« Obamacare » : réforme a minima ou nouvel élan progressiste?

Olivier Richomme

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Abstract :
The Patient Protection and Affordable Care Act of 2010 was not only a major socio-economic evolution, along with a long-time Democratic promise, but it was also the source of the greatest Democratic electoral defeat in decades. This article analyses the reasons why the Democrats defended their health-care reform as a pragmatic, cost-efficient measure and not as a social justice imperative. Cautious and convinced that such a large reform should rest on a broad political base, the Democrats looked in vain for a bipartisan compromise. Constrained by the American institutional framework and a highly polarized electorate, Barack Obama learnt the hard way the limits of a president’s capacity to bring about change. The passage of Obama’s controversial health-care reform illustrates the difficulties for the Democrats to establish a new form of political progressivism in America.
Published : 2016-04-20


Olivier Richomme, « « Obamacare » : réforme a minima ou nouvel élan progressiste? », Cycnos, 2016-04-20. URL : http://epi-revel.univ-cotedazur.fr/publication/item/187