Politics of Medicare: Second Edition / Edition 2

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On July 30, 1965, President Johnson flew to Independence, Missouri to sign the Medicare bill. The new statute included two related insurance programs to finance substantial portions of the hospital and physician expenses incurred by Americans over the age of sixty-five. Public attempts to improve American health standards have typically precipitated bitter debate, even as the issue has shifted from the professional and legal status of physicians to the availability of hospital care and public health programs. In The Politics of Medicare, Marmor helps the reader understand Medicare's origins, and he interprets the history of the program and explores what happened to Medicare politically as it turned from a legislative act in the mid-1960s to a major program of American government in the three decades since. This is a vibrant study of an important piece of legislation that asks and answers several questions: How could the American political system yield a policy that simultaneously appeased anti-governmental biases and used the federal government to provide a major entitlement? How was the American Medical Association legally overcome yet placated enough to participate in the program? And how did the Medicare law emerge so enlarged from earlier proposals that themselves had caused so much controversy?

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Editorial Reviews

From the Publisher
"[A] cogent, compelling, and still largely uncontested account of the passage of America's largest and most politically salient government health program." —Jacob S. Hacker, Journal of Health Politics, Policy and Law (symposium of reviews) "The Politics of Medicare . . . can be rightly viewed as a founding book in the study of health politics. . . . The second edition of Marmor's book provides a glimpse of what an alternative view of Medicare—one more informed by political science than economic theory—would look like. . . . The Politics of Medicare is free of the thick language, models, and formal theory that make so much of contemporary political science unreadable and frequently unintelligible." —Jonathan Oberlander, Journal of Health Politics, Policy and Law (symposium of reviews) "I do not believe . . . that there is any other single publication on this subject that has endured as well as The Politics of Medicare, or that prompted an invitation to revise an original volume so many years after its inception." —Mark A. Peterson, Journal of Health Politics, Policy and Law (symposium of reviews) "[T]he second edition of The Politics of Medicare is a model of clarity, concision, and . . . accuracy." —Bruce C. Vladeck, Journal of Health Politics, Policy and Law (symposium of reviews) "The substance of policies that are enacted is also shaped profoundly by politics and, in turn, shapes politics. Marmor's The Politics of Medicare recognizes this fundamental point and seeks to illuminate how the character of the program [Medicare] has followed so directly from its politics. . . . [W]hat will determine whether Congress changes Medicare [...]? The answer is the politics of Medicare—to which there is no better guide than Marmor's book." —Journal of the American Medical Association "This new edition makes an extraordinary contribution to the literature of public policy and political science. ...[T]his book provides invaluable insights for anyone interested in legislative initiatives, especially in domestic policy, but also in foreign affairs. In sum: an extraordinary achievement." —Graham Allison, Kennedy School of Government, Harvard University "Using the past to illuminate the present, Ted Marmor has produced an elegant, precise, and scholarly accounting of Medicare's tangled politics. Appearing at the dawn of the new century, this is a wise and important book that will perform an invaluable service in helping America to confront its demographic future." —Finlay Lewis, Economics Correspondent, Copley News Service
The new edition of a 1973 work analyzing the political forces, interactions, and ideas that created welfare. Leaving the original work basically unchanged, the author has also added a second section that explores the political evolution of Medicare since its inception into the 1990s. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

Meet the Author

Theodore R. Marmor is professor of public policy and management and professor of political science at Yale School of Management. He currently sits on the editorial board of both the Journal of Comparative Policy Analysis: Research and Practice and Journal of Health, Politics, Policy, and Law as well as on the international advisory board of the London School of Economics (Health and Social Care). He is an author or co-author of numerous books and author of over a hundred scholarly articles.

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Table of Contents

Preface to the Second Edition
Preface to the First Edition
1. The Origins of the Medicare Strategy
2. The Politics of Legislative Impossibility
3. The Politics of Legislative Possibility
4. The Politics of Legislative Certainty
5. Medicare and the Analysis of Social Policy in American Politics
6. Legislation to Operation
7. Medicare's Politics: 1966-90
8. The Politics of Medicare reform in the 1990s: Budget Struggles,
National Health Reform, and Shifting Conflicts
9. The Ideological Context of Medicare's Politics:
The Presumptions of Medicare's Founders
versus the Rise of Procompetitive Ideas in Medical Care
10. Reflections on Medicare's Politics: Puzzles and Patterns
Medicare Scholarship: A Selective Review Essay
References to Part I
References to Part II
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Customer Reviews

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  • Anonymous

    Posted November 10, 2000

    Timely Political Analyses by Master

    The first edition of The Politics of Medicare, reprinted in part for the second edition, provides an engaging analytical structure for understanding the complex forces of governments and politics. While studying under the author, a gifted political scientist, years ago, the first edition was a cornerstone in our studies of healthcare politics and programs in the United States. The book equips the reader with the tools and knowledge to understand political forces well beyond the Medicare program. The analysis of Medicare in the 1990s, found in the current volume, is excellent. This is an ideal time to read or reread the book since Medicare program changes will face our new President and the newly elected or reelected members of our House of Representatives and Senate during 2001. This fall I read the second edition and found the book very informative and enjoyable.

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