Comprehensive health care reform disappeared from the nationalagenda after the Clinton administration failed to enact universalcoverage in 1993 and 1994. Instead, Congress adopted incrementalmeasures that enjoyed bipartisan support, including the StateChildren's Health Insurance Program (SCHIP) and the Health InsurancePortability and Accountability Act (HIPAA). The retreat fromcomprehensive reform reflected, in part, the calculus that ambitiousplans were too controversial and too hazardous to their sponsors'political health to attempt. But that political calculus ischanging. Health care ranks as the top domestic issue in opinionpolls, and talk of major reform is back in vogue . . . [Full Text of this Article]
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Dr. Oberlander is an associate professor of social medicine and of health policy and administration at the University of North Carolina, Chapel Hill.
An interview with Dr. Oberlander can be heard at www.nejm.org.
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