| ID | 086645 |
| Title Proper | Yes we can |
| Other Title Information | the new push for American health security |
| Language | ENG |
| Author | Hacker, Jacob S |
| Publication | 2009. |
| Summary / Abstract (Note) | What are the prospects for meaningful reform of U.S. health care? To answer this question requires understanding why previous reform efforts (and in particular the 1993 Clinton health plan) failed-the combination of deep structural biases against large-scale public provision and the inherited constraints posed by the rise of employment-based insurance. Generally, the context is more favorable today than it was fifteen years ago. But the prospects for change hinge on learning the right lesson of history: Politics comes first. Putting politics first means avoiding the overarching mistake of the Clinton reformers: envisioning a grand policy compromise rather than hammering out a real political compromise. It also means addressing the inevitable fears of those who believe they are well protected by our eroding employment-based framework. And it means premising political strategies on the contemporary realities of hyperpolarized politics, rather than wistfully recalled images of the bipartisan politics of old. |
| `In' analytical Note | Politics and Society Vol. 37, No.1; March 2009: p3-31 |
| Journal Source | Politics and Society Vol. 37, No.1; March 2009: p3-31 |
| Key Words | Health Care Reform ; Welfare State ; Economic Security ; American Politics ; Health Policy |