Health Care Policy National Security Policy The Backstory
Health Care Policy National Security Policy
The Backstory • Background – employer –based benefits • Pros • cons • Truman - 1 st proposal for a universal system, failed • Decline of pensions / benefits with manufacturing sector decline / decline of unions • Clinton – key domestic agenda item, failed • Post –mortem: Hillary • Boxed out doctors, pharmaceuticals • Delay • DOA • Only achieved a child program called S-Chip
Obamacare • Lessons learned: • Brought key players in the room from the start • No public option – all private insurers • Free markets and Penalties + all plans must include coverage of mental health, wellness checks, etc. • Federalism - states pushback and are accommodated • Botched launch of healthcare. gov • Supreme Court Ruling - National Federation of Independent Business v. Sebelius • Ways to save it: Avoiding the death spiral, lowering costs by changing the pay structure
Trump Administration • Lost a vote in the Senate to appeal Obamacare with one vote cast by Sen John Mc. Cain • Hollowing out the Program • Used a budget bill to repeal the tax penalty for not buying insurance • Allows the sale of ‘stripped down” policies that don’t cover mental health, childbirth, etc.
National Security Tools We use: Military Economic Pressure Diplomatic Pressure
Sandboxes we play in • United Nations – 191 nations
NATO – North Atlantic Treaty Org
Policymakers • The president • The diplomats – dept of state – 30, 000 employees • Department of defense • • Heads of each branch = joint chiefs of staff National security council = Pres, VP, Secty of Defense, Secty of state CIA – central intelligence agency National security agency = electronic eavesdropping • Congress
Policy Overview • Isolationism - Washington’s farewell address • Imperialism – WWI • Return to isolationism – League of nations • WWII • Cold War Containment. mccarthyism • • Korea Arms race Vietnam Berlin wall • Détente • Rearmament – peace through strength • End of cold war • War on terror • Nuclear proliferation
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