Jump to ContentJump to Main Navigation
When Bad Policy Makes Good PoliticsRunning the Numbers on Health Reform$
Users without a subscription are not able to see the full content.

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

Show Summary Details
Page of

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

(p.44) 3 A Legacy of Failure
When Bad Policy Makes Good Politics

Robert P. Saldin

Oxford University Press

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

Oxford Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs , and if you can't find the answer there, please contact us .