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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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A Principled Critique of the ACA and the ACA in an Evolutionary Perspective

A Principled Critique of the ACA and the ACA in an Evolutionary Perspective

(p.104) Chapter Four A Principled Critique of the ACA and the ACA in an Evolutionary Perspective
Health Care as a Right of Citizenship

Gunnar Almgren

Columbia University Press

The chapter begins with an analysis of the ACA for what it is: the realization of an approach to health care reform that traces its origins to the conservative framework for health care reform once advanced by the moderate faction of the GOP and also the Heritage Foundation in its more moderate past. The policy aims, strategies, and specific provisions of the ACA are then critiqued in accordance to the principles of a national health care policy that would be consistent with the realization of democratic citizenship, as explicated in the first two chapters of the book. The chapter then concludes with arguments in support of a perspective of the ACA as a flawed but essential stage in an evolutionary policy progression that propels the nation’s health care system further toward the more radical and fundamental health care reform that is requisite to both the preservation of democratic governance, and the advancement of a more democratic society.

Keywords:   Principles of National Health Policy, Principled Critique of the ACA, Requisites of Democratic Citizenship, Evolutionary Policy Progression

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