Road to Nowhere by Jacob S. Hacker
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Road to Nowhere
By Jacob S. Hacker

The Road to Nowhere

The Genesis of President Clinton's Plan for Health Security

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Format: Paperback

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Road to Nowhere by Jacob S. Hacker

Book Awards

  • Winner of National Academy of Public Administration Louis Brownlow Award 1997.

Book Description

During the 1992 presidential campaign, health care reform became a hot issue, paving the way for one of the most important yet ill-fated social policy initiatives in American history: Bill Clinton's 1993 proposal for comprehensive coverage under "managed competition." Here Jacob Hacker not only investigates for the first time how managed competition became the president's reform framework, but also illuminates how issues and policies emerge. He follows Clinton's policy ideas from their initial formulation by policy experts through their endorsement by medical industry leaders and politicians to their inclusion--in a new and unexpected form--in the proposal itself. Throughout he explores key questions: Why did health reform become a national issue in the 1990s? Why did Clinton choose managed competition over more familiar options during the 1992 presidential campaign? What effect did this have on the fate of his proposal? Drawing on records of the President's task force, interviews with a wide range of key policy players, and many other sources, Hacker locates his analysis within the context of current political theories on agenda setting. He concludes that Clinton chose managed competition partly because advocates inside and outside the campaign convinced him that it represented a unique middle road to health care reform. This conviction, Hacker maintains, blinded the president and his allies to the political risks of the approach and hindered the development of an effective strategy for enacting it.

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Book Details

ISBN: 9780691005287
ISBN-10: 0691005281
Format: Paperback
(229mm x 152mm x 19mm)
Pages: 256
Imprint: Princeton University Press
Publisher: Princeton University Press
Publish Date: 8-Mar-1999
Country of Publication: United States

Other Editions...


Books By Author Jacob S. Hacker

Great Risk Shift by Jacob S. Hacker Great Risk Shift, Paperback (February 2008)

Blending powerful human stories, big-picture analysis, and compelling ideas for reform, this remarkable volume will hit a nerve, serving as a rallying point in the vital struggle for economic security in an increasingly uncertain world.

Off Center by Jacob S. Hacker Off Center, Paperback (October 2006)

Suggesting that the Republicans who run American government have defied the normal laws of political gravity, this book tells the story of a deliberative process restricted and distorted by party chieftains, of unresponsive power brokers subverting the popular will, and of legislation written and deliberately designed to mute popular discontent.

Divided Welfare State by Jacob S. Hacker Divided Welfare State, Paperback (September 2002)

This book examines the political relationship between government social programs and private social benefits.

» View all books by Jacob S. Hacker

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Great Risk Shift by Jacob S. Hacker
Off Center by Jacob S. Hacker
Divided Welfare State by Jacob S. Hacker
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