National Health Insurance in the United States and Canada Race, Territory, and the Roots of Difference

ISBN-10: 1589012062
ISBN-13: 9781589012066
Edition: 2008
List price: $28.95 Buy it from $3.00
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Description: After World War II, the United States and Canada, two countries that were very similar in many ways, struck out on radically divergent paths to public health insurance. Canada developed a universal single-payer system of national health care, while  More...

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Book details

List price: $28.95
Copyright year: 2008
Publisher: Georgetown University Press
Publication date: 7/2/2008
Binding: Paperback
Pages: 256
Size: 6.00" wide x 9.25" long x 0.50" tall
Weight: 0.770
Language: English

After World War II, the United States and Canada, two countries that were very similar in many ways, struck out on radically divergent paths to public health insurance. Canada developed a universal single-payer system of national health care, while the United States opted for a dual system that combines public health insurance for low-income and senior residents with private, primarily employer-provided health insurance-or no insurance-for everyone else. In National Health Insurance in the United States and Canada, Gerard W. Boychuk probes the historical development of health care in each country, honing in on the most distinctive social and political aspects of each country-the politics of race in the U.S. and territorial politics in Canada especially the tensions between the national government and the province of Quebec. In addition to the politics of race and territory, Boychuk sifts through the numerous factors shaping health policy, including national values, political culture and institutions, the power of special interests, and the impact of strategic choices made at critical junctures. Drawing on historical archives, oral histories, and public opinion data, he presents a nuanced and thoughtful analysis of the evolution of the two systems, compares them as they exist today, and reflects on how each is poised to meet the challenges of the future

Illustrations
Preface
Acknowledgments
Abbreviations and Acronyms
Introduction and Context
Explaining Health Insurance in the United States and Canada
Similar Beginnings, Different Contexts, 1910-40
Public Health Insurance in the United States
Failure of Reform in the Truman Era, 1943-52
The Medicare Package, 1957-65
Race and the Clinton Reforms
Public Health Insurance in Canada
Federal Failure, Provincial Success-Reform in Canada, 1945-49
National Public Hospital Insurance and Medical Care Insurance in Saskatchewan, 1950-62
Medical Care Insurance in Canada, 1962-84
The Iconic Status of Health Care in Canada, 1984-2008
Conclusions
Contemporary Public Health Insurance in the United States and Canada
Conclusions and Implications
Notes
References
Index

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