The System: The American Way of Politics at the Breaking Point

Perhaps only Showdown at Gucci Gulch matches The System for a true focus on how big-time policy really gets enacted - or doesn't as the Clinton health care drive shows. Whereas the Gucci Gulch focused on Reagan's 1986 tax policy overhaul success, The System follows President Clinton's efforts to revamp healthcare in America. What makes The System more representative of the political process than Gucci Gulch is that healthcare reform failed. Because of Clinton management inexperience, and Gingrich "coagulation" and scare tactics, healthcare reform never happened. That may be for the better. Clinton's plan left little to be desired, though it was not the "socialized medicine" that the right claimed it was. Still, that does not mean it was a worthy plan. The real problem, however, that scoring political success for both sides trumped the search for wise policy. Most everyone at the outset agreed that there was something wrong with healthcare, but change failed to occur. And no one is absolved of blame by Johnson and Broder: the President, First Lady, the wider Administration, Congress, the press, interest groups, and the public all allowed this to happen. Again, that doesn't mean that Clinton's plan should have been adopted, but something could have been done to better deal with the many healthcare problems plaguing the nation.Regardless, The System is a must-read for anyone who wants to see American politics as it really exists.

If you really want to get into the heads of the players behind the Clinton Health Care Reform plan then you must read Johnson and Broder's "The System." It reads more like a novel than textbook (which I happen to like). For anyone interested in health policy or political strategy this is a must-read.

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If you read this book in the wrong frame of mind, you won't like it. The wrong frame is to believe that it consists of honest reporting about the U.S. health care system, and the Clinton health bill of `93. It's mainly not reporting. It's advocacy. The key is found in the intro, where the authors define "The System" that rules USAmerica -- which includes the Presidency, the Congress, the media ... AHH! The fact that they think the media is part of the govt., just not elected, is itself worth the price of this volume. Taken in this vein, it is quite good. We must have a national health system like a European country's , because ... well, because they feel embarrassed that we aren't like Europe. That the U.S. was settled, predominantly, by people who WANTED NOT TO LIVE IN EUROPE is unimportant to Johnson and Broder, who know better than to take the this self-govt. nonsense seriously. What is serious is that the USAmerican public rejects 'socialized medicine.' So instead Clinton wrapped it up in his mess of a bill, and then tried to scare us into panic over our health care, saying the system would collapse if we didn't give control of it to the govt. Not true, and Johnson & Broder know it, but hey, can't let truth stand in the way of ruling. Frequently THE SYSTEM is unintentionally funny, too, as when the authors take a break from reporting the `horse race' political aspects of the story to criticize the media for concentrating on the `horse race' instead of the policy substance, after which they trash the only attempt ever made to discuss the policy substance (Elizabeth McCaughey's famous piece in The New Republic) and go back to reporting the horse race. You sort of wonder if they read their own manuscript. But have some sympathy. They do mention the policy substance from time to time -- our rulers think we spend far too much money on foolish things like attempting to save the lives of premature infants. Those resources should go to more important things, like health care for "homeless, drug abusing gay and bisexual men of color." I mean, would you want to defend THAT openly? It's also very useful in assessing the nature of liberal bias in the press. The last chapter of the hardcover first edition, on sale in 1996, told us about good Pres. Clinton's attempts to `save' the federal budget before runaway health care spending wrecked it, and evil House Speaker Newt Gingrich's attempts to `cut health care spending,' when in both cases they were trying to do the same thing -- cut the rate at which spending on health care would increase in the future. That's one way you bias coverage -- describing things in such a way as to create the desired reaction, which in this case was to get us to run out and vote Democratic. The last chapter of this paperback edition mentions the Kassenbaum-Kennedy bill, passed by Congress and signed by Clinton. All mention of it was carefully left out of the first edition. That's another way of biasing coverage -- leave out the `unimportant' stuff that might confuse the citizenry. And if you practice your critical thinking skills as you read, you will learn a lot about the chaotic way Clinton ran his administration, how the Democrats lost control of the House after twenty straight wins, why the bill was so complex, and other fascinating stuff. What you won't learn how the Clinton health plan would have worked, of course. Obviously, they were afraid of your reaction if you found out. That is probably the most important information in the book.

The Clinton Health Care plan was a bold, dramatic attempt to transform the American health care system to take into account the fact that while America may provide the best health care in the world, far too many of its citizens are unable to afford it. Clinton's attempt, probably the most dramatic attempt at a government program since the Great Society, failed miserably and helped to elect a Republican Congress.The battle the voters didn't see was the important one- the battle which nearly sank the Clinton Presidency and destroyed its ambitious health care proposal. The powers arrayed against the Clinton plan were formidable and well-financed, aided by the Administration's mind-numbing blunders."The System" has the entire story- the high hopes, the stunning reversals, the industry's toxic reaction to reform. The Clintonites quickly found that the old adage is true. No good deed goes unpunished."The System" is a very good book at who really calls the shots in American government and how little power people really have against the special interests. More valuable than ten years of civics lessons.

I was in high school during the great health care debate of the 1990s so I remember bits and pieces of it.

could offer the following assessment as a critique, that Hillary Clinton was too committed to universal care to be considered unbiased.

This is a surprisingly entertaining account of the wheeling and dealing in Washington around the failure of Healthcare Reform in the Clinton Administration. It reads like a novel.

I read this book a few years ago as a requirement for my Master's degree in public administration. I read along with interest because the story that unfolded read like some sort...

This is an excellent book for any student of the political process.The authors are biased. They believe the Hillary Clinton health care plan should have been enacted and...

Haynes Johnson and David Broder, two of America's most eminent journalists, attempt to describe the events surrounding the aborted National Health Care system advocated by...

The System provides a detailed and thorough "casestudy" of the American political process.

An enlightening and dispiriting account of the rise and fall of President Clinton's health care reform plan.