Robert P. Saldin

When Bad Policy Makes Good Politics (eBook, ePUB)

Running the Numbers on Health Reform

• Format: ePub

Produktbeschreibung

Since the 1960s, America's policymaking system has transitioned from one in which leaders like Lyndon Johnson could simply disparage the concept of budget projections to one in which policymakers consciously manipulate cost estimates. Paradoxically, the very safeguards put in place to thwart economically unsound legislation now cause chaos by incentivizing the development of flawed, even blatantly unworkable, policies. As Robert Saldin shows in When Bad Policy Makes Good Politics, 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 was supposed 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 na?ve proposal was actually a carefully framed policy designed to fit the rules of the game, 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 to the Affordable Care Act. But when the Obama administration later announced that CLASS was impossible to implement, America's long-term care system was left in crisis. This skillful examination of CLASS and the machinations of Congress provides insight into how the contemporary policymaking process really functions.

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Produktdetails

• Verlag: Oxford University Press
• Seitenzahl: 208
• Erscheinungstermin: 27. Januar 2017
• Englisch
• ISBN-13: 9780190647308
• Artikelnr.: 47838773

Autorenporträt

Robert Saldin is Associate Professor of Political Science, a Mansfield Center Fellow, and the Director of the Project on American Democracy and Citizenship at the University of Montana. He is also the author of War, the American State, and Politics since 1898.

Inhaltsangabe

* Chapter 1: Introduction
* Chapter 2: Washington's Old and New Systems of Policymaking
* Chapter 3: A Legacy of Failure: Long-Term Care's Policy History and
the Genesis of the
* CLASS Act
* Chapter 4: Learning from Failure: Only Bad Policy Stands a Chance
* Chapter 5: CLASS on Capitol Hill, Part I: Dodging Committee
Jurisdiction and the Number
* Crunchers
* Chapter 6: CLASS on Capitol Hill, Part II: A Bipartisan Backlash and
the Missing "Fixes"
* Chapter 7: Two Can Play at that Game
* Chapter 8: Conclusion
* Appendix