Saturday, March 15, 2014

A Reprieve, but for Whom?
...A January 1994 memo between two Clinton White House aides was included in the 4,000 pages of Clinton-era documents released Friday by the National Archives.

In it, one aide voiced concern that they wouldn't be able to keep the promise that Americans could pick their doctor and health plan under the health care overhaul proposed at that time.

The memo said: "We have a line on p. 10 that says 'You'll pick the health plan and doctor of your choice.' This sounds great and I know that it's just what people want to hear. But can we get away with it? Isn't the whole thrust of our health plan to steer people toward cheaper, HMO-style providers? It's one thing to say we'll preserve your option to pick the doctor of your choice (recognizing that this will cost more), it's quite another to appear to promise the nation that everyone will get to pick the doctor of his or her choice. And that's exactly what this line does. I am very worried about getting skewered or over-promising here on something we know full well we won't deliver." ...