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1993-10-26
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Table of Contents
Health Security, The President's Report to the American People
Letter from President William Jefferson Clinton
Foreword by First Lady Hillary Rodham Clinton
1 Why Change 1
Rising Insecurity 2
Growing Complexity 6
Rising Costs 7
Decreasing Quality 12
Declining Choices 14
Growing Irresponsibility 14
An American Challenge 16
2 Principles of Reform 17
Security 17
Simplicity 18
Savings 18
Quality 19
Choice 20
Responsibility 20
3 How the New System Works 21
How Reform Will Affect You 21
Small Business in the New System 24
Discounts for the Smallest Companies 26
An Overview of the New System 26
Flexibility 27
4 Security 33
Comprehensive Benefits 34
Insurance Reform 39
Limits on What Consumers and Businesses Pay 40
Protecting Older Americans 41
Access to Care in Rural and Urban Areas 43
5 Simplicity 47
Reducing Paperwork 47
Cutting Red Tape 51
6 Savings 53
Increasing Competition 54
Strengthening Buying Clout 56
Lowering Administrative Costs 58
Limiting Premium Increases 58
Reducing Health Care Fraud 59
7 Quality 61
Better Information for Judging Quality 62
Investing in Research 64
Emphasizing Preventive Care 65
8 Choice 71
Choosing a Doctor 71
Choosing a Health Plan 73
Increasing Options for Long-Term Care 74
9 Responsibility 77
Medical Malpractice 78
Paying for Health Security
80
Conclusion 85
Speech to Joint Session of Congress 89
President William Jefferson Clinton
September 22, 1993
Appendix 107
I. Existing Government Programs 107
Medicare 107
Medicaid 108
Department of Defense 108
Veterans Health Care 109
Federal Employees Health Benefits Program 110
Indian Health Service 110
II. Scenarios Under Reform 111
Today 111
The Health Security Act 111
Employer Share 113
Two parent family 114
Couple 115
Individual 116
Self employed consultant 117
Small Business 118
Union worker 119
Teacher 120
Professional couple 121
Low-income family 122
Low-income couple 123
Part-time worker with no non-wage income 124
Part-time worker with non-wage income 125
Self-employed farmers 126
Medicare beneficiary 127
Working medicare beneficiary 129
Medicaid Beneficiaries (AFDC and SSI) 130
Medicaid Beneficiaries who do not receive AFDC or SSI 131
Child with disabilities 132
Undergraduate student 133
Unemployed Individual 134
Federal employee 135
Veteran 136