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Executive Summary
In 1992 Gov. Bill Clinton of Arkansas unseated
incumbent President George H. W. Bush in part by
tapping voter dissatisfaction with the rising cost of
health insurance and the growing number of
Americans without health insurance. Despite a
massive legislative campaign directed by then-first
lady Hillary Rodham Clinton, the Clinton administration's
sweeping proposal to increase federal
control over the health care sector languished and
eventually died in Congress. Today, with health
insurance costs once again rising at double-digit
rates and the number of uninsured Americans at a
new high, the Democratic candidates for president
have lined up their own health insurance reform
proposals. The major candidates are Army Gen.
Wesley Clark (ret.), former governor of Vermont
Howard Dean, Sen. John Edwards (NC), Sen. John
Kerry (MA), Rep. Dennis Kucinich (OH), Sen. Joe
Lieberman (CT), and Rev. Al Sharpton. Before leaving
the race, Rep. Richard Gephardt (MO) also put
forward a major health care proposal.
Unfortunately, the candidates' health plans
reflect the same misconceptions as and rely on
approaches similar to those of the failed Clinton
health plan. Like the Clinton health plan, they
misdiagnose what ails the health care sector;
would attempt to direct the provision of health
care from Washington, DC, through increased
taxes, government spending, and bureaucratic
control; and would magnify the perverse incentives
created by past government interventions.
Like that of the Clinton health plan, their
response to the use of unconstitutional government
power in the health care sector is to wield
even more unconstitutional power.
The five major candidates early on in the 2004 race (Clark, Dean, Edwards, Kerry, and Lieberman) would each have taken incremental steps toward a government-run health care system. The two long-shot candidates in the race (Kucinich and Sharpton) would have taken a more aggressive approach, calling for an immediate government takeover. Although Sen. Hillary Rodham Clinton (D-NY) disappointed many Democratic Party faithful by forgoing a race for president this year, judging by the health care proposals in the field of contenders, her influence is being clearly felt.
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