Parting at the crossroads : the emergence of health insurance in the United States and Canada
Author(s)
Bibliographic Information
Parting at the crossroads : the emergence of health insurance in the United States and Canada
（Princeton studies in American politics : historical, international, and comparative perspectives）
Princeton University Press, c1998
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Emergence of health insurance in the United States and Canada
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Note
Includes bibliographical references and index
Description and Table of Contents
Description
As almost all newspaper or magazine readers know, Canada figured prominently in the turbulent U.S. debates over health care reform in the early Clinton presidency. Furthermore, future news analysts and policymakers will undoubtedly again use Canada to cite the "good" and the "bad" aspects of single-payer national health insurance. Beyond the debate about the desirability of Canadian-style health care reforms, Antonia Maioni sees another question: Why did the United States and Canada, alike in so many ways, part "at the crossroads" to produce such different systems of health insurance? She answers this previously neglected query so interestingly that her book will hold the attention of anyone concerned with health care in either country or both. The author explores the development of health insurance in the United States and Canada, from the emergence of health care as a political issue in the 1930s to the passage of federal health insurance legislation in the 1960s.
Focusing on how political institutions influence policy development, she shows that Canada's federal structure and its parliamentary institutions encouraged a social-democratic third party that became pivotal in demonstrating the feasibility of universal, public health insurance. Meanwhile, the constraints of the U.S. political system forced health care reformers to temper their own ideas to appeal to a wide coalition within the Democratic party. Even readers previously unfamiliar with Canadian politics will find in this book important clues about the "realm of the possible" in the uncertain future of U.S. health care.
Table of Contents
AcknowledgmentsList of AbbreviationsCh. 1The United States and Canada in Comparative Context3Ch. 2Parties and Institutions in Health Politics14Ch. 3The 1930s: Early Impasse in Health Reform32Ch. 4The 1940s: False Starts and Failures of Postwar Health Insurance Proposals66Ch. 5The 1950s: Diverging Paths to Health Reform92Ch. 6The 1960s: The Political Battle for Health Insurance119Ch. 7Why Did They Part? Explaining Health Policy Trajectories in the United States and Canada153Ch. 8Point of No Return? Policy Legacies and the Politics of Health Reform166Bibliography179Index199
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