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Politics & Policy

PROLOGUE

Looking Back, Looking Ahead

PROLOGUE: Initiative on health reform bounced back and forth continuously between Washington and the states in the 1990s against a backdrop of rising costs, growing numbers of uninsured, and constant tension over managed care waivers in Medicaid. Out of the controlled fury of these struggles came devolution and a new flexibility in state/federal relations. Among the first fruits of the new federalism was the State Children’s Health Insurance Program (SCHIP). While qualified by problematic interactions with welfare reform, SCHIP’s successes appeared to suggest that a more sensitive equilibrium between state and federal roles could pave the way for further progress . . . [Full Text of this Article]

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