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De Clinton à Obama : effets d’apprentissage et filtrage des alternatives : La convergence des experts sur la réforme de santé aux Etats-Unis (1993-2010)

Abstract : Usually employed as an explanatory variable, the learning process is rarely the subject of an in-depth analysis that reveals its political dimension. Based on the case of the Obama health care reform (2010), this article studies the political process, through which some particular “lessons” of a past event become dominant over other possible interpretations, and consequently limit the policy alternatives considered in the public debate. The article especially focuses on the way Democrats converged after 1993 towards the idea that a bipartisan compromise was necessary to achieve a large health care reform in the US. This idea, considered as a lesson drawn from the failure of the Clinton reform, led to a strengthening of the market and the individual responsibilisation in the design of the new reform. Looking at experts involved in the formulation of Democrat health care policies, the article shows who agreed to this idea among them and identifies the social and institutional resources that allowed them to make it the dominant frame.
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https://hal-sciencespo.archives-ouvertes.fr/hal-01425584
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Submitted on : Tuesday, January 3, 2017 - 4:16:46 PM
Last modification on : Wednesday, October 20, 2021 - 11:49:13 AM

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Ulrike Lepont. De Clinton à Obama : effets d’apprentissage et filtrage des alternatives : La convergence des experts sur la réforme de santé aux Etats-Unis (1993-2010). Gouvernement & action publique, Presses de sciences po, 2016, 5 (3), pp.9 - 31. ⟨hal-01425584⟩

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