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1、THERISEANDRESOUNDINGDEMISEOFTHECLINTONPLANbyThedaSkocpolPrologue:Thegreathealthreformdebateof1994endedwithawhimper,ontheheelsofanelectionthatturnedoutthepow-erfulDemocraticmajorityintheHouseandSenateandsentsomeofitsmostinfluentialmemberspacking.Whatrol
2、edidhealthcurereformplayinthisturningofpoliticalfortunes?Wasittheunwittingvictim?Orwasit,infact,thecatalyst?InthispaperThedaSkocpolarguesthatthepoliticalreversaloftheNo-vember1994electionsmightturnouttobeoneofthebiggestturningpointsintwentieth-centuryA
3、mericanhistoryandthat,farfrombeingamerecasualty,theClintonplanandCon-gress’sfailuretoadoptit(oranythingelse)contributedmateri-allytotherevoltoftheelectorate.Thisisironic,Skocpolnotes,becausetheClintonplanwasitselfdesignedasamiddle-of-the-roadcompromise
4、betweenthemarket-basedandtheregulation-busedreformsthathadbeendiscusseduptothatpoint.Thede-miseoftheClintonplanisnotable,shewrites,notjustasanat-temptedpolicychangethat“fizzledout,leavingthesameterrainclearforarevisedattempttosolvethesameproblemsfromas
5、imilarstartingpoint.”Indeed,thewordsandactionsofthe104thCongressearlyinitsfirstsessionsuggestthatthisstartingpointhasbeeneradicatedfromtheAmericanpoliticalland-scape.SkocpolteachesinthedepartmentsofgovernmentandsociologyatHarvardUniversityandhaspublish
6、edwidelyonthepoliticsofU.S.socialpolicymaking,pastandpresent.ShereceivedadoctorateinsociologyfromHarvard.Hermostre-centbook,SocialPolicyintheUnitedStates:FuturePossibili-tiesinHistoricalPerspective,waspublishedbyPrincetonUni-versityPressearlierthisyear
7、.Shecurrentlyisstudyingepisodesofattemptedhealthcurereformacrossthetwentiethcentury.DEMISEOFCLINTONPLAN67henightof22September1993PresidentBillClintongaveastirringspeechtoCongressandthenation,callingfor“AmericatofixaThealthcaresystemthatisbadlybroken..,
8、givingeveryAmericanhealthsecurity-healthcarethat’salwaysthere,healthcarethatcannever1betakenaway.”Millionslistenedtothepresident,andpollstakenrightafterthespeechandoverthenextfewweeksregisteredstrongsupport.“TheClintonPlanIsAliveOnArriv
