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Volume 358:1881-1883 May 1, 2008 Number 18 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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The current moment in U.S. health care reform is eerily reminiscent of the lead-up to the 1992 election. Then, as now, the country was facing an economic downturn and had been engaged in a war in the Middle East that threatened to distract attention from domestic matters. There was also unusually broad agreement among Americans and the presidential candidates that health care arrangements needed reform — a negative consensus that still holds today. At the end of the 1992 primary season, as now, Americans ranked health care among the four most important problems facing the country.

Between 1991 and the . . . [Full Text of this Article]

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Dr. Jacobs is the director of the Center for the Study of Politics and Governance at the Humphrey Institute of Public Affairs and a professor in the Political Science Department at the University of Minnesota, Minneapolis.

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