab: This article presents a way of understanding the linkage of expert and public opinion through a focus on policy narratives, which serve as deliberately crafted rhetorical bridges between expert discourses and broader cultural experiences. Across advanced nations, the dynamics of this bridging function has differed in different phases of policy development (such as welfare-state establishment, retrenchment, and redesign), depending on the state of discourse in each realm. In the establishment phase in which most programs of universal health care coverage were adopted, expert discourses were relatively synchronized with but subservient to broader policy narratives about collective and individual rights and responsibilities. The United States, in contrast, pursued its final sprint toward universal coverage in a later phase, in which the policy analysis community had greatly expanded and expert discourses had evolved to focus on specialized issues of system redesign. The resulting highly complex technical design did not readily align with an epic narrative of public purpose. Advocates instead relied principally on two narrative lines: an aggregation of anecdotes that was vulnerable to the simpler opposition narrative of an overweening state, and a crusade narrative that met the opposing narrative of patriotic resistance on its own terms but could not allay partisan polarization. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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