Download Interest Groups and Health Care Reform Across the United by Virginia Gray PDF

By Virginia Gray

Common overall healthiness care was once at the nationwide political schedule for almost 100 years until eventually a accomplished (but now not common) well-being care reform invoice supported by way of President Obama handed in 2010. the commonest reason behind the failure of prior reform efforts is that exact pursuits have been constantly in a position to block reform via lobbying lawmakers. but, starting within the Seventies, accelerating with the failure of the Clinton health and wellbeing care plan, and carrying on with in the course of the passage of the cheap Care Act in 2010, wellbeing and fitness coverage reform was once alive and good on the kingdom point.

Interest teams and well-being Care Reform around the usa assesses the effect of curiosity teams to figure out if jointly they're in a position to shaping coverage of their personal pursuits or whether or not they impact coverage in simple terms on the margins. What can this let us know concerning the precise energy of curiosity teams during this coverage enviornment? the truth that nation governments took motion in overall healthiness coverage even with opposing pursuits, the place the nationwide govt couldn't, deals a compelling puzzle that might be of certain curiosity to students and scholars of public coverage, overall healthiness coverage, and nation politics.

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In some cases, people of modest means can buy into the program by paying a sliding-scale premium. The more far-reaching programs combined all three elements—cost controls, employer mandates, and state funding. The most comprehensive system is a single-payer plan, but none was adopted in the period of our study, though Vermont has done so since then. Still, the states have taken various steps during the last four decades toward universal coverage, even if success remains elusive in the end. Universal coverage, even if a less successful reform for the states than anti– managed care regulation or pharmacy assistance for seniors, offers several opportunities for our research.

The general policy literature finds that policy agendas are limited (Jones and Baumgartner 2005); the more crowded the agenda, all other things being equal, the less likely that a measure will pass. Moreover, the size of the state interest community is directly and positively responsive to how crowded Health Care and Organized Interests in the United States | 27 state policy agendas are (Gray et al. 2005a). Given these complex relationships, we need to control for the density of the interest community and/or the overall proportion of health interest organizations in state interest communities.

At the least, the legal challenges from states indicate that full implementation of the federal law may vary from state to state, depending upon party control. The US Supreme Court decided the Florida case on June 28, 2012, in National Federation of Independent Business et al. v. Sebelius, upholding the constitutionality of the individual mandate as a tax and essentially setting up two Medicaid programs—the present fiftystate program with its varying state matches and a new expanded Medicaid program with enhanced matching that states can opt into if they wish.

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