Jove
Visualize
Contact Us

Related Experiment Videos

Who's in charge?

J Kosterlitz

    National Journal
    |September 13, 1993
    PubMed
    Summary
    This summary is machine-generated.

    President Clinton's health care reform plan decentralizes authority to new institutions, potentially reducing public accountability. This complex structure may obscure governmental oversight, impacting healthcare system transparency.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Income security. Do it yourself.

    National journal·1996
    Same author

    Stern measures.

    National journal·1996
    Same author

    Rise of the medical savings account.

    National journal·1996
    Same author

    Unmanaged care?

    National journal·1994
    Same author

    Doctors' lobby tries to heal itself.

    National journal·1994
    Same author

    Signs of life in the wreckage.

    National journal·1994
    JoVE
    x logofacebook logolinkedin logoyoutube logo
    ABOUT JoVE
    OverviewLeadershipBlogJoVE Help Center
    AUTHORS
    Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
    LIBRARIANS
    TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
    RESEARCH
    JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
    EDUCATION
    JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
    Terms & Conditions of Use
    Privacy Policy
    Policies

    Area of Science:

    • Health Policy
    • Public Administration
    • Political Science

    Background:

    • The Clinton administration proposed a comprehensive health care reform plan.
    • The plan aimed to address issues of access, cost, and quality in the US healthcare system.
    • A key feature was the proposed structure for managing the system.

    Purpose of the Study:

    • To analyze the structural design of President Clinton's health care reform plan.
    • To evaluate the potential impact of the plan's institutional framework on public accountability.
    • To examine the implications of diffused authority for government oversight in healthcare.

    Main Methods:

    • Qualitative analysis of the proposed health care reform legislation.
    • Examination of the institutional architecture and delegation of authority.

    Related Experiment Videos

  • Comparative assessment of accountability mechanisms under different governance models.

    • Main Results:

    • The reform plan diffused authority across numerous new institutions.
    • This delegation of power created a complex web of organizations.
    • The structure potentially obscured direct lines of governmental responsibility and public accountability.

    Conclusions:

    • The diffusion of authority, while intended to avoid government control, may paradoxically lead to reduced public accountability.
    • The intricate institutional design could make the healthcare system less transparent and responsive to public needs.
    • Clearer governmental roles might foster greater accountability than a system with dispersed authority.