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The Political Life of Medicare (Paperback)
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The Political Life of Medicare (Paperback)
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In recent years, bitter partisan debates have erupted over Medicare
reform. Democrats and Republicans have fiercely contested issues
such as prescription drug coverage and how to finance Medicare to
absorb the baby boomers. But as Jonathan Oberlander demonstrates in
"The Political Life of Medicare", these recent developments are an
exception in the long-term history of the program. Contrary to
popular belief, from Medicare's inception in 1965 until 1994, a
remarkable bipartisan consensus governed Medicare politics. In "The
Political Life of Medicare", Oberlander provides the first
comprehensive history of Medicare politics, from the decades of
consensus to current debates over Medicare reform. He shows how
tensions embodied in the program since its enactment drove the
politics of Medicare benefits, regulation and financing policy
during the consensus period. For instance, rising Medicare costs
led "both" liberal and conservative policymakers to embrace
stronger government regulation of the program while rejecting
expansion of benefits. Both parties also accepted the liberal
vision of Medicare as a universal government program to provide
federal health insurance for the elderly. Oberlander incisively
traces how this consensus unravelled because of fundamental changes
in American politics, the health care system and policymakers'
attitudes about the elderly. Revealing how Medicare politics and
policies have developed over the past several decades, and what the
program's future holds, Oberlander's analysis should interest
anyone concerned with American politics and public policy health
care, aging and the welfare state.
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