Project Categories

The Impact of the Patient Protection and Affordable Care Act on Americans' Support for Health Care Reform and Policy Sustainability

Award Year: 2011 Investigator: Suzanne Mettler
The sustainability of the Patient Protection and Affordable Care Act of 2010 (ACA) will depend not only on its economic, legal, and administrative feasibility or the stance of political elites but also on how the new law itself, as implementation unfolds, gradually influences citizens' attitudes about health care reform and affects their support for future changes.

Medicaid: Political Durability, Democratic Process and Health Care Reform

Award Year: 2007 Investigator: Frank Thompson
In the face of mounting pressures to contain health care costs and strongly held partisan views about entitlement programs, what does the future hold for Medicaid? Will Medicaid, which costs more than $300 billion annually and provides coverage to some 55 million low-income Americans, be subjected to deep budget cuts? Or can it resist erosion and perhaps even expand to cover more of the nation's 47 million uninsured? Frank J. Thompson, Ph.D.

Transformation of Government Health Care: Experience of the New Veterans Health Administration

Award Year: 2007 Investigator: Shoou-Yih Daniel Lee, Bryan Weiner
Many Americans strongly oppose the idea of "government-run" health care, preferring market-driven strategies for solving the problems of the U.S. health care system. Yet, over the last decade, the federally financed Veterans Health Administration (VHA) has become one of the great success stories of health care improvement in America. How did the VHA, a massive, government-operated health system, rescue itself from congressional threats of overhaul and privatization?

Reconfiguring the US Health Care System: Function, Form, and Feasibility

Award Year: 2004 Investigator: Harold Luft
In Reconfiguring the U.S. Health Care System: Function, Form, and Feasibility, Harold S. Luft, Ph.D. searches for workable approaches to reorganizing American health care. Recognizing the daunting nature of this task, Dr. Luft starts with what works well, considers how key functions can be reorganized and financed, and examines how to engage and influence multiple stakeholders and use new technologies to promote change.

Against All Odds: Health Care Reform in the States

Award Year: 2002 Investigator: Virginia Gray, David Lowery
Over the past several years, the federal government and many states have considered ways to address insurance coverage gaps, prescription drug coverage, and problems with managed care. While most federal reform attempts to date have been thwarted, many more reforms have passed in the states. Virginia Gray, Ph.D. and David Lowery, Ph.D. focus on interest groups in their project, Against All Odds: Health Care Reform in the States. Drs.

Health Care Reforms in the United States: Institutions, Alliances, and Policy Feedbacks

Award Year: 1993 Investigator: Theda Skocpol
This project examines major episodes of actual and attempted U.S. health care reforms, dating from the 1930s to the 1990s. It analyzes changes and continuities in institutional contexts, political alliances, and policy feedbacks, i.e., the effects of earlier policies on later policymaking.