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The Fate of National Health Insurance in Canada and the United States: A Multiple Streams Explanation
Author(s) -
Blankenau Joe
Publication year - 2001
Publication title -
policy studies journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 69
eISSN - 1541-0072
pISSN - 0190-292X
DOI - 10.1111/j.1541-0072.2001.tb02073.x
Subject(s) - streams , national health insurance , lens (geology) , through the lens metering , health insurance , political science , public administration , business , public economics , economics , environmental health , health care , law , medicine , engineering , computer science , computer network , population , petroleum engineering
This article uses the multiple streams lens to describe why Canada eventually adopted national health insurance in the 1960s, compared with the most recent attempt at adopting national health insurance in the United States. The analysis strengthens the lens by paying close attention to the impact of differing institutional frameworks on the streams. It is found that the lens provides a useful description of the complexity of policymaking, pointing out critical elements in the process that are often overlooked.