Policy without politics: The limits of social engineering

Research output: Contribution to journalReview article

Abstract

The extent of coverage provided by a country's health services is directly related to the level of development of that country's democratic process (and its power relations). The United States is the only developed country whose government does not guarantee access to health care for its citizens. It is also the developed country with the least representative and most insufficient democratic institutions, owing to the constitutional framework of the political system, the privatization of the electoral process, and the enormous power of corporate interests in both the media and the political process. As international experience shows, without a strong labor-based movement willing to be radical in its protests, a universal health care program will never be accepted by the US establishment.

Original languageEnglish (US)
Pages (from-to)64-67
Number of pages4
JournalAmerican journal of public health
Volume93
Issue number1
DOIs
StatePublished - Jan 1 2003

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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