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The Obama Presidency and Health Insurance Reform: Assessing Continuity and Change

Published online by Cambridge University Press:  06 March 2012

Daniel Béland  and
Alex Waddan
Daniel Béland
Affiliation:
Johnson-Shoyama Graduate School of Public Policy, University of Saskatchewan E-mail: [email protected]
Alex Waddan
Affiliation:
Department of Politics and International Relations, University of Leicester E-mail: [email protected]
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Abstract

During the 2008 federal campaign, Democratic presidential candidate Barack Obama placed comprehensive health care reform at the centre of his platform. In the light of the growing problems facing the US health care system, the time seemed ripe for another attempt to control health costs while expanding insurance coverage. Elected in the context of the deepest recession since World War II, President Obama nonetheless decided to reform the US health care system at the beginning of his presidency. Drawing on the historical institutionalist perspective, which stresses the effects of existing institutions and policy legacies on social policy development, this article analyzes health politics during the first fifteen months of the Obama administration before assessing the impact of the legislation enacted in March 2010. Although it does not radically break from the past, this legislation should bring about crucial changes to the US health care system.

Keywords

Health insurancecoveragereformObamaUnited States
Type
Articles
Information
Social Policy and Society , Volume 11 , Issue 3 , July 2012 , pp. 319 - 330
Copyright
Copyright © Cambridge University Press 2012

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