This article has three sections. The first discusses the hegemonic interpretations of the 1980 and 1984 U.S. elections that are being reproduced on both sides of the political spectrum and that are presented as justification of current federal health and social policies. This section presents evidence that questions those hegemonic interpretations. Section II presents an alternative explanation of current political realities rooted in the class practices of the current federal administration and the Republican Party and in the abandonment by the opposition party—the Democratic Party—of the class practices of the New Deal. It discusses the reasons for that situation and analyzes its consequence for social policy. Section III presents evidence that questions the ideological arguments that are put forward by the Right (and are uncritically accepted by large sectors of the Left) and that sustain current federal economic and social policies. This section concludes with a discussion of alternative policies, stressing the need to rediscover class practices and its implication in health and social policy.
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