CHAPTER ONE. The Transformation of American Health Insurance

Quadagno, Jill; McKelvey, Janet; Hacker, Jacob S.

doi:10.7312/hack14602-001

Health at Risk 2008

DOI: 10.7312/hack14602-001

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CHAPTER ONE. The Transformation of American Health Insurance

Jill Quadagno¹,

Janet McKelvey²,

Jacob S. Hacker³

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Cited by 2 publications

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Institutions, Interest Groups, and Ideology

Quadagno

2010

J Health Soc Behav

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A central sociological premise is that health care systems are organizations that are embedded within larger institutions, which have been shaped by historical precedents and operate within a specific cultural context. Although bound by policy legacies, embedded constituencies, and path dependent processes, health care systems are not rigid, static, and impervious to change. The success of health care reform in 2010 has shown that existing regimes do have the capacity to respond to new needs in ways that transcend their institutional and ideological limits. For the United States the question is how health care reform will reconfigure the existing network of public and private benefits and the power relationships between the numerous constituencies surrounding them. This article considers how institutions, interest groups, and ideology have affected the organization of the health care system in the United States as well as in other nations. It then discusses issues for future research in the aftermath of the 2009-10 health care reform debate.

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Institutions, Interest Groups, and Ideology

Quadagno

2010

J Health Soc Behav

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Understanding the Implementation of Medicaid and Medicare: Social Construction and Historical Context

Piatak

2015

Administration & Society

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This article examines the history and formation of Medicare and Medicaid to determine how America's two major public health insurance programs came to have such vastly different implementation structures. Drawing upon theories of social construction and path dependence, findings show how the programs were set on divergent paths. This article also explores how the intergovernmental nature of Medicaid has promoted inequities, both between programs and among recipients across states. The findings show how social construction can influence the policy tool chosen and how the implementation structure impacts the individuals whom these programs are intended to serve for years to come.

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CHAPTER ONE. The Transformation of American Health Insurance

Cited by 2 publications

References 0 publications

Institutions, Interest Groups, and Ideology

Institutions, Interest Groups, and Ideology

Understanding the Implementation of Medicaid and Medicare: Social Construction and Historical Context

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