Remedy and Reaction: The Peculiar American Struggle over Health Care Reform

Remedy and Reaction: The Peculiar American Struggle over Health Care Reform

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by Paul Starr
     
 

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ISBN-10: 0300171099

ISBN-13: 9780300171099

Pub. Date: 10/25/2011

Publisher: Yale University Press

In no other country has health care served as such a volatile flashpoint of ideological conflict. America has endured a century of rancorous debate on health insurance, and despite the passage of legislation in 2010, the battle is not yet over. This book is a history of how and why the United States became so stubbornly different in health care, presented by an

Overview

In no other country has health care served as such a volatile flashpoint of ideological conflict. America has endured a century of rancorous debate on health insurance, and despite the passage of legislation in 2010, the battle is not yet over. This book is a history of how and why the United States became so stubbornly different in health care, presented by an expert with unsurpassed knowledge of the issues.

Tracing health-care reform from its beginnings to its current uncertain prospects, Paul Starr argues that the United States ensnared itself in a trap through policies that satisfied enough of the public and so enriched the health-care industry as to make the system difficult to change.

He reveals the inside story of the rise and fall of the Clinton health plan in the early 1990s—and of the Gingrich counterrevolution that followed. And he explains the curious tale of how Mitt Romney’s reforms in Massachusetts became a model for Democrats and then follows both the passage of those reforms under Obama and the explosive reaction they elicited from conservatives. Writing concisely and with an even hand, the author offers exactly what is needed as the debate continues—a penetrating account of how health care became such treacherous terrain in American politics.

Product Details

ISBN-13:
9780300171099
Publisher:
Yale University Press
Publication date:
10/25/2011
Pages:
336
Product dimensions:
6.40(w) x 9.40(h) x 1.20(d)

Table of Contents

Preface to the Revised Edition xi

Preface and Acknowledgments xiii

Introduction: An Uneasy Victory 1

The Making of a National Impasse 3

A Window for Reform 12

Choices and Vulnerabilities 17

Part I The Genealogy of Health-Care Reform

1 Evolution through Defeat 27

Progressive Health Insurance, 1915-1919 29

The New Deal and National Health Insurance, 1935-1950 35

The Growth of the Protected Public, 1950-1965 41

2 Stumbling toward Comprehensive Reform 51

Political Deadlock, 1969-1980 52

Political Reversals, 1981-1990 63

The American Path in Health Insurance 72

Part II Frustrated Ambitions, Liberal and Conservative

3 The Shaping of the Clinton Health Plan, 1991-1993 79

A New Framework 83

Clinton's Decisions 90

4 Getting to No, 1994 103

The Democrats' Disorder 104

The Big Turnabout 112

The Collapse of Congressional Compromise 119

Why No Reform? 122

5 Comes the Counterrevolution, 1995-2006 129

Gingrich and the End of Entitlements 131

From Bold Leaps to Baby Steps 138

A Republican Window 146

Return to Crisis 155

Part III Rollercoaster

6 The Rise of a Reform Consensus, 2006-2008 161

Romney and the Massachusetts Model 163

Toward Minimally Invasive Reform 174

Making 2008 a Health-Care Election 182

Prepare to Launch 190

7 Breaking Through, 2009-2010 194

Health Care First 196

Bipartisanship in One Party 201

Reaction and Resolve 211

Obama and the Rollercoaster to Reform 220

Why Health-Care Reform Passed (and Climate Legislation Didn't) 235

8 The Affordable Care Act as Public Philosophy 239

Fairness and Equality 241

Responsibility and Freedom 247

Federalism and Finance 252

Health and the Public Household 259

9 Reform's Uncertain Fate 267

The Politics of Slow Implementation, 2010-2011 269

The Supreme Court Rules 278

Another Election, Another Survival Test 286

The Peculiar Struggle 296

Notes 299

Index 328

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Remedy and Reaction 4 out of 5 based on 0 ratings. 2 reviews.
Anonymous More than 1 year ago
A must read....)
Anonymous More than 1 year ago