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By:Ellen M. Immergut
Published on 1992-08-28 by CUP Archive

Political institutions can have tremendous impact on policy. In this book, Ellen Immergut vividly demonstrates this important and interesting phenomenon through a comparative analysis of the politics of national health insurance in Sweden, France and Switzerland--three countries where the same legislative proposals have been considered but where the policy results vary widely. In each country, politicians proposed programs of national health insurance and measures to regulate the economic activities of the medical profession. Although these proposals triggered similar political conflicts and reactions in all the countries, these three health systems developed in divergent directions as a result of the specific legislative proposals enacted into law in each country. Immergut argues that institutional rules and procedures, and not the demands and resources of social groups, set the terms for political conflicts.

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