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Licensed Unlicensed Requires Authentication Published by De Gruyter November 7, 2017

Trump, Congress, and Health Care: All Politics Is National

  • Matthew J. Dickinson EMAIL logo and Kate Reinmuth
From the journal The Forum


John McCain’s dramatic early-morning “no” vote may have been the immediate cause of the Republican failure to repeal and replace Obamacare. However, Republicans undertook this endeavor from a weak political vantage point. The 2016 elections gave Republicans very little margin for error in Congress – a margin threatened by Trump’s inexperience and lack of political capital. Longer-term trends, including the polarization of the two congressional parties against the backdrop of increasingly nationalized elections, exacerbated this situation by leaving Trump and Republicans little choice but to legislate through their own party caucus – or to not legislate at all.


We thank Maggie Joseph for her invaluable research assistance.

Published Online: 2017-11-7

©2017 Walter de Gruyter GmbH, Berlin/Boston

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