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Wordcount: 866

Vladeck and Fishman

Vladeck and Fishman’s article “Unequal by Design: Health Care, Distributive Justice, and the American Political Process” is concerned with the fact that “inequities in health care… arise from the fundamental constitutional and political structure of the American political system.” Basically, they present a case that the balance of powers in the federal government along with the desire for reelection among congress members leads to political inaction. Although the American system does not institute inequities in healthcare, it certainly makes it harder to reconcile them than in any other Western society. With the exception of an electoral landslide (which has occurred at most over six years in the entire 20th century), there is no political

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