Chapter One. Introduction
The Concept of Delegated Governance
The Case Study of Medicare
The Methodology and Organization of This Book

Chapter Two. Exploring the Delegated Welfare State
Conceptualizing the Delegated Welfare State
What Does the Delegated Welfare State Look Like?
A Cross-National Perspective on Delegated Governance
Why Did the Delegated Welfare State Emerge in the US?
Does It Matter How Social Programs Are Administered?
Conclusion

Chapter Three. Medicare and the Delegated Welfare State in the Post-War Era
The Emergence of the Delegated Welfare State
Delegating the Governance of Medicare
Conclusion

Chapter Four. The Rise of the Market Reform Movement
The Complex Politics of Welfare State Privatization
The Free Market Movement in Health Care
The Politics of Marketization
Conclusion

Chapter Five. Crafting the Medicare Modernization Act of 2003
Delegated Governance in the MMA
The Political Context: Polarization, Electoral Competition, and Partisan Conflict
Program Design: The Turn to Delegated Governance
Passing the MMA in 2003
The Politics of Delegated Governance

Chapter Six. Administering the Delegated Welfare State The Cases of Medicare and the 2003 Medicare Modernization Act
Delegated Governance in Traditional Medicare: A Mixed Picture
Creating a Social Welfare Marketplace: The 2003 MMA
Conclusion

Chapter Seven. The Delegated Welfare State and Policy Feedbacks
The Feedbacks That Haven't Happened (Yet)
The Feedbacks that Did Happen: Public Demobilization and Issue Preemption
Conclusion

Chapter Eight. Citizens, Consumers, and the Market Model
Consumers and the Requirements of the Market Model
Senior Consumers and Part D Decisionmaking
Part D Effectiveness and Senior Welfare: Mixed Evidence
Vulnerable Populations and Redistribution Issues
Conclusion

Chapter Nine. Conclusion: Delegated Governance, Past, Present, and Future
Implications for Thinking about the American State
The 2009-2010 Health Care Debate: A Fight about Governance

Appendix A. Data Sources
Interviews
MMA Panel Survey
Wisconsin Advertising Project Data

Appendix B. Supplementary Tables