Health Reform Lesson of the Day: “Putting Politics First”

Underbelly

Image by ben_templesmith via Flickr

The opening paragraph of Jacob Hacker‘s recent article in Health Affairs by the same title:

It may be sacrilegious to say this in a health policy journal, but the greatest lesson of the failure of the Clinton health plan is that reformers pay too much attention to policy and too little to politics. If real estate is about location, location, location, health reform is about politics, politics, politics.

And Hacker’s lament: “Why did such smart people get the politics so wrong?”

Why indeed, why indeed and will we repeat the Clinton herstory?

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