J R Adolino’s research while affiliated with James Madison University and other places

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Publications (1)


The enactment of national health insurance: A Boolean analysis of twenty advanced industrial countries
  • Article

September 2001

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26 Reads

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42 Citations

Journal of Health Politics Policy and Law

C H Blake

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J R Adolino

The scholarly literature on health care politics has generated a series of hypotheses to explain U.S. exceptionalism in health policy and to explain the adoption of national health insurance (NHI) more generally. Various cultural, institutional, and political conditions are held to make the establishment of some form of national health insurance policy more (or less) likely to occur. The literature is dominated by national and comparative case studies that illustrate the theoretical logic of these hypotheses but do not provide a framework for examining the hypotheses cross-nationally. This article is an initial attempt to address that void by using Boolean analysis to examine systematically several of the major propositions that emerge from the case study literature on the larger universe of twenty advanced industrial democracies. This comparative analysis offers considerable support for the veto points hypothesis while still finding each of the factors examined to be relevant in certain scenarios. We conclude with a discussion of the implications of these findings for future research and for advocates of national health insurance in the United States.

Citations (1)


... During the first wave, from the beginning of the twentieth century until the end the 1960s, governments were mainly concerned with promoting equal access based on equal needs. The issue of universal coverage and the enactment of national health insurance have led to long during conflicts between medical practitioners, insurers, employers, employees, and the government (Immergut, 1992;Blake and Adolino, 2001). Once these conflicts had been largely settledby the second half of the twentieth centurytwo dominant health care systems could be discerned; a tax-funded National Health Service (Beveridge-system) and a Bismarckian social insurance system, often complemented with private health insurance (Saltman et al., 2004). ...

Reference:

Fellow travellers in transformative times: a reflection on 21 years membership of the European Health Policy Group
The enactment of national health insurance: A Boolean analysis of twenty advanced industrial countries
  • Citing Article
  • September 2001

Journal of Health Politics Policy and Law