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<When it became clear that Hillaycare (!!!!) was not going anywhere, Clinton proposed the expansion of Medicare back to the age of 55. This was soundly rejected by the Republican politicians >

Goodness, I forgot about that! Glad you reminded me.

Turn about's fair play.

Bet you a quarter that you don't remember the Oregon Plan, which President H.W. Bush personally canceled somehow on the basis that it violated the Americans With Disabilities Act, even though it was a state plan and not a federal plan. (I think that was in 1990 or 1991.) The Oregon Plan was a cost/benefit list created by a panel of doctors. High benefit/ low cost items were at the top (#1 was vaccination of children against contagious diseases). Low benefit/ high cost items were the bottom. (In today's medical scene, that might be cancer drugs that cost tens of thousands of dollars but which extend life little if at all.) Oregon allocated a fixed amount of money for health care. Medical procedures that fell below the financial cut-off were not covered. I thought this was a sensible approach, but it was torpedoed because some people would be left out in the cold.

<The idea coming from you that it was feasible to "simply expand Medicare" seems to me like a bit of temporary incomprehension on your part. I can't believe you don't see this. >

I see that I was far too idealistic. Congress can't work together on even the simplest issues, much less something as complex as health insurance -- especially when industry money has its heavy thumb on the balance.

Wendy
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