Passing the Crossword Essay

9515 Words Mar 26th, 2014 39 Pages
Parting at the Crossroads: The Development of Health Insurance in Canada and the United States, 1940-1965 Author(s): Antonia Maioni Source: Comparative Politics, Vol. 29, No. 4 (Jul., 1997), pp. 411-431 Published by: Ph.D. Program in Political Science of the City University of New York Stable URL: http://www.jstor.org/stable/422012 . Accessed: 12/10/2013 14:05
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The extensive literature the developmentof the welfare state provides us with on at least threeclues as to the types of factorsthatcan explain divergentpathsto health reform in Canadaand the United States: the influence of social forces, the role of state actors, and the impact of state structuresand political institutions. Social explanations concentrate on the role and influence of organized groups by examiningthe power of professionalgroupsand business interestsin shaping social reform.4 Neo-Marxist explanations focus on how social policy reflects the class the struggleand demonstrate correlationbetween higher social expendituresand the of the working class mobilized into a social democraticparty.'The political strength state-centeredapproachemphasizes the role of individual state actors, influential and bureaucrats, political leadersin settingthe policy agendaand shapinglegislation and the state's administrativecapacity to implement social reform.6The recent application of neoinstitutionalismto the study of the welfare state has further enhancedour understanding the interactionbetween social forces and the state in of the developmentof social policy. This

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