Item Details

The Politics of Medicare

Theodore R. Marmor
Format
Book
Published
New York : Aldine de Gruyter, c2000.
Edition
2nd ed
Language
English
Series
Social Institutions and Social Change
ISBN
0202303993 (cloth : alk. paper), 0202304256 (paper : alk. paper)
Contents
  • Part I Origins and Enactments 1
  • 1 Origins of the Medicare Strategy 3
  • Twentieth-Century Medicine: The Paradoxes of Progress 3
  • Origins of the Government Health Insurance Issue 4
  • Universal Health Insurance Proposals in the Fair Deal 6
  • Politics of Incrementalism: Turning toward the Aged 10
  • Appeal of Focusing on the Aged 11
  • Focusing on Social Security Contributors 15
  • Pressure Groups and Medicare: The Lobbying of Millions 17
  • 2 Politics of Legislative Impossibility 23
  • Medicare under a Republican President 23
  • Forand Bill versus the Welfare Approach 25
  • Kerr-Mills Bill of 1960 27
  • 3 Politics of Legislative Possibility 31
  • Medicare, 1961 31
  • Obstacle Course in Congress: First Try with Ways and Means 32
  • Southern Democrats 35
  • Kennedy Administration versus the AMA 38
  • Medicare's Near Miss, 1964 41
  • 4 Politics of Legislative Certainty 45
  • Impact of the Election of 1964 45
  • Administration's Proposal: H.R. 1 and S. 1 46
  • Ways and Means Committee and the House Take Action: January-April 47
  • H.R. 6675 Passes the Senate: April-July 53
  • Medicare Comes out of the Conference Committee: July 26, 1965 55
  • Outcome of 1965: Explanation and Issues 56
  • 5 Medicare and the Analysis of Social Policy in American Politics 63
  • Case Studies and Cumulative Knowledge 63
  • Conceptual Models and the Medicare Case 64
  • Origins of Medicare: The Rational Actor Model 64
  • Responses of Medicare, 1952-64: The Organizational Process Model 67
  • 1965 Legislation: The Bureaucratic Politics Model 69
  • Processes and Policy in American Politics: The Case of Medicare 71
  • Medicare and the Character of American Social Policy 80
  • 6 Legislation to Operation 87
  • Part II Politics of Medicare: 1966-99 93
  • 7 Medicare's Politics: 1966-90 95
  • Origins of Medicare Revisited 95
  • Politics of Accommodation: Medicare's Implementation and Subsequent Evolution from 1966 to 1970 96
  • 1970s: Ineffectual Reforms and Intermittent Progress 99
  • 1980s: The Challenge of the Reagan Era 107
  • 8 Politics of Medicare Reform in the 1990s: Budget Struggles, National Health Reform, and Shifting Conflicts 123
  • Introduction: The Changing Context of Medicare's Politics in the 1990s 123
  • Medicare and the 1992 Elections: The Reawakening of Concerns 124
  • A Negative Consensus on Health Reform 126
  • 1995 Trustees' Report and Claims of Insolvency 135
  • From Legislative Impasse 1995-96 to Medicare "Reform" in 1997 137
  • Medicare Reforms of 1997: Understanding the Politics of Balancing Budgets 141
  • Medicare Flip-Flop 147
  • 9 Ideological Context of Medicare's Politics: The Presumptions of Medicare's Founders versus the Rise of Procompetitive Ideas in Medical Care 151
  • Medicare's Philosophical Roots: Social Insurance and the Presumption of Expansion 152
  • Rise of Procompetitive Ideas about Medical Care 157
  • 10 Reflections on Medicare's Politics: Puzzles and Patterns 171
  • Understanding Medicare's Politics: Patterns, Puzzles, and Explanatory Approaches 171
  • Puzzle One: Structural Explanations and Medicare's Limited Evolution 173
  • Puzzle Two: Insider Politics, Medicare's Price Controls, and the Puzzles of the Reagan/Bush Era 175
  • Puzzle Three: Medicare 1995-99--Macro Politics and the Emergence of Unexpected Remedies 176.
Description
xxv, 228 p. : ill. ; 23 cm.
Notes
Includes bibliographical references (p. [207]-219) and index.
Technical Details
  • Access in Virgo Classic

