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Universal Coverage, Health Inequalities, and the American Health Care System in Crisis (Again)
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UNIVERSAL COVERAGE, HEALTH INEQUALITIES, AND THE
AMERICAN HEALTH CARE SYSTEM IN CRISIS (AGAIN)
R
ICK
M
AYES
,
P
H
.D.
∗∗
Paper presented at the Annual Meeting of the
American Political Science Association
September 2-5, 2004 (Chicago, IL)
forthcoming in the
Journal of Health Care Law & Policy, vol. 7, no. 2 (2004)
and in a slightly different version as the “Epilogue” in
Universal Coverage: The Elusive Quest for National Health Insurance
(University of Michigan Press, fall 2004)
∗
Assistant Professor of Public Policy, Department of Political Science, University of Richmond;
Faculty Research Fellow, Petris Center on Healthcare Markets & Consumer Welfare, School of Public Health, University of California, Berkeley (
## email not listed ##
)
∗
I wish to thank numerous individuals who critiqued previous versions of this paper, including Cecelia
Ackerman, Tom Cosgrove, Abby Emerson, Lindsay Shore, Meredith Stewart, T.R. Straub, and especially Jennifer Mayes. My reexamination of President Clinton’s failure at health care reform benefited from personal interviews with numerous individuals who graciously shared their time and recollections with me, including: former Staff Director of the House Ways and Means Health Subcommittee, David Abernethy; President Clinton’s Health Care Communications Director, Bob Boorstin; Chief of Staff to former Senate Majority Leader Bob Dole, Sheila Burke; Representative Jim Cooper; President and CEO of the National Federation of Independent Businesses, Jack Faris; Director of President Clinton’s Health Care Transition Team, Judy Feder; Senior Economist for the Clinton Health Care Task Force, Sherry Glied; former Democratic Senator from Nebraska, Bob Kerrey; former White House Chief of Staff, Leon Panetta; former CBO Director, Robert Reischauer; former Chairman of the House Ways and Means Committee, Dan Rostenkowski; former Secretary of the Treasury, Robert Rubin; former CMS Administrator, Tom Scully; Representative Pete Stark; former Chair of the Council of Economic Advisors, Laura D’Andrea Tyson; former HCFA Administrators, Gail Wilensky, Bruce Vladeck and Nancy-Ann DeParle; Representative Henry Waxman; and former Chairman of Prudential Insurance and Chair of the Business Roundtable’s Health Subcommittee, Robert Winters.
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UNIVERSAL COVERAGE, HEALTH INEQUALITIES, AND THE
AMERICAN HEALTH CARE SYSTEM IN CRISIS (AGAIN)
R
ICK
M
AYES
,
P
H
Paper presented at the Annual Meeting of the
American Political Science Association
September 2-5, 2004 (Chicago, IL)
forthcoming in the
Journal of Health Care Law & Policy, vol. 7, no. 2 (2004)
and in a slightly different version as the “Epilogue” in
Universal Coverage: The Elusive Quest for National Health Insurance
(University of Michigan Press, fall 2004)
∗
Assistant Professor of Public Policy, Department of Political Science, University of Richmond;
Faculty Research Fellow, Petris Center on Healthcare Markets & Consumer Welfare, School of Public
Health, University of California, Berkeley (
∗
I wish to thank numerous individuals who critiqued previous versions of this paper, including Cecelia
Ackerman, Tom Cosgrove, Abby Emerson, Lindsay Shore, Meredith Stewart, T.R. Straub, and
especially Jennifer Mayes. My reexamination of President Clinton’s failure at health care reform
benefited from personal interviews with numerous individuals who graciously shared their time and
recollections with me, including: former Staff Director of the House Ways and Means Health
Subcommittee, David Abernethy; President Clinton’s Health Care Communications Director, Bob
Boorstin; Chief of Staff to former Senate Majority Leader Bob Dole, Sheila Burke; Representative Jim
Cooper; President and CEO of the National Federation of Independent Businesses, Jack Faris; Director
of President Clinton’s Health Care Transition Team, Judy Feder; Senior Economist for the Clinton
Health Care Task Force, Sherry Glied; former Democratic Senator from Nebraska, Bob Kerrey; former
White House Chief of Staff, Leon Panetta; former CBO Director, Robert Reischauer; former Chairman
of the House Ways and Means Committee, Dan Rostenkowski; former Secretary of the Treasury,
Robert Rubin; former CMS Administrator, Tom Scully; Representative Pete Stark; former Chair of the
Council of Economic Advisors, Laura D’Andrea Tyson; former HCFA Administrators, Gail Wilensky,
Bruce Vladeck and Nancy-Ann DeParle; Representative Henry Waxman; and former Chairman of
Prudential Insurance and Chair of the Business Roundtable’s Health Subcommittee, Robert Winters.
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