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President Clinton's Health Reform Proposal of 1993

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J.W. Kingdon describes the agenda setting stage of policy formulation as a function of the confluence of three "streams" of activities: problems, possible solutions to the problems, and political circumstances (see Longest page 132). According to this metaphor, all three streams must be present for the policymaking process to move to the legislation development phase.

In 4-6 paragraphs, analyze and discuss President Clinton's Health Reform Proposal of 1993 using the terms of this metaphor. Apply your critical thinking skills to assess the events surrounding this proposal as objectively as possible. Cite Sources.

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Solution Summary

Applying the metaphor posited by J.W. Kingdon, this solution analyzes and discusses President Clinton's Health Reform Proposal of 1993 using the specific terms of this metaphor.

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Please refer to attached file response (also presented below). I hope this helps and take care.

RESPONSE:

You have been asked "...to analyze and discuss President Clinton's Health Reform Proposal of 1993 using the terms of this metaphor in 4-6 paragraphs and to.... Apply your critical thinking skills to assess the events surrounding this proposal as objectively as possible."

1. Problems

A summary is provided of President Clinton's address on health insurance before the August meeting of the National Governor's Association (NGA). The president states that [h]ealth care reform is expected to be difficult, and White House aides working on this issue have moved appropriately into the White House "war room". The President identified the basic problem to be addressed by the plan as 1) universal coverage, 2) simplification of administration and expenses, and 3) coast containment. In other words, the problems were that not all American has an equal opportunity to health care, the cost of administrative costs had to be addressed, as well as coast containment

The speech was well received, and action was urged by governors to respect state discretion and allow for state efforts in health care reform before national enactment of a flexible framework. Employer mandates received considerable attention. Governor Pete Wilson of California was concerned about the effect on small businesses and suggested that the program be voluntary. Opponents of the plan are already preparing a multimillion lobbying effort. President Clinton has received a letter endorsed by 41 Republican congressmen which stated their strong opposition to employer mandates. Republicans in both the House and Senate are preparing their own plans. House Minority Leader Robert Michel of Illinois is planning to introduce, in the fall, a proposal, without universal coverage. A Senate proposal by John Chafee of Rhode Island would provide universal coverage. Health care advisor Ira Magaziner had ...

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