Federal health policies in the United States: an alternative explanation.

V. Navarro

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Since 1980 there has been an unprecedented shift in federal expenditures away from health and social welfare; an "electoral mandate" to reduce government's role is widely cited as justification. Yet, a survey of all major opinion polls of the past decade shows that electoral behavior and popular opinion are not synonymous. In exploring the historical ideological roots of this disjunction, the post- New Deal rise of "interest group" over "class" behavior is noted; "depoliticization" of political issues and "abstentionism" in voting follow. Rather than a realignment, recent elections represent a dealignment from regressive choices.

Original languageEnglish (US)
Pages (from-to)81-111
Number of pages31
JournalThe Milbank quarterly
Issue number1
StatePublished - 1987
Externally publishedYes

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health


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