Jump to ContentJump to Main Navigation
Social Movements and the Transformation of American Health Care$
Users without a subscription are not able to see the full content.

Jane Banaszak-Holl, Sandra Levitsky, and Mayer Zald

Print publication date: 2010

Print ISBN-13: 9780195388299

Published to Oxford Scholarship Online: September 2010

DOI: 10.1093/acprof:oso/9780195388299.001.0001

Show Summary Details
Page of

PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2020. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 04 December 2020

Mobilizing for Reform *

Mobilizing for Reform *

Cohesion in State Health Care Coalitions

(p.64) 5 Mobilizing for Reform*
Social Movements and the Transformation of American Health Care

Holly Jarman

Scott L. Greer

Oxford University Press

Jarman and Greer consider how the fragmentation of the U.S. political system acts as a key obstacle to state‐wide universal health insurance coverage. The “paradox of purity” poses a difficult dilemma for reformers: groups with influence among policymakers have a better of chance of seeing their reforms enacted, but to be successful, they must adopt narrower policy goals or accept smaller reforms. Less influential groups are free to “think big,” but have a greatly reduced chance of seeing their goals implemented. Jarman and Greer consider how a social movement for health reform might resolve this paradox. Their chapter analyzes the campaigns for universal health coverage in Pennsylvania and Wisconsin, contrasting the fragmentation of Pennsylvania activists with the coalition‐building techniques developed in Wisconsin to assess how proponents of big ideas can successfully build a support base broad enough to overcome a fragmented U.S. political system.

Keywords:   social movements, collective action, health care, policy reform, mobilization, interest groups, health insurance, coalitions

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 .