What Is the Affordable Care Act a Case of? Understanding the ACA through the Comparative Method.

International comparisons of US health care are common but mostly focus on comparing its performance to peers or asking why the United States remains so far from universal coverage. Here the authors ask how other comparative research could shed light on the unusual politics and structure of US healt...

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Publicado en:Journal of Health Politics, Policy & Law Vol. 45; no. 4; pp. 677 - 692
Autores principales: Jarman, Holly, Greer, Scott L.
Formato: Artículo
Publicado: Duke University Press Aug2020
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Acceso en línea:Ver este registro en EBSCOhost
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        atl: What Is the Affordable Care Act a Case of? Understanding the ACA through the Comparative Method.
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          Jarman, Holly
          Greer, Scott L.
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        Health services accessibility
        Health policy
        Practical politics
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        Population health
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          Comparative studies
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        ACA
        comparative politics
        health care reform
        ACA
        comparative politics
        health care reform
      ab: International comparisons of US health care are common but mostly focus on comparing its performance to peers or asking why the United States remains so far from universal coverage. Here the authors ask how other comparative research could shed light on the unusual politics and structure of US health care and how the US experience could bring more to international conversations about health care and the welfare state. After introducing the concept of casing--asking what the Affordable Care Act (ACA) might be a case of--the authors discuss different "casings" of the ACA: complex legislation, path dependency, demos-constraining institutions, deep social cleavages, segmentalism, or the persistence of the welfare state. Each of these pictures of theACAhas strong support in the US-focused literature. Each also cases the ACA as part of a different experience shared with other countries, with different implications for how to analyze it and what we can learn from it. The final section discusses the implications for selecting cases that might shed light on theUSexperience and that make the United States look less exceptional and more tractable as an object of research.
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    language: English
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