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3 pages/β‰ˆ825 words
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APA
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Health, Medicine, Nursing
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English (U.S.)
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Short Analytical Paper: Maioni

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Please critically analyze the posted article. The purpose of the assignment is not to merely describe the content but rather to focus on: a) The key point Maioni wants to get acroos to the readers. b) Whether and why she is or is not convincing in making her case c) important "take-home" messages you come across Please check for grammar and spelling mistakes before submitting. Please use 'Times New Roman' font size 12.

 

 

arting at the Crossroads
The Development of Health Insurance in Canada and the United States, 1940-1965
Antonia Maioni
Frequently raised in recent discussions about health care reform in the United States has been the model of the Canadian health insurance system.1 While debates about health insurance often turn into polemical battles over which country offers the "best" health care for its citizens, the issues at stake raise a fundamental question. Why did these two neighbors develop different forms of health insurance, a universal system of government-financed health care in Canada and a dual-tiered system of Medicare and Medicaid targeted at the elderly and poor in the United States? The contrast is even more significant when we consider that these two countries, generally classified as "liberal" welfare states,2 share many common economic, political, and social attributes and resemble one another in many of the features that influence welfare state expansion.3 Why, then, did Canada and the United States embark upon two very different paths to health reform, one of the most important pillars of the welfare state?

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Article Analysis
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The article Parting at the Crossroads: The Development of Health Insurance in Canada and the United States, 1940-1945, as its title suggests explores the growth of health insurance in the United States and Canada and why this system differs in the two countries (Maioni, 1997). Consequently, this paper explores the key point of the author and examine whether she succeeds in persuading her audience besides highlighting significant lessons that can be learnt from the article.
Admittedly, Antonia Maioni seeks to make the readers understand how the interaction between political institutions, state structures, social forces and state actors' input influence policy development. To achieve this, Maioni has set out to conduct a comparative historical assessment on how these factors influenced the development and subsequent reformation of health insurance in both the United States and Canada. Noticeably, the author basis the difference between the health insurance structures of the two countries on their dissimilar institutional configurations. Maioni argues that the parliamentary institutions and federal structure of Canada's political system favored the emergence “a social democratic third partyâ€Β that enhanced the efficacy of the state in promoting healthcare policy reform. Contrastingly, the political system of the United States was institutionally constrained and limited to two antagonistic parties, thereby limiting the ability of the country to champion for health policy reforms. Consequently, the two countries have developed diverse health insurance systems; with Canada adopting a universal health insurance and the United States a more limited health insurance which is usually targeted to specific clientele. Thus, Maioni effectively employs the interaction between political systems, social forces and state structures to explain the difference between t...
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