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| Preface to the Second Edition | |
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| Acknowledgments | |
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| Preface to the First Edition | |
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| Introduction | |
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| The Origins and Enactments | |
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| The Origins of the Medicare Strategy | |
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| Twentieth-Century Medicine: The Paradoxes of Progress | |
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| Origins of the Government Health Insurance Issue | |
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| Universal Health Insurance Proposals in the Fair Deal | |
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| The Politics of Incrementalism: Turning toward the Aged | |
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| The Appeal of Focusing on the Aged | |
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| Focusing on Social Security Contributors | |
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| Pressure Groups and Medicare: The Lobbying of Millions | |
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| The Politics of Legislative Impossibility | |
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| Medicare under a Republican President | |
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| The Forand Bill versus the Welfare Approach | |
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| Kerr-Mills Bill of 1960 | |
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| The Politics of Legislative Possibility | |
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| Medicare, 1961 | |
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| The Obstacle Course in Congress: First Try with Ways and Means | |
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| The Southern Democrats | |
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| The Kennedy Administration versus the AMA | |
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| Medicare's Near Miss, 1964 | |
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| The Politics of Legislative Certainty | |
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| The Impact of the Election of 1964 | |
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| The Administration's Proposal: H.R. 1 and S. 1 | |
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| The Ways and Means Committee and the House Take Action: January-April | |
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| H.R. 6675 Passes the Senate: April-July | |
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| Medicare Comes out of the Conference Committee: July 26, 1965 | |
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| The Outcome of 1965: Explanation and Issues | |
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| Medicare and the Analysis of Social Policy in American Politics | |
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| Case Studies and Cumulative Knowledge | |
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| Conceptual Models and the Medicare Case | |
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| The Origins of Medicare: The Rational Actor Model | |
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| The Responses of Medicare, 1952-64: The Organizational Process Model | |
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| The 1965 Legislation: The Bureaucratic Politics Model | |
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| Processes and Policy in American Politics: The Case of Medicare | |
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| Medicare and the Character of American Social Policy | |
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| Legislation to Operation | |
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| The Politics of Medicare: 1966-99 | |
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| Medicare's Politics: 1966-90 | |
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| The Origins of Medicare Revisited | |
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| The Politics of Accommodation: Medicare's Implementation and Subsequent Evolution from 1966 to 1970 | |
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| The 1970s: Ineffectual Reforms and Intermittent Progress | |
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| The 1980s: The Challenge of the Reagan Era | |
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| Conclusion | |
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| The Politics of Medicare Reform in the 1990s: Budget Struggles, National Health Reform, and Shifting Conflicts | |
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| Introduction: The Changing Context of Medicare's Politics in the 1990s | |
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| Medicare and the 1992 Elections: The Reawakening of Concerns | |
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| A Negative Consensus on Health Reform | |
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| The 1995 Trustees' Report and Claims of Insolvency | |
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| From Legislative Impasse 1995-96 to Medicare "Reform" in 1997 | |
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| The Medicare Reforms of 1997: Understanding the Politics of Balancing Budgets | |
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| Medicare Flip-Flop | |
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| The Ideological Context of Medicare's Politics: The Presumptions of Medicare's Founders versus the Rise of Procompetitive Ideas in Medical Care | |
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| Introduction | |
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| Medicare's Philosophical Roots: Social Insurance and the Presumption of Expansion | |
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| The Rise of Procompetitive Ideas about Medical Care | |
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| Reflections on Medicare's Politics: Puzzles and Patterns | |
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| Introduction | |
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| Understanding Medicare's Politics: Patterns, Puzzles, and Explanatory Approaches | |
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| Puzzle One: Structural Explanations and Medicare's Limited Evolution | |
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| Puzzle Two: Insider Politics, Medicare's Price Controls, and the Puzzles of the Reagan/Bush Era | |
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| Puzzle Three: Medicare 1995-99--Macro Politics and the Emergence of Unexpected Remedies | |
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| Conclusion | |
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| Medicare Scholarship: A Selective Review Essay | |
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| Glossary | |
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| References to Part I | |
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| References to Part II | |
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| Index | |