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The road to nowhere : the genesis of President Clinton's plan for health security

Author: Jacob S Hacker
Publisher: Princeton, NJ : Princeton University Press, ©1997.
Series: Princeton studies in American politics.
Edition/Format:   Print book : EnglishView all editions and formats
Database:WorldCat
Summary:
During the 1992 presidential campaign, health care reform became a hot issue, paving the way for one of the most important yet ill-fated social policy initiatives in American history: Bill Clinton's 1993 proposal for comprehensive coverage under "managed competition." Here Jacob Hacker not only investigates for the first time how managed competition became the president's reform framework, but also illuminates how
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Material Type: Internet resource
Document Type: Book, Internet Resource
All Authors / Contributors: Jacob S Hacker
ISBN: 0691044236 9780691044231 9780691005287 0691005281
OCLC Number: 34604098
Description: xiii, 239 pages : illustrations ; 25 cm.
Contents: Puzzle --
Rise of reform --
Prescription for reform --
Liberal synthesis --
Campaign --
Plan --
Methodology --
Jackson Hole participants, 1990-1992 --
California insurance commissioner's health care advisory committee.
Series Title: Princeton studies in American politics.
Responsibility: Jacob S. Hacker.
More information:

Abstract:

During the 1992 presidential campaign, health care reform became a hot issue, paving the way for one of the most important yet ill-fated social policy initiatives in American history: Bill Clinton's 1993 proposal for comprehensive coverage under "managed competition." Here Jacob Hacker not only investigates for the first time how managed competition became the president's reform framework, but also illuminates how issues and policies emerge. He follows Clinton's policy ideas from their initial formulation by policy experts through their endorsement by medical industry leaders and politicians to their inclusion - in a new and unexpected form - in the proposal itself. Throughout he explores key questions: Why did health reform become a national issue in the 1990s? Why did Clinton choose managed competition over more familiar options during the 1992 presidential campaign? What effect did this have on the fate of his proposal?

Drawing on records of the president's task force, interviews with a wide range of key policy players, and many other sources, Hacker locates his analysis within the context of current political theories of agenda setting. He concludes that Clinton chose managed competition partly because advocates inside and outside the campaign convinced him that it represented a unique middle road to health care reform. This conviction, Hacker maintains, blinded the president and his allies to the political risks of the approach and hindered the development of an effective strategy for enacting it.

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