Fédéralisme et politique sociale: L'évolution de la législation sur l'assurance maladie des enfants (S-CHIP), 1997-2007.

Since 1965 and the passage of Medicaid, federalism has been at the heart of U.S. health care policy making. After the 1994 failure of the Clinton plan to enact national health insurance reform, Congress in 1997 passed the State Children's Health Insurance Program, which has been hailed as &...

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Main Author: Eveline Thevenard
Format: Article
Language:English
Published: Centre de Recherches sur les Mondes Américains 2008-06-01
Series:Nuevo mundo - Mundos Nuevos
Subjects:
Online Access:http://journals.openedition.org/nuevomundo/35462
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spelling doaj-a2589ba349e1481f962dd8c1c271626b2021-10-05T12:57:51ZengCentre de Recherches sur les Mondes AméricainsNuevo mundo - Mundos Nuevos1626-02522008-06-0110.4000/nuevomundo.35462Fédéralisme et politique sociale: L'évolution de la législation sur l'assurance maladie des enfants (S-CHIP), 1997-2007.Eveline ThevenardSince 1965 and the passage of Medicaid, federalism has been at the heart of U.S. health care policy making. After the 1994 failure of the Clinton plan to enact national health insurance reform, Congress in 1997 passed the State Children's Health Insurance Program, which has been hailed as "one of the hallmarks of devolution" and the most significant initiative in national health policy in over three decades. Ten years after its implementation and after two vetoes by George W. Bush of attempts to expand the program, this paper presents an overview of the program and intergovernmental relations, with a special focus on New York and Texas. It seeks to show that although S-CHIP is popular and has increased coverage for low-income children, the nationwide disparities which are characteristic of American federalism and social programs remain. These disparities cast doubt on the ability of the federal-state partnership in its current form to achieve incremental health care reform. Beyond the issue of children's insurance, the controversy over the program's reauthorization in 2007 has showcased the ideological battles over the role of the federal government in the provision of health care that are bound to be a major issue for the next presidency.http://journals.openedition.org/nuevomundo/35462childrenfederalismreformhealth insuranceS-CHIP
collection DOAJ
language English
format Article
sources DOAJ
author Eveline Thevenard
spellingShingle Eveline Thevenard
Fédéralisme et politique sociale: L'évolution de la législation sur l'assurance maladie des enfants (S-CHIP), 1997-2007.
Nuevo mundo - Mundos Nuevos
children
federalism
reform
health insurance
S-CHIP
author_facet Eveline Thevenard
author_sort Eveline Thevenard
title Fédéralisme et politique sociale: L'évolution de la législation sur l'assurance maladie des enfants (S-CHIP), 1997-2007.
title_short Fédéralisme et politique sociale: L'évolution de la législation sur l'assurance maladie des enfants (S-CHIP), 1997-2007.
title_full Fédéralisme et politique sociale: L'évolution de la législation sur l'assurance maladie des enfants (S-CHIP), 1997-2007.
title_fullStr Fédéralisme et politique sociale: L'évolution de la législation sur l'assurance maladie des enfants (S-CHIP), 1997-2007.
title_full_unstemmed Fédéralisme et politique sociale: L'évolution de la législation sur l'assurance maladie des enfants (S-CHIP), 1997-2007.
title_sort fédéralisme et politique sociale: l'évolution de la législation sur l'assurance maladie des enfants (s-chip), 1997-2007.
publisher Centre de Recherches sur les Mondes Américains
series Nuevo mundo - Mundos Nuevos
issn 1626-0252
publishDate 2008-06-01
description Since 1965 and the passage of Medicaid, federalism has been at the heart of U.S. health care policy making. After the 1994 failure of the Clinton plan to enact national health insurance reform, Congress in 1997 passed the State Children's Health Insurance Program, which has been hailed as "one of the hallmarks of devolution" and the most significant initiative in national health policy in over three decades. Ten years after its implementation and after two vetoes by George W. Bush of attempts to expand the program, this paper presents an overview of the program and intergovernmental relations, with a special focus on New York and Texas. It seeks to show that although S-CHIP is popular and has increased coverage for low-income children, the nationwide disparities which are characteristic of American federalism and social programs remain. These disparities cast doubt on the ability of the federal-state partnership in its current form to achieve incremental health care reform. Beyond the issue of children's insurance, the controversy over the program's reauthorization in 2007 has showcased the ideological battles over the role of the federal government in the provision of health care that are bound to be a major issue for the next presidency.
topic children
federalism
reform
health insurance
S-CHIP
url http://journals.openedition.org/nuevomundo/35462
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