"Round Table" - Governing out of sight. The success of Obamacare
Webinar roundtable on William Genieys' new book,Gouverner à l'abri des regards : La réussite de l'Obamacare,from ANR ProActa.
Debate between the author, William Genyes, CNRS Research Director at the Centre d'études et de politique comparée de Sciences Po Paris, Stéphane Paquin (Professor, ENAP) and Karine Prémont (Professor, Université de Sherbrooke).
William Genieys' investigation uncovers the role of these new American political elites, who are working to ensure that the federal state serves the public interest rather than the interests of lobbyists.
The Affordable Care Act of 2010 brought health coverage to twenty million American citizens. The most ambitious healthcare reform since the 1960s in the United States, Obamacare is also a political success. Even Donald Trump failed to repeal it.
This success is due to the hard work of a small group of "health policy watchdogs", long accustomed to the inner workings of Washington and well versed in the workings of the American healthcare system. On the periphery of power during the presidency of George Bush Jr. and then within the federal administration under Barack Obama, these insiders, scalded by the failure of the Clinton reform in the early 1990s, used their political resources to bring about change in a system that had become obsolete. While they were unable to establish universal coverage, they did increase the federal government's regulatory capacity in the healthcare field, thereby creating the possibility of future improvements.
William Genieys' investigation uncovers the role of these new American political elites, who are working to ensure that the federal state serves the public interest rather than the interests of lobbyists.
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