TY - JOUR
T1 - The Medicare approach
T2 - Political choice and American institutions
AU - Jacobs, Larry
PY - 2007/4
Y1 - 2007/4
N2 - The most significant health reform in American history was the passage of Medicare in 1965, but this was an accomplishment born of defeat. Medicare was designed and understood by its early promoters as an approach to health reform, not simply as a discrete program for a distinct target population. Although Medicare incrementalism has tended to be shunted aside when the opportunities for health reform are most promising, the final years of the Johnson administration reveal previously underappreciated efforts to expand Medicare eligibility to large new population groups and offer insights into the continuing potential of Medicare incrementalism in our own time.
AB - The most significant health reform in American history was the passage of Medicare in 1965, but this was an accomplishment born of defeat. Medicare was designed and understood by its early promoters as an approach to health reform, not simply as a discrete program for a distinct target population. Although Medicare incrementalism has tended to be shunted aside when the opportunities for health reform are most promising, the final years of the Johnson administration reveal previously underappreciated efforts to expand Medicare eligibility to large new population groups and offer insights into the continuing potential of Medicare incrementalism in our own time.
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U2 - 10.1215/03616878-2006-035
DO - 10.1215/03616878-2006-035
M3 - Review article
C2 - 17463404
AN - SCOPUS:34247612334
SN - 0361-6878
VL - 32
SP - 159
EP - 186
JO - Journal of health politics, policy and law
JF - Journal of health politics, policy and law
IS - 2
ER -