• Health affairs · May 2009

    Beyond Incrementalism? SCHIP and the politics of health reform.

    • Jonathan B Oberlander and Barbara Lyons.
    • University of North Carolina at Chapel Hill, USA. oberland@med.unc.edu
    • Health Aff (Millwood). 2009 May 1; 28 (3): w399-410.

    AbstractWhen Congress enacted the State Children's Health Insurance Program (SCHIP) in 1997, it was heralded as a model of bipartisan, incremental health policy. However, despite the program's achievements in the ensuing decade, SCHIP's reauthorization triggered political conflict, and efforts to expand the program stalemated in 2007. The 2008 elections broke that stalemate, and in 2009 the new Congress passed, and President Barack Obama signed, legislation reauthorizing SCHIP. Now that attention is turning to comprehensive health reform, what lessons can reformers learn from SCHIP's political adventures?

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