La réforme du système de santé aux Etats-Unis : lobbies contre lobbies ?

Abstract

Bill Clinton has termed an overhaul of the US health care system « the nation's most urgent priority ». However, the medical industrial complex, which has successfully lobbied against it for decades is sparing no effort to preserve its interests ; and PACs' contributions to congressional campaigns have reached record levels. Can this lobby's current divisions, the weakening of the traditional business-doctors-insurers alliance, and the growing influence of public-interest groups create a context favorable to the most sweeping social reform since the New Deal ? The issue is far from settled.