The Health Security Act : Political Strategy

In 2010, the United States created The Affordable Care Act (ACA). The objective was to share the responsibility of costs between the government, individuals, and employers to provide affordable access to quality health insurance. “However, health coverage remains fragmented, with numerous private and public sources, as well as wide gaps in insured rates across the U.S. population.” (“United States: International Health Care System Profiles,” n.d.). Each individual state within the US, generally has control over private insurance.

Currently the United States has the most expensive health care system in the world and some 45 million Americans are uninsured under the current health system, these numbers continues to grow. Using the theory of an Utilitarianism perspective and developing a single-payer system such as universal health care all Americans could enjoy equal access to quality health care. The single-payer system will provide tools to manage health spending more effectively and ensure health care for everyone. If the United States would follow the blueprint of other developed nations who have successfully implemented universal health care coverage it would protect citizens from high medical premiums, co-payments and give everyone access to equal health care. In the United States people go without health coverage, it is a problem that needs to be resolved, yet we remain one of the last developed countries to implement universal health care coverage. Despite efforts to enact polices for

In 1993 First lady Hillary Clinton was assigned to a proposal to reform healthcare with the goal to become universal by US president Bill Clinton, this reform was titled Task Force on National Health Care Reform (Boundless, n.d.). At that time, 37 million Americans did not have health insurance and the cost to obtain health insurance was very unaffordable to the middle class (Boundless, n.d.). The main purpose of this reform was to mandate employers to provide health coverage to all employees HMOs’. However, this reform was aggressively opposed by the health insurance industry, libertarians, and conservative republicans stating that it was restrictive to the employees choice (Boundless, n.d.). Additionally, they argued that the proposal a

With rising healthcare costs being distributed predominantly on workers or their companies, the economic responsibility is placed on the very people who need it the least: the job creators. If the economic responsibility of healthcare costs was shifted to the government, the private sector job creators could have more revenue to stimulate the economy with additional jobs, better wages, and improved worker benefits. The best way to shift this cost obligation is via a single-payer healthcare system. A single-payer would make sure all citizens would be covered for all medical services, including doctor, hospital, preventive, long-term care, mental health, reproductive health care, dental, vision, prescription drug, and medical supply costs.

The concept of a national single-payer health care system in America is far from a new one. In his journal, Dr. Jonathan Oberlander (2016) listed some of the proposals that have been made in the United States over the years. The first on his list was a bill that was created in 1943 with plans to establish a payroll tax-funded health insurance for the whole country; despite the

In the past what has hindered health care reform plans from being enacted were the issues surrounding how they were to be funded. When comparing the attempts of the Clinton administration, the current legislation developed by both the House and the Senate, and Britain’s National Health Service, it is in my opinion that my optimal health care reform plan be funded through taxes, cost-sharing, and fees. In order for this plan to be successful it must be economically feasible and be able to reduce overall health care costs.

The Affordable Care Act is surrounded by numerous political circumstances. The Affordable Care Act has been called by many names such as Obama Care or healthcare overhaul. The healthcare overhaul is one of the rare policies that has been developed, but not tweaked to perfection; it may never be tweaked to satisfy everyone, but it could still improve. According to the article entitled “The Science of Muddling Through” by Charles Lindblom “Policy is not made once and for all; it is made and re-made endlessly” (Lindblom, 1959, pp. 86). The act of policy-making is based on consecutive approximations to some sought after objective in which the ultimately desired objective continuously changes under reconsideration (Lindblom, 1959, pp. 86).

H.R 4872 commonly referred to as The Affordable Care was mandated into a law on March 23, 2010, by former President Barrack Obama (Rangel, 2010).

The future of healthcare resides in a single-payer system. Our country already has roughly fifty years of experience in this area under the Medicare program. By extending Medicare to all citizens we could ensure that all have the health coverage they need and that “everyone would make a financial contribution to Medicare for All” (Seidman, 2015). A single-payer system would also give the government the necessary leverage to negotiate better prices for care and prescription

U.S. health care reform is currently one of the most heavily discussed topics in health discourse and politics. After former President Clinton’s failed attempt at health care reform in the mid-1990s, the Bush administration showed no serious efforts at achieving universal health coverage for the millions of uninsured Americans. With Barack Obama as the current U.S. President, health care reform is once again a top priority. President Obama has made a promise to “provide affordable, comprehensive, and portable health coverage for all Americans…” by the end of his first term (Barackobama.com). The heated debate between the two major political parties over health care reform revolves around how to pay for it and more importantly, whether it

In September of 1993, President Bill Clinton put forward a program of sweeping health-care amendments and recommended the creation of a system of universal health-care coverage for all people living in the United States of America. In his speech, Health Security for All Americans, Bill Clinton stated, “With this card, if you lose your job or switch jobs, you're covered. If you leave your job to start a small business, you're covered. If you are an early retiree, you're covered”. His plan failed. (Clinton, 2006)

A single payer national health care program could save American?s billions of dollars currently being spent on health care and insurance. A 2000 report by John Sheils and Randall Haught of the Lewin group on the costs and impact of a health care system in the state of Maryland showed that a single payer system implemented in that state would save its citizens 346.8 million dollars a year.(3) The majority of savings from this would come from vast reductions in administrative costs associated with insurance companies and the filing of claims. Sheils also reports that the average family would spend 261 dollars less each year on health costs (7). John Canham-Clyne notes in his book The Rational Option that a single payer bill proposed in the Senate was estimated to save the American public $110 billion a year by the Congressional Budget Office(24). The savings

Due to the upcoming presidential election, the two major political parties, and their candidates, have been focusing on the primary problems that the nation will face. Chief among those problems is the future of Medicare, the national health-insurance plan. Medicare was enacted in 1965, under the administration of Lyndon B. Johnson, in order to provide health insurance for retired citizens and the disabled (Ryan). The Medicare program covers most people aged 65 or older, as well as handicapped people who enroll in the program, and consists of two health plans: a hospital insurance plan (part A) and a medical insurance plan (part B) (Marmor 22). Before Medicare, many Americans didn't have health

President Clinton introduced the Health Security Proposal in 1993. The Health Security Proposal was supposed to be the answer to the United States healthcare crisis. The Health Security Proposal was to provide comprehensive universal healthcare to all Americans, with a key provision in the proposal known as managed care or competition. This would allow states and employers to work together to make different plans available in return, providing competition among the different providers of the healthcare plans The proposal was also going have large employers pay for healthcare while, small employers would have subsidies provided by the government. The proposal also offered other cost controls and insurance reforms.

In this paper I will provide my understanding on why I feel Clinton’s Health Plan was unsuccessful. I will discuss the features of Clinton’s health care reform plan and provide my reasons I feel it failed. I will also discuss the influences of the various interests groups and governmental entities that were present during this process. Lastly I will discuss the policy process and policy environment key players that were involved and the other circumstances that shaped this policy-making effort.