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Parting at the Crossroads : Emergence of Health Insurance in the United States and Canada

Parting at the Crossroads : Emergence of Health Insurance in the United States and Canada - 98 edition

ISBN13: 978-0691057965

Cover of Parting at the Crossroads : Emergence of Health Insurance in the United States and Canada 98 (ISBN 978-0691057965)
ISBN13: 978-0691057965
ISBN10: 0691057966
Edition: 98
Copyright: 1998
Publisher: Princeton University Press
Published: 1998
International: No

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Parting at the Crossroads : Emergence of Health Insurance in the United States and Canada - 98 edition

ISBN13: 978-0691057965

Antonia Maioni

ISBN13: 978-0691057965
ISBN10: 0691057966
Edition: 98
Copyright: 1998
Publisher: Princeton University Press
Published: 1998
International: No
Summary

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

Ch. 1. The United States and Canada in Comparative Context
Ch. 2. Parties and Institutions in Health Politics
Ch. 3. The 1930s: Early Impasse in Health Reform
Ch. 4. The 1940s: False Starts and Failures of Postwar Health Insurance Proposals
Ch. 5. The 1950s: Diverging Paths to Health Reform
Ch. 6. The 1960s: The Political Battle for Health Insurance
Ch. 7. Why Did They Part? Explaining Health Policy Trajectories in the United States and Canada
Ch. 8. Point of No Return? Policy Legacies and the Politics of Health Reform

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