Principle over Politics? The Domestic Policy of the George H. W. Bush Presidency

By Richard Himelfarb; Rosanna Perotti | Go to book overview
Save to active project

11
Presidential Transition and
Public Policy: The Repeal of Medicare
Catastrophic Coverage

Carolyn Rinkus Thompson

In 1988, Vice President George Bush encouraged President Ronald Reagan to sign the Medicare Catastrophic Coverage Act (MCCA), which provided the most significant expansion of Medicare since its inception in 1965 and was expected to be extraordinarily popular among senior citizens. However, within fifteen months Medicare Catastrophic Coverage was repealed. This chapter examines the factors that were instrumental to repeal, with particular attention to the effect of the presidential transition in 1988 from the administration of Ronald Reagan to George Bush.


ENACTMENT

In his 1986 State of the Union message, President Ronald Reagan called for a study of the catastrophic health needs of the nation. The next year, following a bitter internal political and ideological debate, the president endorsed a plan proposed by Secretary of Health and Human Services Otis Ray Bowen, M.D., to extend Medicare to include acute catastrophic coverage. The irony of the proposal was not its substance as an incremental expansion of Medicare, but its contrast with the myriad attempts to privatize government functions, sell natural resources and landmarks, and decrease the involvement of government in all aspects of American lives that had characterized the “Reagan Revolution.” Other research conducted by this author argued that three factors were instrumental to the inclusion of Medicare Catastrophic Coverage in President Reagan’s agenda. They include the political acumen and policy entrepreneurship of Secretary Otis Bowen; the inability of ideological opponents within the Reagan administration to muster effective opposition to the Bowen plan; and political developments at the time, including

-247-

Notes for this page

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
Loading One moment ...
Project items
Notes
Cite this page

Cited page

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited page

Bookmark this page
Principle over Politics? The Domestic Policy of the George H. W. Bush Presidency
Table of contents

Table of contents

Settings

Settings

Typeface
Text size Smaller Larger
Search within

Search within this book

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

While we understand printed pages are helpful to our users, this limitation is necessary to help protect our publishers' copyrighted material and prevent its unlawful distribution. We are sorry for any inconvenience.
Full screen
/ 452

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.

Are you sure you want to delete this highlight?