FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3141663952> ?p ?o ?g. }

• W3141663952 abstract "A plethora of political autopsies have been performed on the Clinton Administration's failed health care reform of 1994--it was too much; it was too late; there was too much pandering; there was too little pandering. Such critiques of this complex undertaking are at least partially correct. It was probably hubris to believe that such a comprehensive health care reform package could be proposed and passed in a single year. But much of the instant analysis of its failure has repeated the rhetoric of the debate rather than stepping back and placing the events of 1994 in perspective. Here I focus on five areas where rhetoric confused the debate, and compare them with the underlying realities of health care reform: (1) Financing. Proponents of the Administration proposal argued that universal coverage could be achieved primarily by redirecting existing revenue flows. It offered almost no new revenue sources--aside from a sin tax on tobacco. The reality is that to achieve universal coverage, we all have to pay for it, either directly or indirectly. And indirect payments can cause serious problems. (2) Controlling Costs. In an attempt to make cost containment efforts seem less onerous on individuals, the rhetoric offered two somewhat contradictory strategies of imposing *price controls* on health care providers and introducing market reforms, called *managed competition*. Presumably, managed competition would also automatically eliminate fraud, waste, and abuse, and in some unspecified way painlessly discipline the market for health care. The reality is tht people must face difficult choices if we are to control the costs of health care. Cost containment is a much more controversial issue than the Administration admitted. Many persons are nervous about the impacts of such controls. (3) Choice. The Administration went out of its way to promise choice, often in ways that complicated the plan. Opponents countered that the Administration's plan would actually limit choice. But what did they mean by choice? If they meant choice of doctors and hospitals, or choice of insurance plans, the Administration's plan stacked up very well. But the right to choose any kind of health care at any time would have been restricted under the Clinton proposal. Moreover, choice has long been eroding for most Americans as employers and insurance companies have imposed more control on insurance. In this case, the rhetoric of the opponents won out over the reality of what is already happening in our health care system. (4) Incremental Reform. Opponents of the Administration's proposal claimed that successful health care reform could be achieved by tinkering around the edges, keeping what was right about the health care system and getting rid of what was wrong. The reality is that changes in one area of health care provision affect other areas, in ways that are not always understood or anticipated, and there is little consensus on what should be kept and what should be changed under an incremental approach. (5) Nostalgia. Many of those who opposed health care reform altogether expressed a longing to return to a health care system that they remember and think still exists, but that probably hasn't been in place for the last decade. Their warning that we should not surrender what we have for something less was given more credence than the Administration and other reformers realized. The reality is that health care has already changed rapidly and will continue to change with or without health care reform legislation. The Clinton Administration assumed that Americans understood the current status of national health care, including its flaws, and assumed this meant they had a mandate for change." @default.
• W3141663952 created "2021-04-13" @default.
• W3141663952 creator A5018122952 @default.
• W3141663952 date "1995-01-01" @default.
• W3141663952 modified "2023-09-27" @default.
• W3141663952 title "The Rhetoric and the Reality of Health Care Reform Legislation. 6th Annual Herbert Lourie Memorial Lecture on Health Policy" @default.
• W3141663952 hasPublicationYear "1995" @default.
• W3141663952 type Work @default.
• W3141663952 sameAs 3141663952 @default.
• W3141663952 citedByCount "0" @default.
• W3141663952 crossrefType "posted-content" @default.
• W3141663952 hasAuthorship W3141663952A5018122952 @default.
• W3141663952 hasConcept C10138342 @default.
• W3141663952 hasConcept C1370556 @default.
• W3141663952 hasConcept C138885662 @default.
• W3141663952 hasConcept C138921699 @default.
• W3141663952 hasConcept C160735492 @default.
• W3141663952 hasConcept C162324750 @default.
• W3141663952 hasConcept C17744445 @default.
• W3141663952 hasConcept C18903297 @default.
• W3141663952 hasConcept C190253527 @default.
• W3141663952 hasConcept C195487862 @default.
• W3141663952 hasConcept C199539241 @default.
• W3141663952 hasConcept C2778584109 @default.
• W3141663952 hasConcept C41895202 @default.
• W3141663952 hasConcept C47344431 @default.
• W3141663952 hasConcept C74916050 @default.
• W3141663952 hasConcept C86803240 @default.
• W3141663952 hasConcept C91306197 @default.
• W3141663952 hasConcept C94625758 @default.
• W3141663952 hasConcept C95457728 @default.
• W3141663952 hasConcept C99802516 @default.
• W3141663952 hasConceptScore W3141663952C10138342 @default.
• W3141663952 hasConceptScore W3141663952C1370556 @default.
• W3141663952 hasConceptScore W3141663952C138885662 @default.
• W3141663952 hasConceptScore W3141663952C138921699 @default.
• W3141663952 hasConceptScore W3141663952C160735492 @default.
• W3141663952 hasConceptScore W3141663952C162324750 @default.
• W3141663952 hasConceptScore W3141663952C17744445 @default.
• W3141663952 hasConceptScore W3141663952C18903297 @default.
• W3141663952 hasConceptScore W3141663952C190253527 @default.
• W3141663952 hasConceptScore W3141663952C195487862 @default.
• W3141663952 hasConceptScore W3141663952C199539241 @default.
• W3141663952 hasConceptScore W3141663952C2778584109 @default.
• W3141663952 hasConceptScore W3141663952C41895202 @default.
• W3141663952 hasConceptScore W3141663952C47344431 @default.
• W3141663952 hasConceptScore W3141663952C74916050 @default.
• W3141663952 hasConceptScore W3141663952C86803240 @default.
• W3141663952 hasConceptScore W3141663952C91306197 @default.
• W3141663952 hasConceptScore W3141663952C94625758 @default.
• W3141663952 hasConceptScore W3141663952C95457728 @default.
• W3141663952 hasConceptScore W3141663952C99802516 @default.
• W3141663952 hasLocation W31416639521 @default.
• W3141663952 hasOpenAccess W3141663952 @default.
• W3141663952 hasPrimaryLocation W31416639521 @default.
• W3141663952 hasRelatedWork W111827053 @default.
• W3141663952 hasRelatedWork W187391974 @default.
• W3141663952 hasRelatedWork W1893681720 @default.
• W3141663952 hasRelatedWork W2001590119 @default.
• W3141663952 hasRelatedWork W2003645054 @default.
• W3141663952 hasRelatedWork W2011945687 @default.
• W3141663952 hasRelatedWork W2017936699 @default.
• W3141663952 hasRelatedWork W2029322581 @default.
• W3141663952 hasRelatedWork W2123237181 @default.
• W3141663952 hasRelatedWork W2141760722 @default.
• W3141663952 hasRelatedWork W2175658375 @default.
• W3141663952 hasRelatedWork W2230201409 @default.
• W3141663952 hasRelatedWork W2259067715 @default.
• W3141663952 hasRelatedWork W2316588766 @default.
• W3141663952 hasRelatedWork W2345713335 @default.
• W3141663952 hasRelatedWork W2417937202 @default.
• W3141663952 hasRelatedWork W3123777941 @default.
• W3141663952 hasRelatedWork W3188049669 @default.
• W3141663952 hasRelatedWork W589401229 @default.
• W3141663952 hasRelatedWork W657220093 @default.
• W3141663952 isParatext "false" @default.
• W3141663952 isRetracted "false" @default.
• W3141663952 magId "3141663952" @default.
• W3141663952 workType "article" @default.