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    g| Part I t| Origins and Enactments g| 1 -- g| 1 t| Origins of the Medicare Strategy g| 3 -- t| Twentieth-Century Medicine: The Paradoxes of Progress g| 3 -- t| Origins of the Government Health Insurance Issue g| 4 -- t| Universal Health Insurance Proposals in the Fair Deal g| 6 -- t| Politics of Incrementalism: Turning toward the Aged g| 10 -- t| Appeal of Focusing on the Aged g| 11 -- t| Focusing on Social Security Contributors g| 15 -- t| Pressure Groups and Medicare: The Lobbying of Millions g| 17 -- g| 2 t| Politics of Legislative Impossibility g| 23 -- t| Medicare under a Republican President g| 23 -- t| Forand Bill versus the Welfare Approach g| 25 -- t| Kerr-Mills Bill of 1960 g| 27 -- g| 3 t| Politics of Legislative Possibility g| 31 -- t| Medicare, 1961 g| 31 -- t| Obstacle Course in Congress: First Try with Ways and Means g| 32 -- t| Southern Democrats g| 35 -- t| Kennedy Administration versus the AMA g| 38 -- t| Medicare's Near Miss, 1964 g| 41 -- g| 4 t| Politics of Legislative Certainty g| 45 -- t| Impact of the Election of 1964 g| 45 -- t| Administration's Proposal: H.R. 1 and S. 1 g| 46 -- t| Ways and Means Committee and the House Take Action: January-April g| 47 -- t| H.R. 6675 Passes the Senate: April-July g| 53 -- t| Medicare Comes out of the Conference Committee: July 26, 1965 g| 55 -- t| Outcome of 1965: Explanation and Issues g| 56 -- g| 5 t| Medicare and the Analysis of Social Policy in American Politics g| 63 -- t| Case Studies and Cumulative Knowledge g| 63 -- t| Conceptual Models and the Medicare Case g| 64 -- t| Origins of Medicare: The Rational Actor Model g| 64 -- t| Responses of Medicare, 1952-64: The Organizational Process Model g| 67 -- t| 1965 Legislation: The Bureaucratic Politics Model g| 69 -- t| Processes and Policy in American Politics: The Case of Medicare g| 71 -- t| Medicare and the Character of American Social Policy g| 80 -- g| 6 t| Legislation to Operation g| 87 -- g| Part II t| Politics of Medicare: 1966-99 g| 93 -- g| 7 t| Medicare's Politics: 1966-90 g| 95 -- t| Origins of Medicare Revisited g| 95 -- t| Politics of Accommodation: Medicare's Implementation and Subsequent Evolution from 1966 to 1970 g| 96 -- t| 1970s: Ineffectual Reforms and Intermittent Progress g| 99 -- t| 1980s: The Challenge of the Reagan Era g| 107 -- g| 8 t| Politics of Medicare Reform in the 1990s: Budget Struggles, National Health Reform, and Shifting Conflicts g| 123 -- t| Introduction: The Changing Context of Medicare's Politics in the 1990s g| 123 -- t| Medicare and the 1992 Elections: The Reawakening of Concerns g| 124 -- t| A Negative Consensus on Health Reform g| 126 -- t| 1995 Trustees' Report and Claims of Insolvency g| 135 -- t| From Legislative Impasse 1995-96 to Medicare "Reform" in 1997 g| 137 -- t| Medicare Reforms of 1997: Understanding the Politics of Balancing Budgets g| 141 -- t| Medicare Flip-Flop g| 147 -- g| 9 t| Ideological Context of Medicare's Politics: The Presumptions of Medicare's Founders versus the Rise of Procompetitive Ideas in Medical Care g| 151 -- t| Medicare's Philosophical Roots: Social Insurance and the Presumption of Expansion g| 152 -- t| Rise of Procompetitive Ideas about Medical Care g| 157 -- g| 10 t| Reflections on Medicare's Politics: Puzzles and Patterns g| 171 -- t| Understanding Medicare's Politics: Patterns, Puzzles, and Explanatory Approaches g| 171 -- t| Puzzle One: Structural Explanations and Medicare's Limited Evolution g| 173 -- t| Puzzle Two: Insider Politics, Medicare's Price Controls, and the Puzzles of the Reagan/Bush Era g| 175 -- t| Puzzle Three: Medicare 1995-99--Macro Politics and the Emergence of Unexpected Remedies g| 176.
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