This article explores the often-overlooked contributions of Jimmy Carter's presidency, particularly his efforts to address the rising cost of healthcare in America.
In recent years, major new studies have tried to rehabilitate the presidency of Jimmy Carter, who died on Dec. 29 at age 100. They’ve emphasized a range of underappreciated accomplishments in everything from foreign policy to environmental protection and racial equity. These accounts still acknowledge Carter’s failures but balance them with a longer-term perspective on how his presidency changed the United States and the world.
This makes sense considering how devastating the battle over health care was to Carter during his presidency. Congress rejected his major health care policy initiatives, and his grudging support for a much more limited national health insurance plan in part spurred Sen. Ted Kennedy (D-Mass.) to challenge the incumbent Carter from the left in the 1980 Democratic presidential primary. Yet Carter’s health care record deserves a more nuanced evaluation. More than any other modern president, he took on the health care industry, as well as his own allies, by attempting to address the high costs of American health care. And his health care proposals pushed his party toward the policy strategies that eventually produced the landmark Affordable Care Act in 2010. offers a template for the kind of leadership and focus needed to address the health care system’s enduring flaws in 2024. Carter entered office at a moment when health care spending was skyrocketing. Between 1970 and January 1977, total national health expenditures had more than doubled, from $74 billion to $152 billion. As a percentage of gross domestic product, health care spending had risen from 6.9% to 8.1%. These formulas not only raised direct costs, but, critically, also allowed hospitals to generate new revenue streams that enabled them both to build capital reserves and take on debt by entering the bond markets. Hospitals in turn used this access to capital to build new facilities, renovate old ones and add sophisticated new equipmen
JIMMY CARTER HEALTHCARE PRESIDENCY LEGACY POLICY
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