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When bad policy makes good politics ...

Saldin, Robert P., (1977-)

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When bad policy makes good politics : = running the numberson health reform /

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	When bad policy makes good politics :/ Robert P. Saldin.
其他題名:	running the numberson health reform /
作者:	Saldin, Robert P.,
出版者:	New York, NY, United States of America :Oxford University Press, : c2017.,
面頁冊數:	x, 168 p. :ill. ;24 cm.
標題:	Health care reform - United States. -
ISBN:	9780190255442

When bad policy makes good politics : = running the numberson health reform /
Saldin, Robert P.,1977-

When bad policy makes good politics :running the numberson health reform /Robert P. Saldin. - New York, NY, United States of America :Oxford University Press,c2017. - x, 168 p. :ill. ;24 cm. - Studies in postwar American political development . - Oxford studies in postwar American political development..

Includes bibliographical references (p. [143]-162) and index.

Introduction --

"Since the 1960s, America's policymaking system has transitioned from one in which leaders like Lyndon Johnsoncould simply disparage the concept of budget projections to one in which policymakers consciously manipulate cost estimates. Paradoxically, the very safeguards put in placeto thwart economically unsound legislation now cause chaosby incentivizing the development of flawed, even blatantlyunworkable, policies. [The] pathologies of the new system are illustrated by the Community Living Assistance Services and Supports Act and its role in aiding passage of President Obama's landmark health reform law. CLASS wassupposed to bring much needed relief of America's dysfunctional long-term care system, but critics argued that its flawed design rendered the program unviable. However, what appeared to be a naive proposal was actuallya carefully framed policy designed to fit the rules of thegame, particularly the Congressional Budget Office's cost-projection process. Although CLASS was destined for a 'death spiral' requiring massive government bailouts, the CBO estimated it would save tens of billions of dollars. These official 'savings' made CLASS an appealing add-on tothe Affordable Care Act. But when the Obama administrationlater announced that CLASS was impossible to implement, America's long-term care system was left in crisis. This...examination of CLASS and the machinations of Congress provides insight into how the contemporary policymaking process really functions."--

ISBN: 9780190255442US32.00

Oxford Univ Pr, 2001 Evans rd, Cary, NC, USA, 27513SAN202-5892 Subjects--Topical Terms:

678251
Health care reform
--United States.

LC Class. No.: HG9396 / .S254 2017

When bad policy makes good politics : = running the numberson health reform /
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100 1 $a Saldin, Robert P., $d 1977- $3 3215009
245 1 0 $a When bad policy makes good politics : $b running the numberson health reform / $c Robert P. Saldin.
260 # $a New York, NY, United States of America : $b Oxford University Press, $c c2017.
300 $a x, 168 p. : $b ill. ; $c 24 cm.
490 1 $a Studies in postwar American political development
504 $a Includes bibliographical references (p. [143]-162) and index.
505 0 # $t Introduction -- $t Washington's old and new systems of policymaking -- $t A legacy of failure : long-term care's policy history and the genesis of the CLASS Act -- $t Learning from failure : only bad policy stands a chance -- $t CLASS on Capitol Hill, part 1 : dodging committee jurisdiction and the number crunchers -- $t CLASS on CapitolHill, part 2 : a bipartisan backlash and the missing "fixes" -- $t Two can play at that game -- $t Conclusion.
520 # $a "Since the 1960s, America's policymaking system has transitioned from one in which leaders like Lyndon Johnsoncould simply disparage the concept of budget projections to one in which policymakers consciously manipulate cost estimates. Paradoxically, the very safeguards put in placeto thwart economically unsound legislation now cause chaosby incentivizing the development of flawed, even blatantlyunworkable, policies. [The] pathologies of the new system are illustrated by the Community Living Assistance Services and Supports Act and its role in aiding passage of President Obama's landmark health reform law. CLASS wassupposed to bring much needed relief of America's dysfunctional long-term care system, but critics argued that its flawed design rendered the program unviable. However, what appeared to be a naive proposal was actuallya carefully framed policy designed to fit the rules of thegame, particularly the Congressional Budget Office's cost-projection process. Although CLASS was destined for a 'death spiral' requiring massive government bailouts, the CBO estimated it would save tens of billions of dollars. These official 'savings' made CLASS an appealing add-on tothe Affordable Care Act. But when the Obama administrationlater announced that CLASS was impossible to implement, America's long-term care system was left in crisis. This...examination of CLASS and the machinations of Congress provides insight into how the contemporary policymaking process really functions."-- $c Page [4] of cover.
650 # 0 $a Health care reform $z United States. $3 678251
650 # 0 $a Long-term care insurance $x Law and legislation $z United States. $3 3215010
650 # 0 $a Medical policy $z United States. $3 652532
650 # 0 $a Older people $x Long-term care $x Law and legislation $z United States. $3 832346
650 # 0 $a Public health administration $z United States. $3 1556847
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