Les médecins américains et la réforme Obama
- Par Victor G. Rodwin
Pages 29 à 37
Citer cet article
- RODWIN, Victor G.,
- Rodwin, Victor G..
- Rodwin, V.-G.
https://doi.org/10.3917/seve.030.0029
Citer cet article
- Rodwin, V.-G.
- Rodwin, Victor G..
- RODWIN, Victor G.,
https://doi.org/10.3917/seve.030.0029
Notes
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[1]
Hassenteufel P., Les médecins face à l’État, Paris, Presses de Sciences Po, 1997.
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Henry Kaiser Family Foundation, Summary of coverage provisions in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, Washington DC (www.kff.org/ health reform).
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Rosenbaum S., « A “customary and necessary” program – Medicaid and health care reform », New Eng. J. Med., 362, 1952-1955, 27 mai 2010.
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Ces estimations proviennent de l’administration fédérale, Centers for Medicare and Medicaid Services. Voir : Gruber J., « The cost implications of health care reform », New Eng. J. Med., 362, 2050-2051, 3 juin 2010.
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Blumenthal D., Morone J., The heart of power: health and politics in the oval office, Berkeley, University of California Press, 2010.
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Marmor T., The politics of Medicare, 2nd ed., Hawthorne, Aldine de Gruyter, 2000.
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Bjorkman J.W., « Politicizing medicine and medicalizing politics: physician power in the United States », in : Freddi G. et Bjorkman J.W. (Eds.), Controlling medical professionals: the comparative politics of health governance, Newbury Park, Sage, 1989.
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Tabuteau D., Rodwin V., À la santé de l’Oncle Sam : regards croisés sur les systèmes de santé américain et français, Paris, Jacob-Duvernet, 2010.
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Keyhani S., Federman A., « Doctors on coverage – Physicians’ views on a new public insurance option and Medicare expansion », New Eng. J. Med., 361, e24, 1er octobre 2009.
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Antiel R. et al., « Physicians’ beliefs and US health care reform – A national survey », New Eng. J. Med., 361, e23, 1er octobre 2009.
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Laugesen M.J., Rice T., « Is the doctor in? The evolving role of organized medicine in health policy », J. of Health Politics, Policy and Law, (28) 2-3, 2003.
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Morone J., The democratic wish, New York, Basic, 1990, chap. 7.
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Stevens R., « Public roles for the medical profession in the United States: beyond theories of decline and fall », Milbank Q., 79 (3), 2001.
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Peterson M., « Political influence in the 1990s: from iron triangles to policy networks », J. of Health Policy, Politics and Law, 18, 395-438, 1993.
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Baumgartner F.R., Leech B.L., Basic interests: the importance of groups in politics and political science, Princeton, Princeton U. Presss, 1998.
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[19]
Skocpol T., Boomerang: health care reform and the turn against government, New York, WW Norton, 1996.
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[20]
Daschle T., Critical: what we can do about the healthcare crisis, New York, Thomas Dunne Books, 2008.
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[21]
Tabuteau D., Rodwin V., À la sante de l’Oncle Sam …, op. cit.
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[22]
Sack K., « Texas battles health law even as it follows it », New York Times, 28 juillet 2010.
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[23]
Jost T., « Can the states nullify health care reform? », New Eng. J. Med., 362, 103-105, 11 mars 2010.
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Skocpol T., « The political challenges that may undermine health reform », Health Affairs, 29, 1288-1292, juillet 2010.
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Résumé
Les médecins américains sont favorables à un élargissement de la couverture et ont soutenu les grandes lignes de la réforme Obama. Cependant, leur rôle dans l’élaboration de ce projet, et plus généralement dans la politique de santé aux États-Unis, n’est plus déterminant. Cet article résume les grandes lignes de la réforme Obama, synthétise des études bien connues sur le rôle traditionnel des médecins dans la politique de santé, et tâche d’expliquer comment le corps médical américain est devenu un acteur parmi d’autres, désormais plus puissants que lui, de l’élaboration des politiques de santé.
American physicians and Obama’s health reform
American physicians and Obama’s health reform
Doctors in the United States favor expanding coverage and have supported the broad outlines of healthcare reforms proposed by the Obama administration. However, their role in the development of this mission, and more generally in the healthcare policies of the United States, is no longer a determining factor. This article summarizes the general parameters of Obama’s health reform, presents a synthesis of well known studies on the traditional role of physicians in healthcare policy, and attempts to explain how the American medical profession has come to be only one among other stakeholders that now exert more influence in developing healthcare policies.