Peterson on ‘Medicare for All’: Balancing Ambition and Statecraft
The November issue of the American Journal of Public Health features an article authored by Public Policy Professor Mark Peterson on the debate surrounding government-run “Medicare for All” healthcare coverage. The article, “Enacting Medicare for All: Balancing Ambition With the Needs of Statecraft,” highlights the leadership and coalition-building skills necessary to enact Medicare for All. Peterson draws on his practical experience as a legislative assistant for health policy in the office of South Dakota Democratic Sen. Tom Daschle during the 1990s as well as extensive research on the politics of health reform. Peterson is currently working on a new manuscript, “American Sisyphus: Health Care and the Challenge of Transformative Policymaking,” that explores public attitudes, interest group dynamics and leadership contexts over the past 100 years. He argues that “2009 to 2010 during the Obama presidency was the most advantageous political setting in U.S. history for comprehensive health care reform” and points to the U.S. Senate as “the biggest stumbling block” of the politics of reform in the United States. Looking to the 2020 presidential election, Peterson highlights the lack of clarity surrounding the topic of Medicare for All, which he explains “means different things to different people.” According to Peterson, the idea of Medicare for All is “motivational poetry for many” but actual implementation requires adaptation and skilled coalition-building. Peterson concludes by recommending that “candidates with the shared commitment to universal coverage avoid forming a circular firing squad, both on the campaign trail and once in office.”
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