Shelton confirms the power of talk in the specific case of the 1994 debate on comprehensive health care reform and beyond. He provides a context rich with detail concerning health care and health care reform in America and a social scientific examination of specific discourse factors that includes narratives, naming, and medical metaphors.Shelton's assessment of the debate reveals that opposition discourse was much more directly impacted and broader in scope. This is followed by a rhetorical analysis that extends the genre of crisis rhetoric. Shelton's rhetorical analysis reveals that the virtual crisis of big government both subsumed and overwhelmed the actual health care crisis. Such an assessment-including an ethical analysis of the 1994 floor debate and detailed consideration of the social existence of hatred for government-produces a host of research and scholarly implications. A thoughtful analysis that will be of value to scholars and researchers in political communication and public policy.

Examines the 1994 floor debate on health care reform employing rhetorical and modified social science methods.

IntroductionThe ContextThe United States Health Care SystemThe History of Health Care ReformHealth Care Reform in the 1990sThe TextSenate BattlegroundCongressional RecordTextual FeaturesThe DiscourseDiscourse PatternsThe DeliberationThe Triumph of the Big Government ArgumentThe ImplicationsAn Ethical AssessmentScholarly HorizonsContemporary CurrentsBibliographyIndex