Universal health care was on the national political agenda for
nearly a hundred years until a comprehensive (but not universal)
health care reform bill supported by President Obama passed in
2010. The most common explanation for the failure of past reform
efforts is that special interests were continually able to block
reform by lobbying lawmakers. Yet, beginning in the 1970s,
accelerating with the failure of the Clinton health care plan, and
continuing through the passage of the Affordable Care Act in 2010,
health policy reform was alive and well at the state level.
Interest Groups and Health Care Reform across the United States
assesses the impact of interest groups to determine if collectively
they are capable of shaping policy in their own interests or
whether they influence policy only at the margins. What can this
tell us about the true power of interest groups in this policy
arena? The fact that state governments took action in health policy
in spite of opposing interests, where the national government could
not, offers a compelling puzzle that will be of special interest to
scholars and students of public policy, health policy, and state
politics.
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