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Obama Health Care Reform
POLS 3125 WEEK 12 WEDNESDAY

Radio Interview
• Who is being interviewed?
•You

• What will you be asked?
• Why did the ACA make it through the many legislative hurdles to enacting health care reform, while Clinton’s health security plan did not?

What will you say?
Starting point:
◦Meta thesis:
◦ The politics around the ACA were different than the politics around Clinton’s Health Security plan, in ways that were more favorable to the passage of ACA than to Health Security.

What do we mean by “the politics”?...

Our 4 themes and other questions re. politics
1. Behavior internal to the Democratic Party during the Obama health care reform effort differed in ways favorable to reform passage as compared to internal Democratic Party behavior during the Clinton effort.

2. The ACA did not fight path dependence like the Clinton plan did.
3. The ACA did not alarm the protected public (did not disrupt pre-existing positive feedback effects) like the Clinton plan did.

4. In crafting the ACA, supporters of the plan did a better job of dealing with the political realities created by fragmented political institutions than did the supporters of the Clinton plan.

Okay, but be more specific…but also be concise!
I will do one example: In crafting the ACA, supporters of the plan did a better job of dealing with the political realities created by fragmented political institutions than did the supporters of the Clinton plan.

Strategy
1. Argue that fragmented political institutions were a key reason for the demise of the Clinton health care plan. 2. Give examples to support and clarify this argument.

3. Argue that the Obama administration’s strategy did a better job of accommodating the political realities that result from fragmented political institutions. 4. Give examples to support and clarify this argument.

Step 1
America’s fragmented political institutions—specifically the Clinton administration’s ineffective

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