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Yes We Can? The New Push for American Health Security

Bibliographic Data

ID2317192
AuthorsJacob S Hacker (0000-0002-3686-2513, University of California at Berkeley, , Berkeley Law School's Center on Health, Economic, and Family Security, corresponding author)
Year2009
Volume37
Issue1
Pages3-31
Publication date2009-03-01
Open AccessYes
TypeARTICLE
VenueLatin American Politics and Society (JOURNAL)
Journal identifiersISSN: 1531-426X • E-ISSN: 1548-2456
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/0032329208329752
OpenAlexW2149475178
LanguageEN
Citations received8
References cited14

What are the prospects for meaningful reform of U.S. health care? To answer this question requires understanding why previous reform efforts (and in particular the 1993 Clinton health plan) failed-the combination of deep structural biases against large-scale public provision and the inherited constraints posed by the rise of employment-based insurance. Generally, the context is more favorable today than it was fifteen years ago. But the prospects for change hinge on learning the right lesson of history: Politics comes first. Putting politics first means avoiding the overarching mistake of the Clinton reformers: envisioning a grand policy compromise rather than hammering out a real political compromise. It also means addressing the inevitable fears of those who believe they are well protected by our eroding employment-based framework. And it means premising political strategies on the contemporary realities of hyperpolarized politics, rather than wistfully recalled images of the bipartisan politics of old

Compromise · Context (archaeology · Health care · Health care reform · Law and economics · Mistake · Political economy · Political science · Politics · Politics of the United States · Sociology · Healthcare cost, quality, practices · Healthcare Policy and Management · History · Law · Primary Care and Health Outcomes · Public Administration · Health Policy

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Citations per year0.5
Citation span2010 - 2020 (11)
Highly citedNo

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