Rebounding with Medicare: Reform and Counterreform in American Health Policy.
America's major health care programs were all enacted on the rebound from defeat of more expansive progressive ideas. Chastened reformers have typically adopted rebound strategies that accommodate some sources of opposition, incorporate elements of counterreforms, and reflect intervening institution...
| Published in: | Journal of Health Politics, Policy & Law Vol. 43; no. 4; pp. 707 - 731 |
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| Format: | Article |
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Duke University Press
Aug2018
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=130572057&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 130572057 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: Aug2018 vid: 43 iid: 4 pid: 154 pub: Duke University Press artinfo: ui: 130572057 10.1215/03616878-6527996 ppf: 707 ppct: 24 formats: tig: atl: Rebounding with Medicare: Reform and Counterreform in American Health Policy. aug: au: Starr, Paul affil: Princeton University su: United States United States. Social Security Administration Medicare laws Celebrities Conflict (Psychology) Health maintenance organizations Health services accessibility Medicaid Medical care costs Medicare Policy sciences Political participation Public welfare Taxation Single-payer health care Health policy History Law Health insurance exchanges Health care reform National health services Fee for service (Medical fees) Patient Protection & Affordable Care Act sug: subj: Medicare laws Celebrities Conflict (Psychology) Health maintenance organizations Health services accessibility Medicaid Medical care costs Medicare Policy sciences Political participation Public welfare Taxation Single-payer health care Health policy History Law United States United States. Social Security Administration HMO Medical Centers Community health centres Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) Administration of Public Health Programs Health and Welfare Funds Other Individual and Family Services Emergency and Other Relief Services Public Finance Activities Health insurance exchanges Health care reform National health services Fee for service (Medical fees) Patient Protection & Affordable Care Act keyword: marketplaces Medicare Advantage Medicare buy-in Progressive reform universal coverage marketplaces Medicare Advantage Medicare buy-in Progressive reform universal coverage ab: America's major health care programs were all enacted on the rebound from defeat of more expansive progressive ideas. Chastened reformers have typically adopted rebound strategies that accommodate some sources of opposition, incorporate elements of counterreforms, and reflect intervening institutional change. This dynamic has unfolded three times: from the Progressive Era to the enactment of Medicare and Medicaid in 1965, from the late 1960s to the expansion of Medicaid in the 1980s, and from defeat of the 1993 Clinton plan to the enactment of the Children's Health Insurance Plan in 1997 and the Affordable Care Act in 2010. Setbacks in the Trump era will require advocates of universal coverage to coalesce around a rebound strategy that similarly takes account of recent developments and recognizes the Affordable Care Act's limitations and political vulnerabilities. This article argues that Medicare provides a platform for such a strategy and that the next fiscally and politically feasible step is the creation of a new "Midlife Medicare" program that would extend protection to people fifty to sixty-four years of age. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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