Health Policy Reform in America: Innovations from the States

By Howard M. Leichter | Go to book overview

gins Camille Ascuaga's account (Chapter Eight) of Massachusetts' much publicized experiment in guaranteeing universal access to health care. The Massachusetts law received national attention during the 1988 presidential campaign when the Democratic candidate, Massachusetts Governor Michael Dukakis, hailed it as a model for a nationwide effort at guaranteeing universal access. However, much like that state's "economic miracle," this Dukakis legacy has also fallen on hard times. Ascuaga's account is a sobering reminder of how quickly political and economic events can derail state policy reform. The Massachusetts experiment, whatever its fate--and it is still uncertain--provides important lessons for those interested in health care policy. Of particular significance was the effort to enlist the support of the small- business community in the policymaking and implementing process. Since small-business people are, for economic reasons, often opponents of expanding health care access to the working poor, the Massachusetts experiment remains important to students of health policy.

In the final chapter of the book, Bruce Jennings shifts the focus of the discussion from the substance of health policy innovation and reform to the moral and ethical nature of the process by which policy change takes place. In particular, he is concerned about the role of democratic values in helping reform the health policymaking process. He suggests that the innovative content of recent reform efforts has raised new ethical issues and generated innovative forms of policy discourse. Jennings argues that citizen involvement in health policy formation, illustrated most dramatically by the grass roots organization, Oregon Health Decisions, will be increasingly used to legitimize the allocation, prioritization, and, perhaps, rationing of health care resources in the future. In this sense, according to Jennings, democratic values will have an increasingly important role to play in the policymaking process. And, most importantly from the perspective of this book, this is most likely to occur at the subnational level.


Notes
1.
Ira Sharkansky, The Maligned States ( New York: McGraw-Hill, 1978); Malcolm E. Jewell, "'The Neglected World of State Politics," The Journal of Politics 44 ( August 1982): 638-657); Mavis Mann Reeves, "The States as Polities: Reformed, Reinvigorated, Resourceful," The Annals of the American Academy of Political and Social Sciences (hereafter The Annals) 509 ( May 1990): 83-93.

-21-

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.
One moment ...
Default project is now your active project.
Project items

Items saved from this book

This book has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this book

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this page

Cited page

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited page

Bookmark this page
Health Policy Reform in America: Innovations from the States
Table of contents

Table of contents

Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
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?

Help
Full screen
/ 224

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    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.

    Buy instant access to save your work.

    Already a member? Log in now.

    Author Advanced search

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.