Even President Clinton's supporters say his proposal to finance health reform is politically unrealistic. It's that--and more. His plan to raise $441 billion over five years would reduce services to elderly and poor Americans, assumes savings unmatched anywhere in the Western world, and ignores the federal government's dismal track record in forecasting what new benefits will cost.
One of a handful of states to enact sweeping health reform, Washington State sees consistency between the Clinton plan and its 1993 law. But some aspects of the Clinton plan could pose problems.
President Clinton's health reform proposal brings together the means generally associated with conservatives--market competition--to achieve the ends advocated by liberals--health security for all Americans. Exactly how the White House, Congress, and the American public reach consensus is open to negotiation and compromise. But certain fundamental principles such as universal coverage and cost control are not.
Unlike President Clinton's plan, we don't have to guess whether single payer health care will work--we know it does. It's also less disruptive, less costly, and is easy to understand and administer.
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