ABSTRACT

As public anxieties over medical care rise, majorities of voters continue to oppose cuts in government spending on medical care, particularly for the poor, the elderly, and children. Yet candid discussion of how to control costs, assure quality and widen access remains stalemated, mired in partisan politics and ideological quicksand. We have not yet had the civic conversation that should have taken place during Clinton’s 1993–94 health reform effort about how to revitalize and reshape health care (Skocpol 1996:183–87).