Solving the Health Care Problem: How Other Nations Succeeded and Why the United States Has Not
The United States is the only industrialized democracy that allows its citizens to go entirely without health care for lack of funds or to be bankrupted by medical bills. Author Pamela Behan was confronted by the effects of this policy failure during her previous career as a nurse, and with Solving the Health Care Problem, she examines how it can be corrected. Behan explores American health care policy failure by looking at how two other, similar nations—Canada and Australia—managed to adopt health care protections, and compares their stories with events in the United States. Behan’s systematic comparison of all three nations shows that the factors responsible for these different results center on the responsiveness of each nation’s political institutions to its voters. In particular, Australia’s parliamentary system and labor party and Canada’s constitutional flexibility and national-provincial dynamics proved central to each nation’s adoption of national health insurance. In contrast, similar efforts in the United States became less frequent and less ambitious after they were repeatedly blocked without even coming to a vote. These dissimilarities reveal the institutional and class issues that must be addressed for the United States to successfully confront the health care problem.
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WHAT CAN THE APPROACH TELL US?
Canadian Health Care Reform Initiatives
Theoretical Explanations and Canadian Health Policy
Australian Health Care Reform Initiatives
Theoretical Explanations and Australian Health Policy
THE UNITED STATES
What the Systematic Study Adds
Limitations to the Study
Directions for Future Research
The Selection of Cases
A Typology of Health Policy Outcomes
The Choice of Causal Factors
Historical Influences and Legacies
Division Delay and Private Entrenchment
US Health Care Reform Initiative
Theoretical Explanations and US Health Policy
A SECOND SYSTEMATIC APPROACH
A Systematic Comparative Historical Method
The Qualitative Comparative Analysis
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Solving the Health Care Problem: How Other Nations Succeeded and Why the ...
Limited preview - 2012
American arrangements Australia Australian Labor Party bill British British Columbia Canada and Australia Canadian causal factors citizens colonies commonwealth configurations Congress constitutional costs created decommodifying dynamics effects election federal fees funds government's health care policy hospital insurance ical industry initiatives insurance program interest groups issue Labor government labor party power lack of veto limited majority means-tested Medibank Medicaid medical insurance Medicare method of agreement multiparty system national health insurance national health policy national labor party negative NHI failure NHI success Ontario opposition organized medicine parliamentary system patients physicians policy legacy policy outcomes political institutional power resources private insurance proposal provinces public health insurance public hospitals public insurance Quebec Ragin Saskatchewan social democratic specific Starr strong trade unions struggle subsidized theoretical three nations tion trade unions truth table types U.S. health United variables veto points welfare state policies workers working-class