超越渐进主义？儿童健康保险计划（SCHIP）与医疗改革政治

Beyond Incrementalism? SCHIP and the politics of health reform.

作者信息

Oberlander Jonathan B, Lyons Barbara

机构信息

University of North Carolina at Chapel Hill, USA.

出版信息

Health Aff (Millwood). 2009 May-Jun;28(3):w399-410. doi: 10.1377/hlthaff.28.3.w399. Epub 2009 Mar 17.

DOI:10.1377/hlthaff.28.3.w399

PMID:19293178

Abstract

When Congress enacted the State Children's Health Insurance Program (SCHIP) in 1997, it was heralded as a model of bipartisan, incremental health policy. However, despite the program's achievements in the ensuing decade, SCHIP's reauthorization triggered political conflict, and efforts to expand the program stalemated in 2007. The 2008 elections broke that stalemate, and in 2009 the new Congress passed, and President Barack Obama signed, legislation reauthorizing SCHIP. Now that attention is turning to comprehensive health reform, what lessons can reformers learn from SCHIP's political adventures?

摘要

1997年美国国会颁布《州儿童健康保险计划》（SCHIP）时，它被誉为两党渐进式健康政策的典范。然而，尽管该计划在随后十年取得了成就，但SCHIP的重新授权引发了政治冲突，扩大该计划的努力在2007年陷入僵局。2008年的选举打破了这一僵局，2009年新国会通过了重新授权SCHIP的立法，巴拉克·奥巴马总统签署了该法案。如今，注意力正转向全面的医疗改革，改革者能从SCHIP的政治历程中学到什么教训呢？