response 1

response 1


Private structures health coverage means that everyone can get the services he needs fine quality over the public structure enough to make these services influence, without facing financial distress. And consider obligations

Multiple global and regional access to universal health coverage as a top priority, including on the face, in particular, the potential contribution of the private sector in promoting health coverage.

The diffusion of decisions made by the health care providers in the private sector has important implications for the diffusion of policy decisions made by leaders in the public sector. medical care providers and health care organizations that operate within the health care system. Like all interest groups, health care providers have their own objectives and are subject to specific state and federal policies, such as reimbursement and other regulatory requirements. However, due to the Affordable Care Act (ACA) enactment, hospitals and local medical providers face decisions about whether to participate in alternative payment arrangements, such as an Accountable Care Organization and to what extent to care for additional Medicaid and exchange insured patients (Conti, 2017).

Political scientists have examined the impact of private-sector decision making on state policy designs and decision making. Titmuss (1951), for example, long ago highlighted the important role of the private sector in the provision of welfare. More recently, Hacker (2002) highlights what he calls a Divided Welfare State where the government provides direct public provision through programs such as Medicare and Social Security, and indirect private provision through taxation policies such as the Earned Income Tax Credit or tax exemptions for Employer-based Health Insurance. Hacker details how government both encourages private-sector involvement and is impacted by its involvement and examines the unique politics that emerges under the private provision.


Conti, R. M., & Jones, D. K. (2017). Policy Diffusion across Disparate Disciplines: Private- and Public-Sector Dynamics Affecting State-Level Adoption of the ACA. Journal of Health Politics, Policy & Law, 42(2), 377385.