Policy Making and the Federal System

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Short Essay: Policy-Making in the Federal System

Obama’s Care “Medicaid – not Medicare
Frances Johnson
POL: 201 American National Government
Instructor, Carol Parker
July 12th, 2012

During the 2008 federal campaign, Democratic presidential candidate Barack Obama placed comprehensive health care reform at the centre of his platform. In the light of the growing problems facing the US health care system, the time seemed ripe for another attempt to control health costs while expanding insurance coverage. Elected in the context of the deepest recession since World War II, President Obama nonetheless decided to reform the U S health care system at the beginning of his presidency( proquest.com). While president Obama took on this task that was left behind by President George Bush, and still today is active, will we see a reform in our health care system? I will explore more research as to why this issue is so alive today, and what? If any, is being done that will have a positive effect on us today, and in our future. Drawing on the historical institutionalist perspective, which stresses the effects of existing institutions and policy legacies on social policy development, this article analyzes health politics during the fifteen months of the Obama administration before assessing the impact of legislation enacted in March 21. Although it does not radically break from the past, this legislation should bring about crucial changes to the U S health care system (proquest.com). Medicaid is an all-or-nothing, take-it-or-leave-it proposition for the states; they must comply with all federal terms and conditions as a requirement of participating in any part of the program. At the core of ObamaCare is the individual mandate requiring every citizen to obtain health- insurance coverage with benefits and provisions specified by the federal government (Forbes.com). The way ObamaCare provides for lower- income individuals and families to...
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