Healthcare homework help

| December 24, 2015

Week 9: Health Reform


In 2010, shortly before the Patient Protection and Affordable Care Act (PPACA) passed into law, the Journal of Health Politics, Policy, and Law published an article attempting to predict whether the measure would pass. The article analyzed the health care reform efforts of then-President Bill Clinton in 1992. You might even argue that the landscape for health care reform was more favorable at that time, compared to 2010:

In November 1992 health care reform appeared to be a foregone conclusion. The country had elected a new, charismatic Democratic president and a Democratic Congress. Both the incoming president and members of Congress vowed to make health care reform a priority. Health insurance premiums were rising, and the economy was in recession. Yet, despite these favorable conditions, no major health care legislation passed the Congress. (Brady & Kessler, 2010)

Based on their analysis of prevailing public opinion and the propensity of a modern Congress to gridlock as the previous Congress had, the analysts concluded that health reform would, once again, fail. They were wrong. What changed between the two efforts at health reform? Were the opinions of American voters drastically different? Had interest groups applied pressure to legislative groups? Had the economic factors surrounding health care facilitated change?

This week, you explore the forces that affect U.S. health care reform. You analyze these forces and engage in a Discussion to determine which factors most complicate reform efforts.


Students will:

  • Evaluate the impact of political climates on health policy
  • Analyze the relationship between reform efforts and the health policy-making process

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