skip to main content
Idioma:

Vladeck Redux: Our Endlessly Imperfect American Health Care System

McDonough, John E

American journal of public health (1971), 2023-05, Vol.113 (5), p.477-479 [Periódico revisado por pares]

United States: American Public Health Association

Texto completo disponível

Citações Citado por
  • Título:
    Vladeck Redux: Our Endlessly Imperfect American Health Care System
  • Autor: McDonough, John E
  • Assuntos: Advocacy ; Berra, Yogi ; Bush, George W ; Centers for Medicare and Medicaid Services, U.S ; Clinton, Bill ; Delivery of Health Care ; Disadvantaged ; Disadvantaged groups ; Drugs ; Government programs ; Health care ; Health care industry ; Health care policy ; Health insurance ; Health policy ; Health services ; Humans ; Insurance ; Insurance coverage ; Legislatures ; Medicare ; Minority groups ; National health insurance ; Policy making ; Political parties ; Politics ; Presidential candidates ; Presidents ; Primaries & caucuses ; Public health ; Radar ; Uninsured people ; United States
  • É parte de: American journal of public health (1971), 2023-05, Vol.113 (5), p.477-479
  • Notas: SourceType-Other Sources-1
    content type line 63
    ObjectType-Editorial-2
    ObjectType-Commentary-1
  • Descrição: For years in our modern era, a widely accepted political truism was that no one from either major political party could win the White House without first winning the New Hampshire presidential primary. When Bill Clinton won the White House in 1992 after losing the Granite State primary, the truism was modified to apply only to Republican candidates. After George W. Bush did the same in 2000, well, never mind. "It's tough to make predictions, especially about the future," noted Yogi Berra.1Writing this commentary on a 20year-old article is a guilty pleasure. The pleasure comes from revisiting the ideas of Bruce Vladeck, a health policy legend who ran the US Health Care Financing Administration under President Bill Clinton. He is an indefatigable advocate for disadvantaged groups and for the US health care safety net. His policy writing is always illuminating and indispensable, including for this commentary. The guilty part is identifying mistaken predictions via the sweet, powerful elixir of hindsight. It's just too easy.Vladeck's 2003 AJPH article, "Universal Health Insurance in the United States: Reflections on the Past, the Present, and the Future," offers historical-cultural and structural-political explanations for the United States' lack of universal health insurance.2 Written in a period of Republican "trifecta" control of the White House, Senate, and House of Representatives, the only viable national health policy aspiration at that time was adding outpatient prescription drug coverage to Medicare, which happened that December in the form of Part D.At that time, many health policymakers and advocates were still licking their wounds from the 1993-1994 Clinton health reform catastrophe and the 1997 Balanced Budget Act, which had been financed largely by cuts to Medicare. No leading indicator of the future Affordable Care Act, signed in 2010, was visible on the nation's political radar screen. Buying outpatient drugs for Medicare enrollees had been an explicit campaign promise from both 2000 presidential candidates, George W. Bush and Al Gore. Expanding insurance coverage for about 40 million uninsured Americans-universally or incrementally-did not seem to matter as much then.
  • Editor: United States: American Public Health Association
  • Idioma: Inglês
Links
Voltar para lista de resultados
Ir para página anteriorAnterior Resultado  7 AvançarIr para próxima página

  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

Buscando em bases de dados remotas. Favor aguardar.