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The Oregon Health Plan and the Political Paradox of Rationing: What Advocates and Critics Have Claimed and What Oregon Did

Theodore Marmor
Yale University

Jonathan Oberlander
University of North Carolina—Chapel Hill

The article proceeds in three sections. First, we very briefly review the original proposalsand ensuing (and misleading) debate over rationing in Oregon. Next, we explore how the politics of rationing unfolded in Oregon from the enactment of OHP to its implementation. Finally, we consider the character of Oregon's innovation and the broader lessons that it holds for reform efforts elsewhere.

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