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When Bad Policy Makes Good PoliticsRunning the Numbers on Health Reform$
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Robert P. Saldin

Print publication date: 2017

Print ISBN-13: 9780190255435

Published to Oxford Scholarship Online: March 2017

DOI: 10.1093/acprof:oso/9780190255435.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 21 September 2021

A Legacy of Failure

A Legacy of Failure

Long-Term Care’s Policy History and the Genesis of the CLASS Act

Chapter:
(p.44) 3 A Legacy of Failure
Source:
When Bad Policy Makes Good Politics
Author(s):

Robert P. Saldin

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780190255435.003.0003

CLASS was not the first attempt to address America’s long-term care problem. When Medicare was enacted in 1965, it was anticipated that a long-term care benefit would be added in short order. In the 1980s and 1990s, long-term care had three big moments in the policy spotlight. All three—the Medicare Catastrophic Coverage Act, the Pepper Commission, and the Clinton health reform effort—ended in embarrassing and high-profile failure. For most of the Washington political establishment, these disasters suggested that sweeping plans for a national long-term care program were politically untenable. Yet for one small band of advocates and lawmakers, the failures carried a different set of political lessons that informed the CLASS Act.

Keywords:   Medicare, Medicare Catastrophic Coverage Act, Ronald Reagan, Pepper Commission, Clinton health reform

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