The full content of Annals is available to subscribers

Subscribe/Learn More  >
Editorials |

The Clinton Health Care Plan: Fundamental or Incremental Reform?

Steven A. Schroeder, MD
[+] Article and Author Information

The Robert Wood Johnson Foundation, Princeton, NJ 08543-2316. Request for Reprints: Steven A. Schroeder, MD, The Robert Wood Johnson Foundation, Route 1 and College Road East, P.O. Box 2316, Princeton, NJ 08543-2316.

Copyright 2004 by the American College of Physicians

Ann Intern Med. 1993;119(9):945-947. doi:10.7326/0003-4819-119-9-199311010-00014
Text Size: A A A

Just when it seemed it would never happen, the long-awaited Clinton Health Plan, the Health Security Plan, was announced in mid-September 1993. The announcement followed an unprecedented 8-month planning process, punctuated by rumors, leaks, special-interest group lobbying, and almost daily results of public opinion polls. The delay in announcing the plan stemmed from some hard choices the President faced. He had campaigned on four promises: to provide health care coverage for all Americans; to slow runaway medical care cost inflation; to minimize governmental intrusion; and to avoid harm to most special-interest groups. Not surprisingly, the plan reflects the many political compromises that resulted from trying to reconcile these promises. When and if legislation eventually is enactedand the smart money now predicts that it is most likely to occur in the fall of 1994it undoubtedly will reflect further compromises. Nevertheless, the American fascination with the politics of health care reform should not obscure the importance of this sweeping plan nor the historic opportunity for fundamental reform that it presents. That opportunity builds on growing dissatisfaction with the increasing costs of medical care, the insecurity resulting from basing health care insurance on employment, and the national disgrace of 37 million uninsured Americans. As a result, a new coalition of big business, labor, some elements of the health care professions (including, notably, the American College of Physicians), and the general public clamors for the politicians to fix health care. Of course, the consensus on the need to fix it is not matched by consensus on what to fix, much less how to do so.

First Page Preview

View Large
First page PDF preview





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.