Health Affairs

Health Affairs, 28, no. 3 (2009): w399-w410 (Published online 17 March 2009) doi: 10.1377/hlthaff.28.3.w399 © 2009 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Beyond Incrementalism? SCHIP And The Politics Of Health Reform

Jonathan B. Oberlander and Barbara Lyons

When 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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