The Clinton Health Care Plan: A Single Payer System in Jackson Hole Clothing

The Clinton Health Care Plan: A Single Payer System in Jackson Hole Clothing

By
Alain C. Enthoven, S. J. Singer
Health Affairs.
1994, Vol. 13, Issue 1, Pages 81-95

President Clinton's Health Security Act relies on government regulation, not market forces, to control costs. The act creates an entitlement to comprehensive benefits and places the federal budget at risk for total health care costs in order to achieve universal coverage; it creates a system of new state purchasing monopsonies; and it attempts to control costs with price controls on health plan premiums, set and administered by a National Health Board that would be part of the executive branch, not insulated from political considerations. We believe there is a better way.