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作者 Jones, David K. (Health law), author
書名 Exchange politics : opposing Obamacare in battleground states / David K. Jones
出版項 New York, NY : Oxford University Press, [2017]
國際標準書號 9780190677237 (hbk.)
9780190677244 (pbk.)
book jacket
館藏地 索書號 處理狀態 OPAC 訊息 條碼
 人文社會聯圖  RA395.A3 J657 2017    在架上    30650020077984
說明 xi, 207 pages ; 24 cm
text txt rdacontent
unmediated n rdamedia
volume nc rdacarrier
附註 Includes bibliographical references (pages 177-201) and index
1. Introduction -- 2. Mississippi -- 3. Michigan -- 4. Idaho -- 5. New Mexico -- 6. Exchange politics and the future of health reform
"The Affordable Care Act (ACA) contained a threat that any state refusing to set up a health insurance exchange would lose control to the federal government. Republicans had supported the concept before it became part of Obamacare, and so virtually every state was expected to cooperate and implement this core part of the law through which millions would receive financial assistance to buy health insurance. However, 34 states refused to participate, using their flexibility as an opportunity to try to bring down the entire law. This is a stunning miscalculation by the Obama administration. This book tells the story of what happened in the final two states to choose state control (Idaho and New Mexico) and the two that came the closest but did not (Michigan and Mississippi). Contrary to how it is typically described in the media, the most intense split was not between Republicans and Democrats, but within the Republican Party. Governors were the most important people in the fight over exchanges, but did not always get their way. The Tea Party was amazingly successful at defeating the most powerful interest groups. State-level and national conservative think tanks were important allies to the Tea Party. The relative power of these groups was shaped by differences in institutional design and procedures, such as whether a state has term limits and the length of legislative sessions. Opposition was more easily overcome in states whose conditions facilitated the development of legislative "pockets of expertise." This is a dramatic example of opponents using federalism to block national reform and serves as a warning of the challenge of inducing state cooperation in other policy domains such as the environment and education"-- Provided by publisher
主題 United States. Patient Protection and Affordable Care Act
Medical policy -- United States -- Political aspects
Health care reform -- United States
POLITICAL SCIENCE / Government / State & Provincial. bisacsh
POLITICAL SCIENCE / Public Policy / General. bisacsh
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