Word: iras
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Dates: during 1990-1999
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...unworkable idea for health-care reform favored by most Democrats. Called "pay or play," the plan would have required employers to extend basic insurance to all their employees or contribute to a public trust that would provide the entitlement instead. Huddling with a brainy Rhode Island business consultant named Ira Magaziner, Reed spent several weeks souping up "pay or play" into a more ambitious- sounding plan that would use savings from cost controls and more efficient management to insure 37 million uninsured Americans...
...They were not only uncertain," recalls a Cabinet officer, "they were big. The numbers bedeviled the process all the way through." Everyone knew that the numbers belonged to Ira Magaziner, the longtime Clinton friend whose consulting work for hospitals during the 1980s earned him a place as the candidate's most trusted health-care adviser. A tall, balding man with a weakness for jargon, Magaziner seemed to live in a world with its own brand of mathematics. He contended that Clinton could cover 37 million uninsured Americans by putting controls on costs and eliminating waste. Nearly every Democratic health-care...
...time to work out the details, build consensus among the experts and lobbyists, keep skeptics at bay, generate more ideas, and test the financial assumptions on the government's supercomputers. But most of all, Magaziner needed to conduct what one task-force member called "Ira's own heuristic process. This is the way Ira decides things," the official said. "He gets as many people in a room and talks for as long as everyone can stand." Of course, to a lesser extreme, it was also the way Clinton decided things. "Managed competition was a thesis that needed to be proven...
...economy, which, like a surgical patient who must feel worse before he can get better, might need to endure modestly higher unemployment for several years as the price of reform. Trouble is, Clinton has not prepared the public for any sacrifice. He and his top health-care strategist, Ira Magaziner, have been selling health-care reform as a four-course free lunch. Everyone will be covered. It won't require new taxes. It will immediately boost job creation. And it will immediately reduce the federal deficit. "Several of us," says a political adviser to Clinton, "are worried that...
...precautions have increased at hospitals, schools, shopping malls, offices, courthouses and even libraries. And for good reason. Within the past year, librarians have been attacked and killed behind their desk in Sacramento, California, and Buckeye, Arizona. Incidents of violence against health-care workers have increased 400% since 1982, says Ira - A. Lipman, chairman of the National Council on Crime and Delinquency and head of Guardsmark, Inc., the nation's fifth largest security company. "Companies are very concerned because one incident in a shopping mall can destroy business...