Clintoncare and Obamacare
Lessons for Gridlock Theory
Bibliographic Data
| ID | 6183316 |
|---|---|
| Authors | Zachary Cahn (0000-0001-5539-3604, Principal Scientist, Economic and Health Policy Research, American Cancer Society, Inc., Atlanta, Georgia, USA; Post-doctoral Researcher, Department of Political Science, Marquette University, Milwaukee, WI, USA), Emily M Johnston (0000-0003-1145-2910, Research Associate, The Urban Institute, Health Policy Center, Washington, DC, USA, corresponding author) |
| Year | 2018 |
| Volume | 45 |
| Issue | 3 |
| Pages | 225-253 |
| Publication date | 2018-09-02 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Congress & the Presidency (JOURNAL) |
| Journal identifiers | ISSN: 0734-3469 • E-ISSN: 1944-1053 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/07343469.2018.1480671 |
| OpenAlex | W2894051878 |
| Language | EN |
| References cited | 33 |
The passage of the Affordable Care Act (ACA) in 2010 marked a significant achievement for congressional health reform. Despite increased partisanship, decreased productivity, and increased polarization of Congress, major health reform legislation was passed. We compare the ACA’s passage to the failure of Clinton-era health reform, emphasizing gridlock theory, which some scholars interpreted to predict that major health reform would not be possible in 2010. We identify several ways in which the different outcomes for the ACA and the Clinton reform effort can be explained by gridlock theory: pivotal actors, the gridlock window, and the status quo. However, factors not included in gridlock theory, such as the role of parties and institutional change, appear to also have contributed to the success of the ACA relative to the failure of Clinton health reform. Lessons learned from health reform suggest an opportunity to expand gridlock theory to account for these additional factors
Economics · Gridlock · Health care · Health care reform · Health insurance · Health reform · Legislation · Patient Protection and Affordable Care Act · Political economy · Political science · Politics · Status quo · Status quo bias · Healthcare Policy and Management · Law · Public Administration · Social Policy and Reform Studies · Health Policy
Spatial Models of Parliamentary Voting
Lobbying and Policy Change
Setting the Agenda
Veto Players
The Patient Protection and Affordable Care Act
Pivotal Politics
Advances in Comparative-Historical Analysis
Beyond Ideology
Public Opinion on Health Care Reform
Reassessing Policy Drift
Unorthodox lawmaking
The New Politics of the Welfare State
Poll Trends
Beyond Path Dependence
The Road to Somewhere
When Pivotal Politics Meets Partisan Politics
Institutional Change in the House of Representatives, 1867-1998
Out of Step, Out of Office
| Citation velocity | historical |
|---|---|
| Highly cited | No |