When Bad Policy Makes Good Politics: Running the Numbers on Health Reform by Robert P. SaldinWhen Bad Policy Makes Good Politics: Running the Numbers on Health Reform by Robert P. Saldin

When Bad Policy Makes Good Politics: Running the Numbers on Health Reform

byRobert P. Saldin

Paperback | March 10, 2017

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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 thwarteconomically 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 SupportsAct 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 naive proposalwas 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 Congressprovides insight into how the contemporary policymaking process really functions.
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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Title:When Bad Policy Makes Good Politics: Running the Numbers on Health ReformFormat:PaperbackDimensions:184 pages, 9.09 × 6.1 × 0.71 inPublished:March 10, 2017Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0190255447

ISBN - 13:9780190255442

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Editorial Reviews

"Every student of health policy or disability should read When Bad Policy Makes Good Politics, the best account of the CLASS Act's implosion, a tragic, oddly overlooked, episode in the history of health reform." --Harold Pollack, University of Chicago