Clinton Tinkers With Health System Status Quo; Critics Seek to Pick Apart Managed Competition

Paul Cotton
JAMA. 1993;269(10):1229-1232. doi:10.1001/jama.1993.03500100021006.
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THE CLINTON administration is doing more listening than talking about how to overhaul the nation's health care system, and so far is only tinkering with the status quo.

Still, President William J. Clinton has promised to have a plan for universal access and cost control to Congress by May.

The President took a fire-and-brimstone tone in his State of the Union address when running through the litany of health care system horrors and how they must be solved to turn the nation's economy around. However, he offered no specifics of his overall reform plan in the hour-long speech.

The President's economic package calls for $26 billion more over the next 4 years in public health spending, including expansion of childhood immunization, acquired immunodeficiency syndrome (AIDS) prevention, substance abuse prevention and treatment, and women's health research.

'No New Cuts'  Clinton said there would be "no new cuts" in the Medicare program


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