By Robert B. Hackey
He demonstrates that the assumption of trouble now capacity such a lot of various things to such a lot of various teams that it has ceased to have any shared which means in any respect. He argues that the ceaseless speak of “crisis,” with no generally approved definition of that time period, has truly impeded efforts to diagnose and deal with the persistent difficulties plaguing the yank well-being care process. as an alternative, he contends, reformers needs to embody a brand new rhetorical approach that hyperlinks proposals to enhance the method with deeply held American values like equality and fairness.
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Extra resources for Cries of Crisis: Rethinking the Health Care Debate
By understanding the shortcomings of existing narratives of crisis, reformers will be able to tell better and more persuasive stories. ”26 To date, the narratives of crisis that defined our public discourse about health care reform failed to do this. Four decades of crisis talk is enough. Instead, reformers must seek to capture the public imagination. As Bruce Kuklick observes in his discussion of presidential leadership, “What mattered in politics was not what a politician achieved, but how the people felt.
This fear of runaway costs provides the context for Nixon’s proclamation of an emerging cost crisis in 1969. The president’s advisers warned that “a crippling inflation in medical costs” could send a ripple effect throughout the economy. Soon after the president’s address to the nation, media reports also embraced the language of crisis to describe rising health care costs. ”9 This analogy is telling, for it suggested that health care costs were a treatable, acute condition. To the extent that policy makers and the public embraced this notion, debates about containing health care costs focused on administering short-term fixes—the policy equivalent of aspirin and Tylenol—to bring costs down.
21 To do so, we must begin by identifying the key elements of the policy narratives used to frame public deliberation over health care reform. ” Some narratives wistfully evoke a world gone by, while others create optimistic forecasts about a bright future. ”22 Health policy emerges from the interplay of competing dramatic narratives, each with its own dramatis personae, setting, and intended audience. The policy-making process is ultimately a conversation about different values and ideas about how the world works.