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From Social Security to Health Security? Opinion and Rhetoric in U.S. Social Policy Making

Published online by Cambridge University Press:  02 September 2013

Theda Skocpol
Theda Skocpol*
Affiliation:
Harvard University
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Extract

How does public opinion in American democracy relate to policy making, particularly in Washington, D.C.? This question has a special pertinence right now, and not just for political scientists. As I write, it is a little over a month after President Bill Clinton delivered a major televised address on the health care crisis, and only a few days after he and Hillary Rodham Clinton went up to Capitol Hill to introduce a 1,342 page “Health Security bill” into Congress. Clearly, Clinton is staking his presidency—not to mention the immediate prospects of the Democratic Party—on an attempt to respond to a certain reading of public opinion. By wading into a policy arena already staked out by many resourceful vested interests, Clinton is undertaking to mobilize and influence broad public support for what is arguably the most ambitious federal social policy initiative since the Social Security Act of 1935.

Consideration of various aspects of the relationship of public opinion to the current round of health insurance policy making in Washington, D.C., can, in my view, underline the value of a historically grounded and institutionally mediated analysis of the roots and effects of public opinion. The approach I shall illustrate builds upon Lawrence Jacobs's (1993) recent book, The Health of Nations: Public Opinion and the Making of American and British Health Policy. One major undertaking of that work is to make sense of the role of U.S. public opinion in the enactment of Medicare in 1965.

Type
Research Article
Information
PS: Political Science & Politics , Volume 27 , Issue 1 , March 1994 , pp. 21 - 25
Copyright
Copyright © The American Political Science Association 1994

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References

Blendon, Robert J., Hyams, Tracy Stelzer, and Benson, John M. 1993. “Bridging the Gap Between Expert and Public Views on Health Care Reform.” Journal of the American Medical Association 269(19):2573–78.CrossRefGoogle ScholarPubMed
Blumenthal, Sidney. 1991. “Populism in Tweeds: The Professor and the Middle Class.” The New Republic (November 25):10–15.Google Scholar
Cates, Jerry. 1983. Insuring Inequality: Administrative Leadership in Social Security, 1935–54. Ann Arbor, MI: University of Michigan Press.CrossRefGoogle Scholar
Cook, Fay Lonax, and Barrett, Edith J. 1992. Support for the American Welfare State: The Views of Congress and the Public. New York: Columbia University Press.Google Scholar
Derthick, Martha. 1979. Policymaking for Social Security. Washington: The Brookings Institution.Google Scholar
Eckhom, Erik, ed. 1993. Solving America's Health-Care Crisis. New York: Times Books.Google Scholar
Hirshfield, Daniel S. 1970. The Lost Reform. Cambridge, MA: Harvard University Press.CrossRefGoogle Scholar
Jacobs, Lawrence R. 1993. The Health of Nations: Public Opinion and the Making of American and British Health Policy. Ithaca, NY: Cornell University Press.CrossRefGoogle Scholar
Kingdon, John W. 1984. Agendas, Alternatives, and Public Policies. Boston, MA: Little, Brown and Company.Google Scholar
Numbers, Ronald L. 1978. Almost Persuaded: American Physicians and Compulsory Health Insurance, 1912–1920. Baltimore, MD: The Johns Hopkins University Press.Google ScholarPubMed
Poen, Monty M. 1979. Harry S Truman Versus the Medical Lobby. Columbia, MO: University of Missouri Press.Google Scholar
Russakoff, Dale. 1991. “How Wofford Rode Health Care to Washington.” The Washington Post National Weekly Edition (November 25-December 1):14–15.Google Scholar
Skocpol, Theda. 1993. “Is The Time Finally Ripe? Health Insurance Reforms in the 1990s.” Journal of Health Politics, Policy and Law 18(3)(Fall):531–50.CrossRefGoogle ScholarPubMed
Skocpol, Theda, and Ikenberry, John. 1983. “The Political Formation of the American Welfare State in Historica) and Comparative Perspective.” Comparative Social Research 6:87–148.Google Scholar
Skowronek, Stephen. 1993. The Politics Presidents Make: Leadership from John Adams to George Bush. Cambridge, MA: The Belknap Press of Harvard University Press.Google Scholar
Starr, Paul. 1982. The Social Transformation of American Medicine. New York: Basic Books.Google Scholar
Starr, Paul. 1991. “The Middle Class and National Health Reform.” The American Prospect no. 6 (Summer):7–12.Google Scholar
Starr, Paul. 1993. “Healthy Compromise: Universal Coverage and Managed Competition Under a Cap.” The American Prospect, No. 12 (Winter):44–52.Google Scholar
Tulis, Jeffrey K. 1987. The Rhetorical Presidency. Princeton, NJ: Princeton University Press.Google Scholar
Witte, Edwin E. 1963. The Development of the Social Security Act. Madison, WI: University of Wisconsin Press.Google Scholar
Zollars, Cheryl, and Skocpol, Theda. N.d. “Cultural Mythmaking as a Policy Tool: The Social Security Board and the Construction of a Social Citizenship of Self Interest.” Research on Democracy and Society, Vol. 2, edited by Weil, Frederick D.. Greenwich, CT: JAI Press. Forthcoming.Google Scholar