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Political Decision-Making behind the Oregon Health Plan: Making the Hard Choice

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https://ir.library.oregonstate.edu/concern/graduate_projects/08612q328

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  • Oregon has been regarded nationally as an innovative healthcare policy state because of its creation of the Oregon Health Plan (OHP) conceived by State Senator and Governor John Kitzhaber. The OHP was designed and created to help curb soaring healthcare costs and broaden the eligibility of healthcare to the working poor. Developed in 1994, after a drawn-out process and numerous delays, the OHP was crafted using political decision-making determined by different advocacy coalitions. This paper is a historical account and analysis of the creation and political decision-making process used to create the OHP. This paper will discuss the process of the decision-making by government officials, healthcare providers, insurers, and Oregon community members in order to create the OHP. The coalitions that were involved in this process will be examined along with their core policy beliefs. This is an explanatory piece that will help communities and policy-makers better understand the process of coalition building and the healthcare policies they can create. Core policy beliefs will be examined among different coalitions, along with the implications of these beliefs. The process used to create the OHP was unique, using collaborative methods that involved participatory action and high levels of community engagement.
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