The Politics Of Health Reform: Why Do Bad Things Happen To Good Plans?
- 1 January 2003
- journal article
- Published by Health Affairs (Project Hope) in Health Affairs
- Vol. 22 (Suppl1) , W3-391
- https://doi.org/10.1377/hlthaff.w3.391
Abstract
This paper examines political feasibility and its implications for health reform. I discuss the political obstacles to health reform in the United States, disentangling perennial barriers from contemporary constraints. I then explore major reform options and their political prospects. I argue that while incremental reform now appears to be the most feasible option, the political climate may change in a way that permits a bolder vision. Moreover, incremental reform may not be sustainable in the long run, for the same reason that makes it politically popular now: It does not change the status quo in the health system.Keywords
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