Seniors depend more on federal spending than any other group, but that did not deter a majority of them from voting for candidates who deplored “big government” and “socialized medicine.”
Paul Starr
Paul Starr is co-founder and co-editor of The American Prospect, and professor of sociology and public affairs at Princeton University. A winner of the Pulitzer Prize for General Nonfiction and the Bancroft Prize in American history, he is the author of eight books, including American Contradiction: Revolution and Revenge from the 1950s to Now (Yale University Press, October 2025).
Back to Deadlock
Come next January, the great American impasse will be back in all its toxic splendor.
La Próxima Campaña de Reforma de Salud
Los partidarios de la reforma sabían que tenían que luchar para lograr su aprobación. Ahora necesitan llevar a cabo otra lucha para cumplir las promesas de la ley.
The Preventive Turn in Health-Care Reform
Promoting preventive care and public health carries both promise and risk.
The Next Health-Reform Campaign
Supporters of reform knew they had to battle to get it passed. Now they need to wage another campaign to implement it.
A 20-Year Tug-of-War
Neither liberals nor conservatives have been able to claim lasting power. But we have an advantage: real solutions.
Better Than Tea
Let the Republicans drink the Tea Party’s brew. Progressives shouldn’t wish for the equivalent.
The Opt-Out Compromise
How to let individuals out of the insurance mandate and improve the odds of health-care reform.
Last Chance for Health Reform
Neither the progressive nor the anti-abortion House Democrats are making any sense in threatening to kill the Senate bill.
Underrating Reform
Even with its compromises, health reform is the most ambitious effort in decades to reorganize a big part of life around principles of justice and efficiency.

