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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: 24 September 2021

Conclusion

Conclusion

Chapter:
(p.116) 8 Conclusion
Source:
When Bad Policy Makes Good Politics
Author(s):

Robert P. Saldin

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780190255435.003.0008

Important features of the American political system that were designed to prevent flawed policy actually incentivize and encourage the development of it. The most important reason CLASS was structured in an unworkable manner and was then allowed to move forward to become law was because it was designed around the new rules of the policymaking process established under the 1974 good government reforms. One important outgrowth of these reforms, then, has been to unintentionally institutionalize a system in which policymakers are incentivized to design economically unsound programs. The CLASS case also underscores a broader and troubling feature of the contemporary American welfare state. Having evolved over many decades, it now overcompensates in some areas and, partially as a result, overlooks issues—like long-term care—that pose the greatest threat to today’s middle class. This concluding chapter also considers whether a version of CLASS that included the fixes could have worked and explores other paths to long-term care reform.

Keywords:   political learning, policymaking, Congress, Congressional Budget Office, welfare state, long-term care, social insurance

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