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Incrementing Toward Nowhere

Universal Health Care Coverage in the States

Bibliographic Data

ID7996002
AuthorsV Gray, David Lowery (0000-0002-6267-9712), James E Monogan (0000-0002-1968-6052), J Monogan, Erik Godwin, E K Godwin
Year2009
Volume40
Issue1
Pages82-113
Publication date2009-10-20
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenuePublius The Journal of Federalism (JOURNAL)
Journal identifiersISSN: 0048-5950 • E-ISSN: 1747-7107
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/publius/pjp023
OpenAlexW2036931152
LanguageEN
Citations received12
References cited21

Despite successful adoption of other health care reforms, the states collectively have been no more successful than the federal government in achieving universal coverage. Do the same forces stopping reform at the national level also restrict states? Are the incremental steps that states have taken toward coverage likely to lead to real reform? Analysis of state activity from 1988 to 2002 shows that where Democrats are in charge and where their allied interests predominate, state legislative activity on universal care is more likely. Diffusion results indicate that what was at first a policy bandwagon effect turned into a negative diffusion effect or brake on efforts to expand coverage. We are pessimistic about the long-term success of incremental efforts and instead outline the requirements for a punctuated approach. Copyright 2010, Oxford University Press

Art · Art history · Chapel · Gray (unit · Humanities · Library science · Sociology · Computer Science · Global Health Care Issues · Healthcare Policy and Management · Medicine · Social Policy and Reform Studies · Classics · History

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Unique citing works12
Citations per year0,71
Citation span2009 - 2024 (16)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 12

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