This book analyzes the federal health policies followed by Reagan, Bush, and Clinton and by the Democratic-controlled Congress. The book shows the connection between the crisis of health care and the correlation of class forces in America. He also explains and evaluates the health care reforms put forward by the Clinton administration, describing the political process and forces behind those reforms.The book challenges the major positions held in the social and political sciences regarding the nature of power in western capitalist developed countries and its impact on public policy. In great detail and with extensive documentation, the text shows how the welfare state continues to be extremely popular, that the causes of our economic predicament cannot be attributed to the welfare state and that class, continues to have an undiminished relevance in explaining public policies in general and health policies in particular.
"The Politics of Health Policy constitutes an important
contribution to the debate of a crucial issue. However, the reach
of Professor Navarro's book goes well beyond health policy: it is
also a powerful and well-documented rebuttal of the many
obfuscations which mask the reality of politics in the United
States. It offers a sustained and effective challenge to
conventional thinking and deserves very close attention." Ralph
"This book should become a very interesting reference in the
growing literature of the welfare state. Navarro's way of analyzing
health and social policy issues, while well accepted in Europe, is
not frequently heard in the US. His is a strong voice of a
committed social reformer speaking with the force of an empirical
scientist." Professor Goran Therborn, Gothenburg
Introduction: The Politics of the US Welfare State.
1. The 1980 and 1984 US Elections and the New Deal: An
2. Class Politics and Social Movements in the US.
3. The 1988 US Elections - The Primaries: The Rediscovery of the
National Health Program by the Democratic Party, A Chronicle of the
Jesse Jackson Campaign.
4. The 1988 Presidential Election.
5. The Welfare State and Its Redistributive Effects: Part of the
Problem or Part of the Solution?.
6. Production and the Welfare State: The Political Context of
7. Why Some Countries have National Health Insurance, Others
Have National Health Services, and the US Has Neither.
8. The 1992 Presidential Election and the Clinton Adminstration
Policies: The Politics of Health Care Reform.