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One Nation, Uninsured: Why the U.S. Has No National Health Insurance
 
 
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One Nation, Uninsured: Why the U.S. Has No National Health Insurance [Paperback]

Jill Quadagno (Author)
4.5 out of 5 stars  See all reviews (11 customer reviews)

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Book Description

0195312031 978-0195312034 October 9, 2006 1
Every industrial nation in the world guarantees its citizens access to essential health care services--every country, that is, except the United States. In fact, one in eight Americans--a shocking 43 million people--do not have any health care insurance at all.
One Nation, Uninsured offers a vividly written history of America's failed efforts to address the health care needs of its citizens. Covering the entire twentieth century, Jill Quadagno shows how each attempt to enact national health insurance was met with fierce attacks by powerful stakeholders, who mobilized their considerable resources to keep the financing of health care out of the government's hands. Quadagno describes how at first physicians led the anti-reform coalition, fearful that government entry would mean government control of the lucrative private health care market. Doctors lobbied legislators, influenced elections by giving large campaign contributions to sympathetic candidates, and organized "grassroots" protests, conspiring with other like-minded groups to defeat reform efforts. As the success of Medicare and Medicaid in the mid-century led physicians and the AMA to start scaling back their attacks, the insurance industry began assuming a leading role against reform that continues to this day.
One Nation, Uninsured offers a sweeping history of the battles over health care. It is an invaluable read for anyone who has a stake in the future of America's health care system.

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Customers buy this book with The Social Transformation of American Medicine: The rise of a sovereign profession and the making of a vast industry $16.88

One Nation, Uninsured: Why the U.S. Has No National Health Insurance + The Social Transformation of American Medicine: The rise of a sovereign profession and the making of a vast industry


Editorial Reviews

From Publishers Weekly

According to Quadagno, the short answer to her subtitle is a fairly easy one: America lacks national health insurance because powerful interests have always managed to prevent Congress from passing the necessary legislation. As this slim history shows, however, those interest groups weren't always the obvious suspects. Although Quadagno, a sociologist and former presidential advisor, does write plenty about how organized physicians and insurance companies have lobbied to protect their interests over the last century, showing how the Clintons' disastrous attempt at health care reform is just the tip of the iceberg, she also offers insights into why labor unions rejected government-led solutions to the health care problem to focus on their own collective bargaining efforts. Other chapters detail conservative framing of national health care as "an insidious communist plot" and the fight southern doctors raised against the racial integration of medical facilities during the civil rights era. Quadagno unapologetically advocates for the sort of program that the United States has so far failed to adopt, but admits that it will never happen until health care is considered a "social right, not a consumer product." Her analysis of the repeated defeats is unlikely to find much traction with anyone besides the hardcore policy wonks, however, as her blow-by-blow accounts of the political battles fail to generate much heat.
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved. --This text refers to an out of print or unavailable edition of this title.

From Booklist

College professor Quadagno, who specializes in social gerontology, wades into the quagmire that is health-care reform in the U.S and explains why such reform has failed, despite apparent popular support. She addresses, and discredits, the conventional theories explaining this failure: distrust of big government (what about Medicare?), a weakening labor movement (labor has often opposed reform), the fear in the South of federal intervention obstructing local racial practices (hard to measure the effect of that fear on health policy), and little coordination between federal and state governments (again, the success of Medicare). She argues that reform has failed because of the ability of vested interests--insurance companies, the small-business lobby, the AMA, among others--to mobilize vast resources to make their case before consumers, and especially legislators, the result being that one in three Americans is uninsured over any given two-year period. Quadagno offers solutions, including a federal "stop-loss" program that would assist businesses and individuals facing catastrophic health-care losses not covered by insurance. A solid and not-too-wonkish guide to health-care reform today; pair with Uninisured in America, reviewed below. Alan Moores
Copyright © American Library Association. All rights reserved --This text refers to an out of print or unavailable edition of this title.

Product Details

  • Paperback: 288 pages
  • Publisher: Oxford University Press, USA; 1 edition (October 9, 2006)
  • Language: English
  • ISBN-10: 0195312031
  • ISBN-13: 978-0195312034
  • Product Dimensions: 9.1 x 6 x 0.8 inches
  • Shipping Weight: 9.6 ounces (View shipping rates and policies)
  • Average Customer Review: 4.5 out of 5 stars  See all reviews (11 customer reviews)
  • Amazon Best Sellers Rank: #73,547 in Books (See Top 100 in Books)

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Customer Reviews

11 Reviews
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Average Customer Review
4.5 out of 5 stars (11 customer reviews)
 
 
 
 
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27 of 31 people found the following review helpful:
5.0 out of 5 stars Why does the US lack universal health care coverage?, May 31, 2005
In One Nation, Uninsured sociologist Jill Quadagno explains how powerful stakeholders have blocked every proposal for universal health care coverage from the Progressive Era through the Clinton debacle. A beautifully written and compelling account of 100 years of health policy history told with a novelist's flair and an historian's eye for detail.
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7 of 8 people found the following review helpful:
4.0 out of 5 stars Special Interests Prevail, May 12, 2007
Very enlightening historical perspective on national health insurance. It seems special interests dominant in our democratic society. Quite surprising that both republican & democratic presidents tried to pass national health insurance. Special interests contribute to both parties and when the going gets close focus on those candidates who are vulnerable in order to entice their vote.

In our current lack of bi-partisian political climate, it seems very doubtful that national health insurance has a chance of being passed.
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5 of 6 people found the following review helpful:
5.0 out of 5 stars Surprisingly interesting and readable primer on such a complex issue, October 8, 2007
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This review is from: One Nation, Uninsured: Why the U.S. Has No National Health Insurance (Paperback)
One Nation Uninsured is brought to life in a fresh way by various first-hand recollections that are peppered throughout detailed, academic sketches of the major historical episodes that failed to produce national health insurance. Instead of reading like another dry textbook, this book provides an informative, intimate, and plausible narrative of why many of the major players did what they did in light of their different circumstances, motivations, and temperaments. Particular attention is also paid to other important non-health care events, such as the Red Scare, Brown v. Board of Education, Watergate, and Iran-Contra, as they indirectly affected the political will to mobilize for and against national health insurance, making this account all the more believable and nicely nuanced.

My only complaint is that since the book was published in 2005, 2006 Part D legislation which expanded Medicare coverage, could not be discussed, but hopefully an updated edition will be written in a few years. Overall, a surprisingly interesting and readable primer on such a complex issue.
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Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
home care bill, antistatist values, sory health insurance, private health benefits, hospital cost containment, private health insurance system, private health insurance industry, retiree health benefits, private welfare state, managed care firms, tional health insurance, commercial insurers, private insurance industry, corporate purchasers, health insurance bill, medical lobby, retiree benefits, fiscal intermediaries, prospective payment system
Key Phrases - Capitalized Phrases (CAPs): (learn more)
Blue Cross, Public Health Service, United States, New York, Blue Shield, Health Insurance Association of America, White House, New Deal, National Council of Senior Citizens, Chamber of Commerce, Medicare Catastrophic Coverage Act, World War, Claude Pepper, President Reagan, House of Delegates, National Federation of Independent Business, New Jersey, Robert Ball, Senate Finance Committee, State Department, Supreme Court, African Americans, Jackson Hole, National Committee, Oscar Ewing
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