The recent rise of “Medicare for All” in American political discourse was many years in the making. Behind this rise is a movement composed of grassroots activists and organizations focused on the goal of establishing a single‐payer health care system in the United States. I examine the ways in which activists used narrative to interpret opportunity within their historically specific environments to work towards this goal. I find that while the Single Payer Movement's narrative practice during the Clinton era was focused on opportunity within the political sphere, the focus in the Obama era shifted to mobilizing the public sphere, or grassroots opportunity. This was related to the critique that the Obama Administration was engaging in “politics as usual”, which was defined as the “enemy” of “real” health care reform. This narratively produced critique is tied to the anti‐establishment turn that factors into the current era of American politics.

中文翻译：

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抵制“惯常的政治”：通过比较两次总统时代在单一付款人运动中使用的机会叙事来检验反建制政治的兴起

最近在美国政治言论中兴起的“全民医疗保险”正在酝酿多年。这种上升的背后是由基层活动家和组织组成的运动，这些运动的目标是在美国建立单一付款人的医疗保健系统。我研究了激进主义者使用叙事方式来解释其历史特定环境中实现这一目标的机会的方式。我发现，尽管克林顿时代的“单一付款人运动”的叙事实践着重于政治领域内的机会，但奥巴马时代的焦点却转移到了动员公共领域或基层机会上。这与对奥巴马政府参与“惯常的政治”的批评有关，批评被定义为“真正的”医疗改革的“敌人”。