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Policy elites and programmatic actors: the role of custodians of State Policies in Health Care Policy change in the United States since the 1970s

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Résumé

Policy elites-- what William Genieys has termed "custodians of state policy"-- have played crucial roles in shaping health care policy in the United States. The backgrounds and agendas of these elites have shifted, however, as the nation's struggles over national health insurance came to accommodate the preoccupation with cost containment and as policymakers sought to forge innovative combinations of public authority and market forces. Drawing on three important episodes-- legislation to promote health maintainance organizations in the early 1970s, the reform proposed by President Bill Clinton in 1993-94, and the creation of the Affordable Care Act in 2010-- this paper explores patterns of continuity and change in the composition and contributions of policy elites in the shaping of US health care policy.
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Dates et versions

hal-03230095 , version 1 (19-05-2021)

Identifiants

  • HAL Id : hal-03230095 , version 1

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William Genieys, Lawrence Brown. Policy elites and programmatic actors: the role of custodians of State Policies in Health Care Policy change in the United States since the 1970s. Bringing policy actors back in. Relevance and prospects of actor-centered approaches in policy studies, International Public Policy Association, Jun 2018, Pittsburgh, United States. ⟨hal-03230095⟩
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