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Turning Healthcare Policy into Legislation
J.W. Kingdon describes the agenda setting stage of policy
formulation as a function of the confluence of three “streams” of
activities: problems, possible solutions to the problems, and political
circumstances (see Longest page 163). According to this metaphor, all three
streams must be present for the policymaking process to move to the legislation
development phase.

Based on information about President Clinton’s Health Reform
Proposal of 1993 (also known as “Hillary-Care), which did not pass the
Congressional/Senate voting approval, and information regarding the Affordable
Care Act (also known as “Obama-Care), which did pass and was upheld by the
U.S. Supreme Court in the Summer of 2012, explain the similarities and
differences between the 2 acts. Also explain why Clinton’s reform proposal was
not enacted into law.

Reference:

Longest, Beaufort B. Health Policymaking in the United
States. 4th ed. Chicago: AUPHA Press, 2006.

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