Government Language and U.S. Health Care

Authors

  • Asa Wilson College of Nursing and Health Professions, Valparaiso University
  • Natallia Gray Ivy College of Business, Iowa State University

DOI:

https://doi.org/10.14738/abr.1312.19655

Keywords:

communication styles, healthcare transformation, government healthcare policy

Abstract

Context: Concerns about the use of language as a reliable communication medium are identified. This review is a foundation for analyzing federal language regarding the healthcare industry and the efficacy of this high-cost paradoxical system. An argument is developed that government language about U.S. health care has unique, predictable features. Methods: This language-use style is exemplified using authoritative federal sources such as Executive Orders, Federal Register rulemaking communications, and agency administrative rule promulgations. Findings: Six distinct language attributes are identified and discussed. Conclusion: This federal language style is also a harbinger of future federal involvement in U.S. health care.

References

Bell, Daniel. 1999. The Coming of the Post-Industrial Society: A Venture in Social Forecasting. New York: Basic Books.

Berwick, Donald M., Thomas W. Nolan, and John Whittington. 2018. "The Triple Aim: Care, Health, and Cost." Health Affairs 27, no. 3: 759-769.

Bush, George W. 2004. “Executive Order on Incentives for the Use of Health Information Technology and Establishing the Position of the National Health Information Technology Coordinator.” White House, April 30. https://www.govinfo.gov/content/pkg/FR-2004-04-30/pdf/04-10024.pdf.

Bush, George W. 2006. “Executive Order on Promoting Quality and Efficient Health Care in Federal Government Administered or Sponsored Health Care Programs.” White House, August, 28. https://www.govinfo.gov/content/pkg/FR-2006-08-28/pdf/06-7220.pdf.

Capaldi, Nicholas, and Miles Smit. 2007. The Art of Deception: An Introduction to Critical Thinking. New York: Prometheus Books.

CMS (Centers for Medicare and Medicaid Services). 2011a. “Medicare Program; Hospital Inpatient Value-Based Purchasing Program.” Federal Register, May 6. https://www.govinfo.gov/content/pkg/FR-2011-05-06/pdf/2011-10568.pdf.

CMS (Centers for Medicare and Medicaid Services). 2011b. “Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations.” Federal Register, November 2. https://www.federalregister.gov/documents/2011/11/02/2011-27461/.

CMS (Centers for Medicare and Medicaid Services). 2018. “Medicare Program; Medicare Shared Savings Program; Accountable Care Organizations—Pathways to Success.” Federal Register, August 17. https://www.federalregister.gov/documents/2018/08/17/2018-17101/medicare-program-medicare-sharedsavings-program-accountable-care-organizations-pathways-to-success.

CMS (Centers for Medicare and Medicaid Services). 2016. “Medicare Program; Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive Under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models.” Federal Register, January 01. https://www.federalregister.gov/documents/2016/11/04/2016-25240/medicare-program-merit-basedincentive-payment-system-mips-and-alternative-payment-model-apm.

Cirone, Alexandra E., and Johannes Urpelainen. 2013. "Political Market Failure? The Effect of Government Unity on Energy Technology Policy in Industrialized Democracies." Technovation 33, no. 10-11: 333-344. DNC (Democratic National Committee). 2022. “Achieving Universal, Affordable, Quality Health Care.” DNC Services Corporation. https://democrats.org/where-we-stand/party-platform/achieving-universal-affordablequality-health-care.

Engel, Jonathan. 2018. Unaffordable: American Healthcare from Johnson to Trump. Madison: University of Wisconsin Press.

Fiedler, Matthew, Henry J. Aaron, Loren Adler, Paul B. Ginsburg, and Christen L. Young. 2019. "Building on the ACA to Achieve Universal Coverage." New England Journal of Medicine 380, no. 18: 1685 -1688.

Fritsch, Michael. 1995. “The Market—Market failure, and the Evaluation of Technology—Promoting Programs.” In Evaluation of Technology Policy Programmes in Germany, edited by Gerhard Becher und Stefan Kuhlmann, 311-329. New York: Kluwer Academic Publishers.

Grossman, Peter Z. 2009. "US Energy Policy and the Presumption of Market Failure." Cato Journal 29, no. 2: 295 -IRS (Internal Revenue Service). 2013. “Community Health Needs Assessments for Charitable Hospitals.” Federal Register, April 5. https://www.govinfo.gov/content/pkg/FR-2013-04-05/pdf/2013-07959.pdf.

Joyce, Cynthia. 2012. “The Impact of Direct and Indirect Communication.” The Independent Voice. November, Newsletter of the International Ombudsman Association.

Levitin, Daniel. J. 2017. Weaponized Lies: How to Think Critically in the Post-Truth Era. New York: Penguin Press.

Lyotard, Jean-François. 1984. The Postmodern Condition: A Report on Knowledge. Minneapolis: University of Minnesota Press.

Orwell, George. 1970. “Politics and the English language”. In A collection of essays by George Orwell, 145-159. New York: A Harvest Book – Harcourt, Inc.

Shuy, R. W. (1998). Bureaucratic language in government and business. Georgetown University Press.

Spivack, Steven B., Miriam J. Laugesen, and Jonathan Oberlander. 2018."No Permanent Fix: MACRA, MIPS, and the Politics of Physician Payment Reform." Journal of Health Politics, Policy and Law 43, no. 6: 1025-1040.

Starr, Paul 1984. The Social Transformation of American Medicine. New York: Basic Books.

Steinbrook, Robert. 2009. "Health Care and the American Recovery and Reinvestment Act." New England Journal of Medicine 360, no. 11: 1057-1060.

Storti, Craig, and Laurette Bennhold-Samaan. 2011. Culture Matters: The Peace Corps Cross-Cultural Workbook. Washington, DC: Government Printing Office.

Takvorian, Samuel U., Justin E. Bekelman, and Matthew J. Press. 2018 "MACRA’s Patient Relationship Codes— Measuring Accountability for Costs." New England Journal of Medicine 379, no. 24: 2288-2290.

Tanner, Deborah. 1994. Talking from 9 to 5: How Women's and Men's Conversational Styles Affect Who Gets Heard, Who Gets Credit, and What Gets Done at Work. New York: William Morrow and Company, Inc.

Thomas, Ewa. 2018. “The Great Amputation: Language in the Postmodern Era.” Modern Age 60, no. 4: 40 - 51. WSJ (Wall Street Journal). 2019. “Capitalism isn’t a ‘System’.” December 25. www.wsj.com/articles/capitalismisnt-a-system-11577299125/.

Washington Post. 2021. “The Biden Administration’s Gaseous Obfuscation on Afghanistan isn’t Helping. August 25. www.washingtonpost.com/opinions/2021/08/25/biden-administrations-gaseous-obfuscation-afghanistanisnt-helping/.

Weimar, David L., and Aidan R. Vining. 1992. Policy Analysis: Concepts and Practices. Upper Saddle River: Prentice-Hall.

Wilensky, Gail R. 2018. “Will MACRA Improve Physician Reimbursement?” New England Journal of Medicine 378, no. 14: 1269 – 1271.

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Published

2025-12-06

How to Cite

Wilson, A., & Gray, N. (2025). Government Language and U.S. Health Care. Archives of Business Research, 13(12), 30–42. https://doi.org/10.14738/abr.1312.19655