Document Type

Article

Publication Date

Fall 2020

ISSN

1073-1105

Publisher

Cambridge University Press

Language

en-US

Abstract

The ACA shifted U.S. health policy from centering on principles of actuarial fairness toward social solidarity. Yet four legal fixtures of the health care system have prevented the achievement of social solidarity: federalism, fiscal pluralism, privatization, and individualism. Future reforms must confront these fixtures to realize social solidarity in health care, American-style.

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