Cover

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Contents

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pp. vii-viii

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Preface

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pp. ix-xii

In March 2010 President Barack Obama signed the most comprehensive health care reform in the United States since the enactment of Medicare and Medicaid forty-five years earlier. In order to increase coverage to the uninsured and control rising health care costs, among other things, this reform brings comprehensive change to some aspects of America’s complex public–private health insurance system ...

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Introduction

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pp. 1-23

Since the New Deal, social policy reform has remained a key and controversial aspect of federal politics. The sheer scope of the major federal programs created since the 1930s makes it inevitable that policymakers will revisit these programs because they are so central to American social and economic life. In ...

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Chapter One: Welfare Reform, 1996

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pp. 24-73

In August 1996 President Bill Clinton signed into law the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA). This legislation ended the Aid to Families with Dependent Children (AFDC) welfare entitlement program for poor, single-parent families and replaced it with a new conditional benefit named Temporary Assistance to Needy Families (TANF). As suggested by ...

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Chapter Two: Medicare Reform, 2003

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pp. 74-124

After Social Security, Medicare is the second-most expensive public social policy program in the United States. In 2006 Social Security paid out $548.5 billion in benefits, amounting to 20.65 percent of federal expenditures, whereas Medicare spending was $329.9 billion, accounting for 12.4 percent of federal expenditures (US Census Bureau 2009a). Like Social Security, Medicare ...

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Chapter Three: The Failed Attempt at Social Security Privatization, 2005

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pp. 125-166

Social Security is the largest and one of the most popular social programs in the United States. Expanded during the postwar era, the program faced significant short-term fiscal challenges from the mid-1970s to the enactment of the 1983 amendments to the Social Security Act. Although the 1983 reform helped improve the program’s fiscal situation, demographic challenges lie ahead as the ...

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Conclusion

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pp. 167-178

This book has explored the politics of policy change in the federal welfare state through the analysis of three major policy episodes and, where relevant, subsequent developments: the 1996 welfare reform, the 2003 Medicare reform, and the 2005 push for Social Security privatization. The analysis presented of these three cases illustrates the main argument of this book, which is that paying ...

References

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pp. 179-212

Index

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pp. 213-223