TY - JOUR
T1 - The political economy on national health insurance. Policy analysis and political evaluation.
AU - Bowler, M. K.
AU - Kudrle, R. T.
AU - Marmor, T. R.
AU - Bridges, A.
PY - 1977
Y1 - 1977
N2 - National health insurance (NHI) is discussed as a redistributive issue (that is, conflict over it is characterized by stable coalitions with important ideological differences). Discussion of policy alternatives has been intensified, but obscured, by a rhetoric which insists that the medical care system is in crisis. Both rhetoric and discussion point to three problem areas: cost, quality, and distribution of care. Three kinds of NHI proposals exist--minimal intervention measurees (e.g., AMAs Medicredit proposal), major government action (e.g., Kennedy-Corman), and mixed strategies (e.g., CHIP). While these have different potentials for mitigating the problem areas discussed, none can provide complete solutions. Rather, the goal of NHI is to avert financial catastrophe for families and individuals. The emergence of Democratic majorities in Congress and a Democratic White House increases the chances that some NHI plan will be adopted. Political analysis suggests that, short of aggressive leadership committed to a comprehensive scheme, a "middle ground" solution will be outcome.
AB - National health insurance (NHI) is discussed as a redistributive issue (that is, conflict over it is characterized by stable coalitions with important ideological differences). Discussion of policy alternatives has been intensified, but obscured, by a rhetoric which insists that the medical care system is in crisis. Both rhetoric and discussion point to three problem areas: cost, quality, and distribution of care. Three kinds of NHI proposals exist--minimal intervention measurees (e.g., AMAs Medicredit proposal), major government action (e.g., Kennedy-Corman), and mixed strategies (e.g., CHIP). While these have different potentials for mitigating the problem areas discussed, none can provide complete solutions. Rather, the goal of NHI is to avert financial catastrophe for families and individuals. The emergence of Democratic majorities in Congress and a Democratic White House increases the chances that some NHI plan will be adopted. Political analysis suggests that, short of aggressive leadership committed to a comprehensive scheme, a "middle ground" solution will be outcome.
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U2 - 10.1215/03616878-2-1-100
DO - 10.1215/03616878-2-1-100
M3 - Article
C2 - 874297
AN - SCOPUS:0017461222
SN - 0361-6878
VL - 2
SP - 100
EP - 133
JO - Journal of health politics, policy and law
JF - Journal of health politics, policy and law
IS - 1
ER -