Catastrophic Politics / Edition 1

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More About This Textbook

Overview

Upon its enactment in July 1988, the Medicare Catastrophic Coverage Act (MCCA) was hailed as the first major expansion of government health care since the creation of Medicare in 1965. Supported by President Reagan, majorities in both houses of Congress, and the nation's largest senior-citizen interest group, the American Association of Retired Persons (AARP), the legislation effectively plugged many of the holes in the existing Medicare system by providing protection against some but not all catastrophic health care expenses. Additionally, the consensus behind the MCCA appeared to establish a precedent for expanding social insurance in an era of high federal deficits. However, less than eighteen months later, the House and the Senate, responding to a tidal wave of criticism, would vote to repeal virtually all of the legislation.

Utilizing varied source materials, including interviews with policymakers and surveys of senior-citizen opinion gathered by the AARP, Richard Himelfarb undertakes a comprehensive analysis of how and why this unprecedented series of events transpired. In the process, he also examines the politics of federal entitlement programs in an era of high deficits and senior citizens' political influence, topics that are of particular interest in light of recent federal attempts to tackle health care reform.

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Product Details

  • ISBN-13: 9780271014661
  • Publisher: Penn State University Press
  • Publication date: 12/1/1995
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 148
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.34 (d)

Meet the Author

Richard Himelfarb is Assistant Professor of Political Science at Hofstra University.

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Table of Contents

List of Tables
Preface
Acknowledgments
1 Setting the Stage for the Medicare Catastrophic Coverage Act of 1988 1
2 Evolution of the MCCA 17
3 Financing the MCCA Program 33
4 Passage of the MCCA 43
5 Senior-Citizen Opinion After Passage of the MCCA 61
6 Repeal of the MCCA 73
7 Conclusions 95
Appendix: Multivariate Analyses of AARP Survey Data 105
Bibliography 121
Index 129
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