Talk of Power, Power of Talk: The 1994 Health Care Reform Debate and Beyond

By Michael W. Shelton | Go to book overview

Series Foreword

Those of us from the discipline of communication studies have long believed that communication is prior to all other fields of inquiry. In several other forums I have argued that the essence of politics is "talk" or human interaction.1 Such interaction may be formal or informal, verbal or nonverbal, public or private, but it is always persuasive, forcing us consciously or subconsciously to interpret, to evaluate, and to act. Communication is the vehicle for human action.

From this perspective, it is not surprising that Aristotle recognized the natural kinship of politics and communication in his writings Politics and Rhetoric. In the former, he established that humans are "political beings [who] alone of the animals [are] furnished with the faculty of language."2 In the latter, he began his systematic analysis of discourse by proclaiming that "rhetorical study, in its strict sense, is concerned with the modes of persuasion."3 Thus, it was recognized over twenty-three hundred years ago that politics and communication go hand in hand because they are essential parts of human nature.

In 1981, Dan Nimmo and Keith Sanders proclaimed that political communication was an emerging field.4 Although its origin, as noted, dates back centuries, a "selfconsciously cross-disciplinary" focus began in the late 1950s. Thousands of books and articles later, colleges and universities offer a variety of graduate and undergraduate coursework in the area in such diverse departments as communication, mass communication, journalism, political science, and sociology.5 In Nimmo and Sanders's early assessment, the "key areas of inquiry" included rhetorical analysis, propaganda analysis, attitude change studies, voting studies, government and the news media, functional and systems analyses, technological changes, media technologies, campaign techniques, and research techniques.6 In a survey of the state of the field in 1983, the same authors and Lynda Kaid found additional, ore specific areas of concerns such as the presidency, political polls, public opinion, debates, and advertising.7 Since the first study, they have also noted a shift away from the rather strict behavioral approach.

-xi-

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Talk of Power, Power of Talk: The 1994 Health Care Reform Debate and Beyond
Table of contents

Table of contents

  • Title Page iii
  • Contents vii
  • Illustrations ix
  • Series Foreword xi
  • Acknowledgments xv
  • Chapter 1 Introduction: A Framework and Overview 1
  • Part I The Context 9
  • Chapter 2 The U.S. Health Care System 11
  • Chapter 3 The History of Health Care Reform 21
  • Chapter 4 Health Care Reform in the 1990s 29
  • Part II The Text 39
  • Chapter 5 The Senate Battleground 41
  • Chapter 6 The Congressional Record 53
  • Chapter 7 Textual Features 61
  • Part III The Discourse 71
  • Chapter 8 Discourse Patterns 73
  • Chapter 9 The Deliberation 95
  • Chapter 10 The Triumph of the Big Government Argument 107
  • Part IV The Implications 123
  • Chapter 11 An Ethical Assessment 125
  • Chapter 12 Scholarly Horizons 139
  • Chapter 13 Contemporary Currents 151
  • References 167
  • Index 177
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