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Oxford University Press, USA
When Bad Policy Makes Good Politics: Running the Numbers on Health Reform
When Bad Policy Makes Good Politics: Running the Numbers on Health Reform
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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.
Author: Robert P. Saldin
Publisher: Oxford University Press, USA
Published: 02/24/2017
Pages: 184
Binding Type: Paperback
Weight: 0.60lbs
Size: 9.20h x 6.00w x 0.50d
ISBN: 9780190255442
Review Citation(s):
Choice 07/01/2017
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.
Author: Robert P. Saldin
Publisher: Oxford University Press, USA
Published: 02/24/2017
Pages: 184
Binding Type: Paperback
Weight: 0.60lbs
Size: 9.20h x 6.00w x 0.50d
ISBN: 9780190255442
Review Citation(s):
Choice 07/01/2017
About the Author
Robert Saldin is Associate Professor of Political Science, a Mansfield Center Fellow, and the Director of the Project on American Democracy and Citizenship at the University of Montana. He is also the author of War, the American State, and Politics since 1898.
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