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When Bad Policy Makes Good Politics: Running the Numbers on Health Reform
Contributor(s): Saldin, Robert P. (Author)

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 ISBN: 0190255447     ISBN-13: 9780190255442
Publisher: Oxford University Press, USA
OUR PRICE: $42.74  

Binding Type: Paperback - See All Available Formats & Editions
Published: February 2017
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Additional Information
BISAC Categories:
- Political Science | Public Policy - Social Policy
- Medical | Health Policy
- Political Science | American Government - National
Dewey: 344.730
Physical Information: 0.5" H x 6" W x 9.2" L (0.60 lbs) 184 pages
Themes:
- Chronological Period - 21st Century
Features: Bibliography, Index
Review Citations: Choice 07/01/2017
 
Descriptions, Reviews, Etc.
Publisher Description:
Since the 1960s, America's policymaking system has transitioned from one in which leaders like Lyndon Johnson could simply disparage the concept of budget projections to one in which policymakers consciously manipulate cost estimates. Paradoxically, the very safeguards put in place to thwart
economically unsound legislation now cause chaos by incentivizing the development of flawed, even blatantly unworkable, policies. As Robert Saldin shows in When Bad Policy Makes Good Politics, the pathologies of the new system are illustrated by the Community Living Assistance Services and Supports
Act and its role in aiding passage of President Obama's landmark health reform law. CLASS was supposed to bring much needed relief of America's dysfunctional long-term care system, but critics argued that its flawed design rendered the program unviable. However, what appeared to be a naïve proposal
was actually a carefully framed policy designed to fit the rules of the game, particularly the Congressional Budget Office's cost-projection process. Although CLASS was destined for a death spiral requiring massive government bailouts, the CBO estimated it would save tens of billions of dollars.
These official savings made CLASS an appealing add-on to the Affordable Care Act. But when the Obama administration later announced that CLASS was impossible to implement, America's long-term care system was left in crisis. This skillful examination of CLASS and the machinations of Congress
provides insight into how the contemporary policymaking process really functions.
 
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