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Health Care as a Right of CitizenshipThe Continuing Evolution of Reform$
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Gunnar Almgren

Print publication date: 2017

Print ISBN-13: 9780231170130

Published to Columbia Scholarship Online: January 2019

DOI: 10.7312/columbia/9780231170130.001.0001

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The Emergence of the New Era of Reform

The Emergence of the New Era of Reform

(p.36) Chapter Two The Emergence of the New Era of Reform
Health Care as a Right of Citizenship

Gunnar Almgren

Columbia University Press

The chapter begins with a review of the efforts to reform health care in ways that would assure health care for all Americans, beginning with Progressive Era reforms in the early 1900’s through the William Clinton administration’s ill-fated Health Security Act in the early 1990’s. After delving into the less ambitious reforms of late 1900’s aimed at cost-containment and incremental expansions of health insurance coverage for low-income children, the chapter examines the devolution of the employment-based insurance for working families was pivotal to the economic and political context of the Affordable Care Act (ACA) of 2009 –the first federal legislation in U.S. history to advance universal health insurance for all American citizens as its central goal. The chapter concludes with a prognosis for the successful implementation of the ACA, as well as its long term prospects.

Keywords:   Progressive Era, The Affordable Care Act, The Clinton Plan (aka Health Security Act), History of Health Care Reform, The Nixon Health Insurance Partnership Act, Incrementalism in Health Reform

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