1. Introduction 2. Exploring the Delegated Walfare State 3. Medicare and the Delegated Welfare State in the Postwar Era 4. The Rise of the Market Reform Movement 5. Crafting the Medicare Modernization Act of 2003 6. Administering the Delegated Welfare State: The Cases of Medicare and the 2003 Medicare Modernization Act 7. The Delegated Welfare State and Policy Feedbacks 8. Citizens, Consumers, and the Market Model 9. Conclustion: Delegated Gevernance, Past, Present, and Future