POL 536 Lecture Notes - Lecture 4: American Medical Association, Socialized Medicine, Fair Deal
Document Summary
Identify windows of opportunity for change: understand how past efforts affect future policy, the progressive era. Ideologically, ama opposed to it: those against it isn"t everyone, pediatricians have many patients on medicaid, private insurers opposed because death benefits were the backbone of the life insurance industry. Johnson"s great society: a massive electoral shift in the 1964 elections left democrats in a 2:1 majority in the house and a large majority in the senate. Staff of more than 500: 34 working groups, republican congressional staff members and stakeholder representatives were not included, although they were consulted. Left out all the interest groups (including ama), making stakeholders have a problem. Secrecy surrounded deliberations: complex proposal, presidential health care proposal, video. 1993: 5 congressional committees claimed jurisdiction over health care reform, despite democratic majorities in the house & the senate, lawmakers were looking toward midterm elections, so they were worried. Setbacks: the business roundtable, the chamber of commerce, and the national association of.