Medicare, the Affordable Care Act, and the Long Campaign Against Social Security: Dodging the Bullet in 2012
The campaign against Social Security began as soon as the act was passed, but gathered momentum only when Ronald Reagan as early as the 1950s became a focal point for critics. Lyndon B. Johnson successfully countered the anti–Social Security/anti-Medicare opposition, but the rhetoric from the Reagan administration paved the way for G. W. Bush's anti–Social Security efforts, and the virulent opposition to the Affordable Care Act that led to the 2012 Republican presidential nominee Mitt Romney's oft-repeated statement that, as president, he would “repeal Obamacare on day one!” Much of the opposition argument has made its way into the “conventional wisdom,” even of supporters, making it especially difficult to evaluate American social insurance objectively.
The Sub-National Politics of Setting Health Development Agenda: An Insight Into Yobe Health Development Plan
Democratic regimes have always been confronted with political, social and economic factors in making decisions in their health development policies. Despite its importance, the health development plans made at sub-national levels are often neglected in most political discourse. In Yobe state, North Eastern region of Nigeria where health indices are poor and financial resource inadequate, the relevance of the health policy agenda setting remains an important starting point. This study influenced by Kingdon’s stream theory provides the health development agenda (HDA) of Governor Gaidam regime from 2009-2015 through the perceptions of health stakeholders in Yobe state. The qualitative study involved 28 interviews with informants and review of policy documents that underscores what, why and how the regime’s HDA was developed. The study highlighted the power play through the regime’s responsibilities, mandates, strategic objectives and priority agenda setting in achieving health development in the state. Furthermore, through the political lenses of agenda setting in the state, the emphasis was laid on the process, content and context of the regime’s HDA. Although the HDA were home-driven, the motivations comes from local health problems related to health goals advocated by international development partners aimed to reduce IMR, UMR, MMR and other diseases all by 2015. Although the SSHDP provided 8 priority areas of key interventions in documents, in practice only 5 priority areas were prominent. Finally, the targets identified will serve as the justification to assess the regime’s accountability since its intentions and goals could be judged from the extent of its performance.
The Internet and the Changing Beijing-Taipei Relations: Toward Unification or Fragmentation?
Information and its technologies facilitate the exercise of what has been called “soft power,” a concept that differentiates information from the conventional dimensions of “hard power,” which is mainly associated with military force and economic influence. Soft power, according to Nye, a former Assistant Secretary of Defense of the United States, means that “A country may obtain the outcomes it wants in world politics because other countries want to follow it, admiring its values, emulating its example, aspiring to its level of prosperity and openness. In this sense it is just as important to set the agenda in world politics and attract others as it is to force them to change through the threat or use of military or economic weapons.”1